Code of Massachusetts Regulations
243 CMR - BOARD OF REGISTRATION IN MEDICINE
Title 243 CMR 3.00 - The Establishment Of And Participation In Qualified Patient Care Assessment Programs, Pursuant To M.G.L. c. 112, Section 5, and M.G.L. c. 111, Section 203
Section 3.10 - Qualified Patient Care Assessment Program - Specified Requirements in the Practice of Medicine
Universal Citation: 243 MA Code of Regs 243.3
Current through Register 1531, September 27, 2024
(1) Informed Consent. A Qualified Patient Care Assessment Program must require licensees in the facility to adhere to the following guidelines relevant to Informed Consent:
(a)
The health care facility must have written policies and procedures designed to
address the informed consent process. At a minimum, the policies should
address:
1. Medical procedures and treatments
for which informed consent is required and the content of the information
provided.
2. Designation of persons
responsible for obtaining informed consent from the patient.
3. The manner of documentation of consent,
consistent with
243 CMR 3.00.
4. Designation of appropriate persons, other
than the patient, from whom consent may be obtained, and the circumstances when
consent may be obtained from a person other than the patient.
(b) Consent should be obtained for
all major therapeutic and diagnostic procedures where disclosure of significant
medical information, including major risks involved, would assist a patient in
making an intelligent decision whether to undergo the proposed
procedure.
(c) It shall be a
physician's responsibility to obtain the informed consent of the patient, and
to discuss sufficient medical information to enable the patient to decide
whether to undergo the proposed treatment. Although the physician is
responsible for informing the patient, health care facility personnel may
assist in the completion of documentation.
(d) A patient's consent shall be documented
with sufficient clarity and detail so as to satisfy the reader that the patient
was given and understood the medical information provided.
(2) Medical Records.
(a)
Alterations
Prohibited. The health care facility shall prohibit the alteration
of medical records when such alteration distorts any facts or circumstances
reflected in the original writing.
(b) Medical records shall meet the
requirements set forth in the current Accreditation Manual for Hospitals,
published by the Joint Commission on Accreditation of Hospitals.
(3) Prescription Practice and Medication Errors. All licensees shall adhere to requirements for the safe administration of drugs and biologicals, set forth in the current Accreditation Manual for Hospitals, published by the Joint Commission on Accreditation of Hospitals.
(4) Guidelines in Specialties.
(a)
Anesthesiology. All licensees shall adhere to any
Standards for Basic Intra-Operative Monitoring established by the American
Society of Anesthesiologists.
(b)
Other Patient Care Assessment Standards. The Board
views the Standards for Basic Intra-Operative Monitoring as an example of
patient care assessment standards for other specialties. On or after November
1, 1987, the Board may promulgate regulations relevant to Patient Care
Assessment Standards in other medical specialties. Prior to such promulgation,
the Board of Registration in Medicine may receive suggested Patient Care
Assessment Standards from appropriate local, state or national specialty
societies and organizations.
Disclaimer: These regulations may not be the most recent version. Massachusetts may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
