Mariah Eggebraaten, Janisha Manhas, Zach Merten, Donald Pine, Teresa Quinn, Deborah M Mullen
{"title":"Increasing Health Care Agent Documentation in a Residency Clinic.","authors":"Mariah Eggebraaten, Janisha Manhas, Zach Merten, Donald Pine, Teresa Quinn, Deborah M Mullen","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Health care agent (HCA) documentation as part of advance care planning (ACP) helps clinicians understand patient care wishes. This project aimed to habituate these conversations and increase documentation rates.</p><p><strong>Methods: </strong>Workflow redesign and novel educational interventions were implemented. Patients aged 50 and older received an HCA education \"blue sheet\" at check-in as a discussion prompt.</p><p><strong>Results: </strong>Of 968 visits, patients in 44% received the intervention and 4% added HCA documentation. Chart audits found that 69% of patients had outdated (older than 5 years) ACP/HCA documentation. Clinician and staff found the process helpful, important to patients, and sustainable.</p><p><strong>Discussion: </strong>This inexpensive intervention increased HCA documentation and highlighted the need to update old ACP documents.</p>","PeriodicalId":94268,"journal":{"name":"WMJ : official publication of the State Medical Society of Wisconsin","volume":"124 2","pages":"162-164"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"WMJ : official publication of the State Medical Society of Wisconsin","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Health care agent (HCA) documentation as part of advance care planning (ACP) helps clinicians understand patient care wishes. This project aimed to habituate these conversations and increase documentation rates.
Methods: Workflow redesign and novel educational interventions were implemented. Patients aged 50 and older received an HCA education "blue sheet" at check-in as a discussion prompt.
Results: Of 968 visits, patients in 44% received the intervention and 4% added HCA documentation. Chart audits found that 69% of patients had outdated (older than 5 years) ACP/HCA documentation. Clinician and staff found the process helpful, important to patients, and sustainable.
Discussion: This inexpensive intervention increased HCA documentation and highlighted the need to update old ACP documents.
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