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Survey Introduction

The purpose of this survey is to collect information from skilled nursing facilities regarding how often the need arises to convene an Interdisciplinary Team (IDT) to authorize medical treatment that requires informed consent on behalf of unrepresented residents. The information collected by this survey will be used to assess the scope of need for independent “patient representatives.”

Unrepresented residents are those residents who are unable to provide informed consent, due to diminished cognitive capacity, and lack a surrogate decision maker to provide informed consent. A patient representative represents the resident who is unable to provide informed consent and who lacks designated friends and family to receive information and make determinations about necessary medical procedures. This only applies to medical procedures requiring informed consent.

This information will in no way be used for enforcement and no facility identifier will be retained in the data set collected. CDPH needs to assess the need for independent patient representatives to help teams care for unrepresented residents.

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* 1. In which county is your facility located?

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* 2. How many residents at your facility are currently unrepresented and unable to provide informed consent?

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* 3. In an average month, how many unrepresented residents who are unable to provide informed consent would you normally serve?

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* 4. During the admissions process, does your facility inform residents of the ability to designate someone to make medical decisions for them if they become unable to make their own healthcare decisions?

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* 5. On average, how many times a month does an IDT meet to authorize medical interventions for unrepresented residents unable to provide informed consent?

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* 6. How long does a typical IDT meeting take?

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* 7. How much time does an individual facility staff member spend preparing for IDT meetings?

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* 8. How many times in the last year has your facility or person acting on behalf of a patient obtained a court order (Probate Code Section 3201) authorizing a prescribed course of treatment?

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