Mariah Eggebraaten, Janisha Manhas, Zach Merten, Donald Pine, Teresa Quinn, Deborah M Mullen
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Increasing Health Care Agent Documentation in a Residency Clinic.
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 Chart audits found that 69% of patients had outdated (older than 5 years) ACP/HCA documentation.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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