Advance Directives & Advance Care Planning
We offered this webinar on November 15, 2018 and April 18, 2019.
The Goal of this Webinar
To help healthcare professionals understand the importance of advance care planning (ACP), the different types of advance directives and factors to consider when discussing end-of-life (EOL) treatment options, values preferences and decisions with patients and their families. The webinar also addresses ACP metrics, reimbursement and billing codes.
What Attendees Learned at This Webinar
- Advance directives are rooted in consumer movements and legal decisions that govern patients’ rights to refuse life-sustaining treatment and that stipulate healthcare professionals’ responsibilities to inform patients of their rights and options.
- Advance directives are legal documents that allow patients to formally state the care/treatments they want and do not want at the end of life. Common types include a living will, Five Wishes document, POLST/MOLST form and designation of a durable power of attorney for healthcare.
- Hospice patients are not required to have advance directives, but hospital professionals encourage EOL documentation to honor patient preferences/choices.Some insurers and Healthcare Effectiveness Data and Information scores (HEDIS) track healthcare professionals’ success with advance care planning.
- ACP is an ongoing discussion. Advance directives address such interventions as resuscitation, ventilation, hydration/nutrition and organ/tissue donation. Healthcare professionals also can suggest hospice, palliative care and do-not-hospitalize options for seriously ill patients.
- Healthcare professionals are urged to start conversations privately and slowly, explore patients’ knowledge levels and goals, listen empathetically, identify with patients’ emotional reactions and summarize what is discussed.