Katherine Aragon, Brian S Wood, Karen Halpert, Aaron J Miller, Stephanie Turner, Kinsey Brady, Laura C Hanson
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Health System Intervention to Innovate and Improve Advance Care Planning for Older Adults.
Background: Advance care planning (ACP) conversations happen infrequently even for patients with serious illness. Because patients are seen across settings, a unified approach to ACP is important in large integrated health systems.
Measures: To describe the structural and clinical process changes implemented by a large health system to improve and expand ACP for older adults.
Intervention: UNC Health, a large academic public health system, created the ACP Taskforce to develop and implement a plan to document, facilitate, and educate to expand ACP across entities for patients 65 years and older.
Outcomes: Between July 2019 to June 2022, the percentage of patients 65 years and older with any ACP documentation increased from 63% to 72.2%. ACP documentation shifted over that time to documenting health care decision makers and completing ACP notes.
Conclusion/lessons learned: Aligning ACP across a large health system was facilitated by representation across entities and resulted in improved ACP practices.
期刊介绍：
The Journal of Pain and Symptom Management is an internationally respected, peer-reviewed journal and serves an interdisciplinary audience of professionals by providing a forum for the publication of the latest clinical research and best practices related to the relief of illness burden among patients afflicted with serious or life-threatening illness.
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