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My Life, My Way: A Quality Improvement Program to Increase Advance Care Planning in a Racially and Ethnically Diverse
Alan R Roth1, Angelo Canedo1, Raisa Balabanova1
1Jamaica Hospital Medical Center, Richmond Hill, New York, USA.
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.
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