Washington State Hospital Association January 30, 2008

Presenters

Carol WozniakLiving Will Registry ManagerWashington State Department of Health

Tom ByronChief Information OfficerWashington State Hospital Association(moderator)

Web cast Presentation Objectives

Describe the Living Will Registry Demonstrate how to register and

retrieve documents online Identify providers who are eligible

to receive 24/7 registry access Explain how your hospital can

apply for registry access approval Offer marketing strategies

What is the WA State Living Will Registry?

Secure, online database that preserves the end-of-life preferences of Washington State residents

It’s free! Signing up is easy Accessible to authorized health care

providers

Created by SHB 2342 (2006)

Representative James Moeller, Primary sponsor of the bill

Stakeholders identified a need to make health care declarations more widely available to health care providers

Natural Death Act RCW 70.122 was changed to include the registry

Do other states have registries?

Living will registries are a growing trend

Only a handful of state-sponsored registries exist and they are new in concept – Vermont, Montana, Arizona

National, independent registries also exist

What documents may be submitted?

Health Care Directive Durable Power of Attorney for

Health Care Mental Health Advanced Directive Physician Orders for Life-

Sustaining Treatment - POLST

How to register and file documents?

1. Prepare your health care declaration documents

2. Fill out the simple Registration Agreement form online

3. Mail or fax copies of your forms to the Registry

What happens next?

1. The Registry electronically stores your information and assigns you a unique registration ID number

2. You will receive: Stickers to place on your driver’s license, ID card

and/or health insurance card A wallet card with your registration ID number

3. Each year you will receive a letter reminding you to update your documents

Online demonstration on how to:

1. Register and file documents

2. Retrieve filed documents

3. Apply for registry access authorizationwww.doh.wa.gov/livingwill

Welcome Letter

Wallet Card – Front side

Wallet Card – Back side

US0000049137

Eligible health care providers who may receive 24/7 registry access using ONLY the patient’s name and birth date:

Medical Practice ProvidersHospitalsNursing HomesHome Health AgenciesHospice AgenciesBoarding HomesState Hospitals caring for the mentally illFacilities licensed under RCW 71.12.455Clinics that are part of a community mental

health service delivery system

How do health care providers apply?

Complete the “Facilities Access Application” form online

Select a Registry Manager within your organization to be the contact person

An approving authority needs to sign, date, and fax the application to DOH

Once your application is approved…

Your Registry Manager will receive an email message confirming authorization

The email will include your organization’s unique access codes and instructions for retrieving and storing documents

The step-by-step instructions will guide your Registry Manager through the process of adding and deleting users and creating usage reports

This report allows you to select a specific time period to view documents that were accessed, the day and time they were accessed, and who accessed the document.

Documents Accessed 01/01/2008 – 01/09/2008

Last Name First NameAccess

DateAccess Time Accessed At Accessed By

Doe John 01/03/2008 1:37:00 PM WA State Dept of Health Carol Wozniak

Record Test 01/04/2008 1:39:00 PM WA State Dept of Health Jeffrey Weldon

Smith Mary 01/08/2008 1:46:00 PM WA State Dept of Health Marena Kerr

Sample report – Documents Accessed

This report allows you to search a specific registrant to view who has accessed his/her documents, on what day and time, and the provider who accessed the documents.

Registrant Access Report – Document Accessed

Last NameFirst

NameAccess Date Access Time Accessed At Accessed By

Doe John 01/03/2008 1:37:00 PM Cascade Nursing Home Nancy Smith

Doe John 01/04/2008 8:39:00 AM Swedish Hospital William Harris

Doe John 01/07/2008 9:46:00 AM University Hospital Lois Roberts

Sample report – Registrant Access

Why use the living will registry?

Health care providers can be assured their patients’ documents are up to date

Take the guesswork out of where your patients’ important documents are kept

Gives providers accurate information about their patients’ end of life treatment wishes

An added bonus…

The registry is FREE

FREE to WA residents wishing to store their health care decision making documents

AND

FREE to health care providers wishing to store and retrieve their patients’ decision making documents

Marketing Materials

Patient brochure Physician brochure Poster Fact Sheet Website Written news articles

Patient Brochure

Physician Brochure

Wall Poster 11 x 17

How to order marketing materials?

Contact the WA State Medical Assoc. or the Dept. of Health for free brochures and posters

For WSMA members, next month you’ll receive sample brochures and a cover letter in your mail

For an in depth interview on the registry read January ’08’s WSMA “Reporter” cover story

Ways you can help to market the registry

Distribute registry brochures in your admissions, chaplain, trauma, and social work departments

Add the www.doh.wa.gov/livingwill link to your hospital’s website

Educate your staff about the importance of using the registry

Feature an article in your newsletter

What other ideas should we consider?

Public education campaign Patient Self-Determination Act (PSDA)

TV commercial Radio spots Joint mailings Key presentations Icon endorsements

How do hospitals sign up? Visit www.doh.wa.gov/livingwill

Questions? Call Carol Wozniak 360-236-4369 Email Carol.Wozniak@doh.wa.gov

Order brochures? Order online www.wsma.org Email requests LivingWill@doh.wa.gov