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Advance care planning dashboard: quality indicators and usability testing.

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Summary

The advance care planning (ACP) and goals of care designation (GCD) dashboard and indicators were found to be usable and acceptable by healthcare professionals. These tools show promise for evaluating ACP/GCD implementation in complex health systems.

Keywords:
clinical decisionscommunicationeducation and training

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Area of Science:

  • Healthcare quality improvement
  • Health services research
  • Palliative care research

Background:

  • Advance care planning (ACP) and goals of care designation (GCD) are crucial for patient-centered care.
  • Performance indicators and electronic dashboards are increasingly used to monitor healthcare quality.
  • The usability and acceptability of these tools are essential for successful implementation.

Purpose of the Study:

  • To evaluate the usability and acceptability of newly developed ACP/GCD performance indicators and an electronic dashboard.
  • To assess healthcare professionals' perceptions of the informativeness and impact of these tools on practice.

Main Methods:

  • A survey was administered to members of an ACP/GCD community of practice.
  • The survey included demographic and clinical practice questions, and the validated System Usability Scale (SUS) for the dashboard.
  • Data were collected from 18 participants.

Main Results:

  • The mean SUS score was 70.83, exceeding the acceptability threshold of 68.
  • 72.7% of respondents found the indicators informative and meaningful.
  • 54.5% were willing to use the dashboard/indicators to modify their ACP/GCD practices.

Conclusions:

  • The developed ACP/GCD performance indicators and dashboard are acceptable and usable for monitoring care.
  • These indicators demonstrate potential for describing and evaluating ACP/GCD adoption within a large, multi-sector healthcare system.