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J Pain Symptom Manage. 2020 Jan;59(1):147-151. doi: 10.1016/j.jpainsymman.2019.10.015. Epub 2019 Oct 23.

My Life, My Way: A Quality Improvement Program to Increase Advance Care Planning in a Racially and Ethnically Diverse Patient Population.

Author information

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.

KEYWORDS:

Intervention; advance care planning; cultural competency; end-of-life planning; quality improvement

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