(1) As used in this section and ORS 413.270 and 413.271: (a) Appropriate means consistent with applicable legal, health and professional standards, a patients clinical and other circumstances, and the patients known wishes and beliefs. (b) Health facility includes: (A) Hospitals and long term care facilities licensed under ORS 441.025; and (B) Residential facilities licensed under ORS 443.415. (c) Medical care means professional services for a patient that are provided, requested or supervised by a physician, nurse practitioner or physician associate. (d)(A) Palliative care means patient-centered and family-centered medical care that optimizes a patients quality of life by anticipating, preventing and treating the suffering caused by serious illness and involves addressing the patients physical, social and spiritual needs and facilitating the patients autonomy, access to information and choice. (B) Palliative care includes, but is not limited to: (i) Discussing a patients goals for treatment; (ii) Discussing the treatment options that are appropriate for the patient; and (iii) Comprehensive pain and symptom management. (e) Serious illness means any illness, physical injury or condition that substantially impairs a patients quality of life for more than a short period of time. (2) A health facility shall: (a) Establish a system for identifying patients or residents who could benefit from palliative care; (b) Provide information to patients, residents and their families about palliative care; and (c) Coordinate with a patients or residents primary care provider, if practicable, to facilitate the access of patients and residents with serious illnesses to appropriate palliative care. Note: See note under 413.270. HEALTH INFORMATION TECHNOLOGY
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