Advance Care Planning Bundle: Using Technical and Adaptive Solutions to Promote Goal Concordant Care.
Advanced care planning
Goal Concordant Care
Quality Improvement
Technical and Adaptive Framework
Journal
Journal of pain and symptom management
ISSN: 1873-6513
Titre abrégé: J Pain Symptom Manage
Pays: United States
ID NLM: 8605836
Informations de publication
Date de publication:
20 Sep 2024
20 Sep 2024
Historique:
received:
27
05
2024
revised:
22
08
2024
accepted:
08
09
2024
medline:
23
9
2024
pubmed:
23
9
2024
entrez:
22
9
2024
Statut:
aheadofprint
Résumé
Advance Care Planning (ACP) is critical to achieve goal-aligned care for patients. However, optimal implementation requires complex coordination and alignment across a healthcare system. A survey of rapid response providers assessed usefulness of the ACP quality improvement bundle and perceptions of use and adherence. We implemented a bundle of advance care planning tools and interventions using the technical-adaptive framework. These included orders, documentation templates and processes, and standard education. Ninety-three rapid response providers completed the survey. 80.5% reported that overall, these quality improvement efforts have been very helpful or somewhat helpful in improving their ability to provide care consistent with the patient's goals. Implementation of technical and adaptive tools as a bundle for Advance Care Planning shows promise to improve and sustain goal-aligned care. Quality Improvement in ACP is a complex, iterative process involving both structural change and behavioral adaptation.
Sections du résumé
BACKGROUND
BACKGROUND
Advance Care Planning (ACP) is critical to achieve goal-aligned care for patients. However, optimal implementation requires complex coordination and alignment across a healthcare system.
MEASURES
METHODS
A survey of rapid response providers assessed usefulness of the ACP quality improvement bundle and perceptions of use and adherence.
INTERVENTION
METHODS
We implemented a bundle of advance care planning tools and interventions using the technical-adaptive framework. These included orders, documentation templates and processes, and standard education.
OUTCOMES
RESULTS
Ninety-three rapid response providers completed the survey. 80.5% reported that overall, these quality improvement efforts have been very helpful or somewhat helpful in improving their ability to provide care consistent with the patient's goals.
CONCLUSIONS/LESSONS LEARNED
CONCLUSIONS
Implementation of technical and adaptive tools as a bundle for Advance Care Planning shows promise to improve and sustain goal-aligned care. Quality Improvement in ACP is a complex, iterative process involving both structural change and behavioral adaptation.
Identifiants
pubmed: 39307373
pii: S0885-3924(24)01009-1
doi: 10.1016/j.jpainsymman.2024.09.014
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2024. Published by Elsevier Inc.
Déclaration de conflit d'intérêts
Conflict of Interest Statement Dr. Porter-Williamson is a former member of the EPIC Palliative Care Advisory Board and Dr. Kalender-Rich received payment for Henderson Lecture at the University of Nebraska. Dr. Kalendar-Rich is also a Geriatrics Specialty Board Member through ABIM.