Download presentation
Presentation is loading. Please wait.
Published byJade Charles Modified over 9 years ago
1
ACP at Allina
2
2012 System Direction Primary care focus to align with a strong primary care vision (ACO & Allina Health) Revision of ACP as a baseline component of care in a primary care environment
3
2012 System Direction Advance Care Planning is a pathway / process we walk with patients Need to focus the work to defined population
4
Basic ACP Offered to all patients age 65 and over Begin with focused population Research offering an electronic version
5
Basic ACP 0.6 FTE coordinator and volunteers for evening sessions at the clinics Evolve clinic partnerships Possible external site offerings to meet population needs
6
Complex ACP Offer facilitated complex ACP sessions to targeted populations Morbidity predictive model Focused diagnoses Provide ability / resources to continue discussions with patient and family over time
7
Redesign of Support Processes New order flow process to primary clinic Complex ACP Facilitators are responsible along with primary care for ACP within a population and provide back up support to hospitals for non-primary care patients
8
Redesign of Support Processes Change in EMR documentation - Reflect “decision maker” as well as agent Develop process to verify completion of document Scanning available at hospital and Primary Care site
9
2012 Process Measures Population age 65 and older with a basic ACP Morbidity & disease appropriate with complex session documented ACP overview with hospital patients over 65
10
2013 Outcomes Measures Hospital days in the last 6 months Are we following HCD wishes? Length of Stay hospice Quality words measured - “Goals” & “Wishes”
11
Questions?
Similar presentations
© 2025 SlidePlayer.com. Inc.
All rights reserved.