Journal of pain and symptom management · 2025
Health System Intervention to Innovate and Improve Advance Care Planning for Older Adults.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Aragon Katherine, Wood Brian S, Halpert Karen, Miller Aaron J, Turner Stephanie, Brady Kinsey, Hanson Laura C
Аннотация
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.
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.