When planning your estate, it’s crucial to think beyond asset distribution. Your health care wishes are equally important, especially if you become unable to speak for yourself. In California, many people encounter confusing acronyms such as AHCD, DNR, POLST, and HIPAA Authorization. This post explains what each document does and how they work together to protect your health care choices.

 

What Is an Advance Health Care Directive (AHCD)?

 

An Advance Health Care Directive is a legal document that designates a trusted person (a health care agent) to make decisions on your behalf if you become incapacitated and outlines your medical treatment preferences. An AHCD is a combination of what formerly were known as the Durable Power of Attorney for Health Care and the Living Will. Key points include:

• Appointment of a Health Care Agent: You can name one or more individuals to represent your wishes.
• Comprehensive Planning: It covers a broad range of decisions—from life support and pain management to end-of-life care and organ donation preferences.
• Customizable Options: Whether as part of a comprehensive estate plan or a standalone document, an AHCD reflects your unique values and health care goals.

Our firm specializes in preparing thorough AHCDs (with integrated HIPAA authorization provisions) to ensure your wishes are clearly communicated.

 

What Is a Do Not Resuscitate (DNR) Order?

 

A Do Not Resuscitate order is a specific medical directive that instructs health care providers not to perform cardiopulmonary resuscitation (CPR) if your heart stops or if you stop breathing. Consider the following:

• Emergency Focused: A DNR is designed solely for the event of cardiac or respiratory arrest.
• Limited Scope: Unlike an AHCD, it addresses only resuscitation efforts.
• Medical Order: Typically, a DNR must be signed by a physician and becomes part of your medical record.

A DNR order may be appropriate if you’re facing a terminal illness or are of advanced age where CPR might do more harm than good.

 

What Is a POLST?

 

The Physician Orders for Life-Sustaining Treatment (POLST) form is another medical order—but it’s broader than a DNR. It not only covers resuscitation but also includes other life-sustaining treatments. Here’s what you need to know:

• For Serious Illness: POLST forms are typically used by individuals with a serious, life-limiting condition.
• Actionable Medical Orders: They convert your treatment preferences into immediate medical orders that emergency personnel and hospitals must follow.
• Dynamic Nature: POLST forms are reviewed regularly and may be updated as your health condition changes.

Because a POLST is tailored to current clinical circumstances, it complements your AHCD by providing clear, actionable instructions during a medical crisis.

 

What Is a HIPAA Authorization?

 

HIPAA Authorization is a component often included within your AHCD, although it may also be drafted as a separate document. It grants your designated health care agent (or other trusted individuals) permission to access your otherwise protected medical records. Key features include:

• Protecting Your Privacy: HIPAA regulations safeguard your medical information, but your chosen proxy needs access to ensure informed decisions.
• Empowering Your Agent: By including a HIPAA authorization, you allow your agent to communicate with doctors and access your health history.
• Essential for Informed Decisions: Without this authorization, your agent might be unable to obtain critical information needed to act according to your wishes.

Including a HIPAA Authorization in your AHCD streamlines decision-making in times of crisis.

 

Why These Documents Matter

 

Each document serves a specific role:

• AHCD: Appoints a decision-maker and provides comprehensive healthcare instructions.
• DNR: Focuses solely on whether to perform resuscitation.
• POLST: Issues immediate, actionable medical orders for those with serious illnesses.
• HIPAA Authorization: Ensures your designated agent can access vital medical information.

Together, these instruments help ensure that your health care preferences are respected and that your loved ones and medical providers have clear guidance during emergencies.

 

How We Can Help

 

At our law firm, we understand that these decisions are deeply personal. We work with you to create an Advance Health Care Directive that not only reflects your wishes but also includes a HIPAA Authorization to empower your health care agent. Whether as part of a comprehensive estate plan or as a standalone document, our goal is to give you peace of mind knowing your future medical care is in good hands.

 

By clearly outlining each document’s purpose and how they work together, you can make informed decisions that honor your wishes and ease the burden on your loved ones during difficult times.

 

Contact us today for a consultation and let our experienced attorneys guide you through the process of protecting your health and your legacy.

 

Please note: This blog post is for informational purposes only and does not constitute legal advice or create an attorney-client relationship. Consult with a qualified attorney at Pederson Law Offices for advice on your specific circumstances.