Alan R Roth1, Angelo Canedo2, Raisa Balabanova2, Vandana Chauhan2. 1. Jamaica Hospital Medical Center, Richmond Hill, New York, USA. Electronic address: aroth@jhmc.org. 2. Jamaica Hospital Medical Center, Richmond Hill, New York, USA.
Abstract
BACKGROUND: A multilevel quality improvement program was implemented at an urban community hospital, serving a racially and ethnically pluralistic patient population, to increase participation in advance care planning (ACP). MEASURES: Number of eligible patients who completed an ACP form. INTERVENTION: Projects were implemented over the course of two years that targeted patients, health care providers, the organization, and the community. OUTCOMES: The intervention resulted in increased completion of four unique ACP forms. Completion of the Living Will increased by 60%, Health Care Proxy increased by 9%, Medical Orders for Life-Sustaining Treatment increased by 5%, and Do-Not-Resuscitate/Do-Not-Intubate orders increased by 3%. CONCLUSION: Multilevel interventions can increase ACP participation in a racially and ethnically pluralistic patient population.
BACKGROUND: A multilevel quality improvement program was implemented at an urban community hospital, serving a racially and ethnically pluralistic patient population, to increase participation in advance care planning (ACP). MEASURES: Number of eligible patients who completed an ACP form. INTERVENTION: Projects were implemented over the course of two years that targeted patients, health care providers, the organization, and the community. OUTCOMES: The intervention resulted in increased completion of four unique ACP forms. Completion of the Living Will increased by 60%, Health Care Proxy increased by 9%, Medical Orders for Life-Sustaining Treatment increased by 5%, and Do-Not-Resuscitate/Do-Not-Intubate orders increased by 3%. CONCLUSION: Multilevel interventions can increase ACP participation in a racially and ethnically pluralistic patient population.