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

摘要

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.