Session ID: 

Using Technology to Align Treatment with End-of-Life Goals

10:00am - 11:00am Wednesday, February 13
Orlando - Orange County Convention Center


End-of-life (EOL) should be a time when care is seamlessly coordinated and focused on the wishes of the patient, but often times is not due to paper-based processes, errors on advance care planning (ACP) documents, multiple care transitions and documents not being electronically available within the clinical workflow. ACP documents not being readily available results in unnecessary and unwanted ED visits, hospital admissions, ICU stays, increased costs and poor quality of care at EOL. Sutter Health identified a need to improve the ACP process across all care settings and, as one strategy, committed to solve for this with an EHR integrated solution. This session highlights Sutter Health’s efforts to leverage technology to improve their Advanced Illness Management and palliative care programs; change management strategy across multiple clinical workflows; integrate with the state ACP registry; and realize outcomes on system utilization, document capture, admission rates and ICU utilization.

Learning Objectives: 

  • Explain the purpose and goals of implementing an EHR integrated eRegistry ACP technology platform across the health system and state registry
  • Assess the value proposition of a dedicated ACP technology to coordinate the sharing of Physician Orders for Life-Sustaining Treatment (POLST) information across the medical community
  • Show how the use of a dedicated ACP technology improves patient engagement, system utilization, ACP document capture rates and impacts unnecessary admissions and ICU utilization
  • Define the implementation and change management strategies needed for success
  • Identify organizational readiness for participation in a POLST eRegistry


Director, Patient Health Management,
Sutter Health
Chief Executive Officer,


Chief Quality, Chief Clin Transformation Officer