TY - JOUR
T1 - Advance Care Planning Documentation in Electronic Health Records
T2 - Current Challenges and Recommendations for Change
AU - Lamas, Daniela
AU - Panariello, Natalie
AU - Henrich, Natalie
AU - Hammes, Bernard
AU - Hanson, Laura C.
AU - Meier, Diane E.
AU - Guinn, Nancy
AU - Corrigan, Janet
AU - Hubber, Sean
AU - Luetke-Stahlman, Hannah
AU - Block, Susan
N1 - Funding Information:
This work has been funded by a grant from the Gordon and Betty Moore Foundation.
Publisher Copyright:
© 2018, Mary Ann Liebert, Inc.
PY - 2018/4
Y1 - 2018/4
N2 - Objective: To develop a set of clinically relevant recommendations to improve the state of advance care planning (ACP) documentation in the electronic health record (EHR). Background: Advance care planning (ACP) is a key process that supports goal-concordant care. For preferences to be honored, clinicians must be able to reliably record, find, and use ACP documentation. However, there are no standards to guide ACP documentation in the electronic health record (EHR). Methods: We interviewed 21 key informants to understand the strengths and weaknesses of EHR documentation systems for ACP and identify best practices. We analyzed these interviews using a qualitative content analysis approach and subsequently developed a preliminary set of recommendations. These recommendations were vetted and refined in a second round of input from a national panel of content experts. Results: Informants identified six themes regarding current inadequacies in documentation and accessibility of ACP information and opportunities for improvement. Discussion: We offer a set of concise, clinically relevant recommendations, informed by expert opinion, to improve the state of ACP documentation in the EHR.
AB - Objective: To develop a set of clinically relevant recommendations to improve the state of advance care planning (ACP) documentation in the electronic health record (EHR). Background: Advance care planning (ACP) is a key process that supports goal-concordant care. For preferences to be honored, clinicians must be able to reliably record, find, and use ACP documentation. However, there are no standards to guide ACP documentation in the electronic health record (EHR). Methods: We interviewed 21 key informants to understand the strengths and weaknesses of EHR documentation systems for ACP and identify best practices. We analyzed these interviews using a qualitative content analysis approach and subsequently developed a preliminary set of recommendations. These recommendations were vetted and refined in a second round of input from a national panel of content experts. Results: Informants identified six themes regarding current inadequacies in documentation and accessibility of ACP information and opportunities for improvement. Discussion: We offer a set of concise, clinically relevant recommendations, informed by expert opinion, to improve the state of ACP documentation in the EHR.
KW - Advance care planning
KW - Electronic health records
KW - Palliative care
UR - http://www.scopus.com/inward/record.url?scp=85044922451&partnerID=8YFLogxK
U2 - 10.1089/jpm.2017.0451
DO - 10.1089/jpm.2017.0451
M3 - Article
C2 - 29360417
AN - SCOPUS:85044922451
SN - 1096-6218
VL - 21
SP - 522
EP - 528
JO - Journal of Palliative Medicine
JF - Journal of Palliative Medicine
IS - 4
ER -