Mich. Admin. Code R. 325.81 - Definitions
Rule 81.
(1) As used
in these rules:
(a) "Advanced illness" means a
medical or surgical condition with significant functional impairment that is
not reversible by curative therapies and that is anticipated to progress toward
death despite attempts at curative therapies or modulation.
(b) "Attending health professional" means a
physician, physician's assistant, or certified nurse practitioner, who has
primary responsibility for the treatment of a patient and is authorized to
issue the orders on a MI-POST form.
(c) "Change in level of care or care setting"
results from a formal healthcare or needs assessment, or both, that supports
the increase or decrease in care services required to provide a safe and least
restrictive setting for the patient. A change in care setting does not refer to
reassignments within the same facility.
(d) "Department" means the department of
health and human services.
(e)
"Emergency medical services personnel" or "EMS personnel" means that term as
defined in section 20904 of the public health code, 1978 PA 368, MCL 333.20904,
but does not include an emergency medical services
instructor-coordinator.
(f)
"Guardian" means a person with the powers and duties to make medical treatment
decisions on behalf of a patient to the extent granted by court order under
section 5314 of the estates and protected individuals code, 1998 PA 386, MCL
700.5314.
(g) "Patient advocate"
means an individual presently authorized to make medical treatment decisions on
behalf of a patient under sections 5506 to 5515 of the estates and protected
individuals code, 1998 PA 386, MCL 700.5506 to 700.5515.
(h) "Patient representative" means a patient
advocate or a guardian.
(i)
"Physician orders for scope of treatment form" or "MI-POST " means a form
created by the department to be used as part of an advance care planning
process that, with medical orders, reflect both the patient's expressed wishes
or best interests and the attending health professional's medical advice or
recommendation. A MI-POST is not an advance health care directive.
(2) A term defined in the code has
the same meaning when used in these rules.
Notes
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