Promoting End-of-Life Advanced Care Planning Using Health IT
11:30am - 12:30pmThursday, February 14
Orlando - Orange County Convention Center
In 2017, we launched a supportive care initiative to improve the value of care that we deliver to patients at the end of life. The goal was to help our providers identify patients at the end of life, and improve the follow-up actions from this identification.
We developed a bundle of Clinical Decision Support interventions to promote screening, identification, and appropriate care of patients with limited life expectancy.
In particular, we embedded a provider facing screening question into the EHR admission process that was cosigned on admission and at discharge by the attending of record. Patients screening positive triggered decision support for palliative care consults and completion of other best practices for high risk patients.
All documentation related to goals of care was curated in a specific activity to ensure transparency to all members of the care team.
These interventions have improved screening by 34% and care plan documentation by 71%.
Design Clinical Decision Support Interventions to promote screening for patients who could benefit from Goals of Care Conversations
Evaluate the impact of goals of care health IT interventions on important Clinical Care process and outcome measures
Identify barriers to adoption of goals of care health IT interventions
Discuss the rationale for investing in Health IT interventions for goals of care
Diagram the clinical workflow from screening to intervention for patients who will benefit from goals of care interventions