Sec. 6. Application of quality measures under Medicare relating to end-of-life care
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Section 1848(s)(1) of the Social Security Act ( 42 U.S.C. 1395w–4(s)(1) ) is amended by adding at the end the following new subparagraph: Within one or more appropriate quality domains, the Secretary shall establish subdomains relating to end-of-life care, including subdomains relating to each of the following: The process of eliciting and documenting goals, preferences, and values of the patient (and, where relevant and appropriate, family caregiver) regarding end-of-life care from the patient or from a legally authorized representative, including the articulation of goals that accurately reflect how the patient wants to live.
The effectiveness, patient-centeredness (and, where relevant, family caregiver-centeredness), and accuracy of end-of-life care plans, including documentation of individual goals, preferences, and values. Agreement and consistency with respect to end-of-life care among— patient’s goals, values, and preferences; any documented care plan; and the care delivered. . Section 1899B of the Social Security Act ( 42 U.S.C. 1395lll ) is amended— in subsection (a)(2)(E)(i)— by striking and at the end of subclause (IV); by striking the period at the end of subclause
(V)and inserting ; and ; and by adding at the end the following new subclause: with respect to the domain described in subsection (c)(1)(F) (relating to end-of-life care)— for PAC providers described in clauses (ii), (iii), and
(iv)of paragraph (2)(A), October 1, 2018; and for PAC providers described in clauses
(i)of such paragraph, January 1, 2019. ; and in subsection (c)(1), by adding at the end the following new subparagraph: The effectiveness, patient-centeredness (and, where relevant, family caregiver-centeredness), and accuracy of end-of-life care plans and communications relating to such plans, including— documentation of a patient’s goals, preferences, and values; and agreement and consistency with respect to end-of-life care among— patient’s goals, values, and preferences; any documented care plan; and the care delivered. .
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- 42 USC 1395w–4(s)(1)
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Sec. 6
Application of quality measures under Medicare relating to end-of-life care
Cite42 USC 1395w–4(s)(1)
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