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Advance Care Planning Completion in Pulmonary Hypertension Care Center

Gregory Rachu

Mary Whittenhall

Corey E. Ventetuolo


Christopher Mullin

James Klinger


Melissa Allahua

M Ahearn

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Conference: 2018 PHA International PH Conference & Scientific Sessions

Release Date: 06.28.2018

Presentation Type: Abstracts

File Download: Conference 2018_1018

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2018 International PH Conference and Scientific SeAbstract presented at the 2018 International PH Conference and Scientific Sessions in Orlando, Fla., June 28-July 1, 2018.

Purpose

To increase advance care planning (ACP) documentation for patients in the pulmonary hypertension care center.

Background

Advance care planning involves an ongoing process between patients, family, and health care providers with the aim to clarify goals and alleviate debilitating symptoms. ACP has been shown to help patients express and control their values and health care goals, based on personal, cultural, and religious beliefs; thereby improving patient-defined quality of life and reducing anxiety/depression associated with serious illness.

Methods

Baseline advance care planning completion and documentation rates were obtained after programming the electronic medical record with concordant ICD-10 codes. Interventions including provider reminders in the EMR, educational handouts for the patients regarding advance care planning, and provision of advance directive forms to the patients through dedicated office visits will be completed. After three months, ACP completion and documentation rates will be re-calculated with baseline and follow-up comparisons.

Results

Results are pending at this time.

Conclusions

We are expecting that this multi-interventional approach will facilitate and increase advance care planning completion and documentation for our patients with pulmonary hypertension. We are anticipating barriers to completion and documentation of advance care planning from previous studies and hope to overcome these limitations.