Advance Care Planning, Chronic Disease, Communication Research
Conditions
Brief summary
this project seeks to: validate results of ACP framework pilot study in a larger randomized controlled trial (rates and quality of ACP documentation) prior to using participatory design to develop an Electronic Health Record (EHR)-tethered patient portal delivered ACP communication guide, tailored for use in busy primary care settings, incorporating patients, caregivers, and primary care providers
Interventions
The intervention tested a pre-visit ACP workflow centered around a framework sent via secure Electronic Health Record (EHR)-linked patient portal in a real world clinical setting. The primary objectives were to determine its impact on frequency and quality of ACP documentation.
Sponsors
Study design
Eligibility
Inclusion criteria
* must have an activated patient portal account over 50 years of age scheduled for a well visit appointment or chronic visit follow up English speaking
Exclusion criteria
* under 50 * inactive patient portal account
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Presence of Advance Care Planning (ACP) documentation as noted in description | 4 weeks post-intervention | Presence of Electronic Health Record problem list based ACP documentation or presence of Electronic Health Record scanned completed Advance Directive document |
Countries
United States