Advance Care Planning Knowledge and Documentation in a Hospitalized Cancer Population

Novel tool utilized as a trigger for advance care planning in hospitalized oncology patients.

22 Background: Study Purpose: reduce inpatient oncology readmissions; determine if there is a need to standardize trigger for Advance Care Planning in the inpatient oncology population. METHODS Investigational Quality Improvement Study January-June 2014. Retrospective chart review of oncology readmissions on the BMC Hematology and Oncology service during a 6 month period, January-June 2013 (N...

Advance care planning in primary care.

Impact of a Care Directives Activity Tab in the Electronic Health Record on Documentation of Advance Care Planning.

CONTEXT To ensure patient-centered end-of-life care, advance care planning (ACP) must be documented in the medical record and readily retrieved across care settings. OBJECTIVE To describe use of the Care Directives Activity tab (CDA), a single-location feature in the electronic health record for collecting and viewing ACP documentation in inpatient and ambulatory care settings, and to assess ...

Advance Care Planning in an Accountable Care Organization Is Associated with Increased Advanced Directive Documentation and Decreased Costs

BACKGROUND Advance care planning (ACP) documents patient wishes and increases awareness of palliative care options. OBJECTIVE To study the association of outpatient ACP with advanced directive documentation, utilization, and costs of care. DESIGN This was a case-control study of cases with ACP who died matched 1:1 with controls. We used 12 months of data pre-ACP/prematch and predeath. We co...

Pediatric advance care planning: a systematic review.

BACKGROUND AND OBJECTIVES Advance care planning (ACP) is increasingly regarded as the gold standard in the care of patients with life-limiting illnesses. Research has focused on adults, but ACP is also being practiced in pediatrics. We conducted a systematic review on empirical literature on pediatric ACP (pACP) to assess current practices, effects, and perspectives of pACP. METHODS We search...