Table 2.
Patients Identified via Standardized ACP Documentation
| Characteristic | Site 1 | Site 2 | Site 3 | Overall |
|---|---|---|---|---|
| Patient-Level Results | ||||
| Number of Patients Identified * , n (%) | 19 | 114 | 54 | 187 |
| Number of Documents per Patient, Mean, (SD) | 2.9, (3.4) | 1.5, (0.9) | 2.4, (2.0) | 1.9, (1.7) |
| Number of Patients with only HCP Documentation, n (%) | 2 (10.5) | 12 (10.5) | 6 (11.1) | 20 (10.7) |
| Number of Patients with only Incorrect, Incomplete, or Duplicates of Incorrect or Incomplete Documentation, n (%) | 3 (15.8) | 1 (0.9) | 27 (50.0) | 31 (16.6) |
| Document-Level Results | ||||
| Number of Correct Documents, n (%) | 27 (49.1) | 147 (83.6) | 41 (31.1) | 215 (59.2) |
| Advanced Directive/Description of EOL Wishes, n (%) | 14 (25.5) | 104 (59.1) | 1 (0.8) | 119 (32.8) |
| MOLST/Out of Hospital Code Status, n (%) | 0 (0.0) | 17 (9.7) | 7 (5.3) | 24 (6.6) |
| Post-Mortem Instructions, n (%) | 0 (0.0) | 4 (2.3) | 0 (0.0) | 4 (1.1) |
| HCP/DPOA for HC, n (%) | 13 (23.6) | 22 (12.5) | 33 (25.0) | 68 (18.7) |
| Number of Incorrect or Duplicate Documents, n (%) | 36 (50.9) | 29 (16.5) | 91 (68.9) | 148 (40.8) |
| Incomplete (including blank) Document | 0 (0.0) | 4 (2.3) | 2 (1.5) | 6 (1.7) |
| Reports as asked but not completed | 0 (0.0) | 0 (0.0) | 29 (22.0) | 29 (8.0) |
| Reports as available but document not available | 18 (32.7) | 1 (0.6) | 13 (9.8) | 32 (8.8) |
| Wrong Document (i.e. consent form, procedural safety checklist, HIPAA release) | 2 (3.6) | 11 (6.2) | 6 (4.5) | 19 (5.2) |
| Duplicate** (Identical to another form) | 8 (14.5) | 13 (7.4) | 41 (31.1) | 62 (17.1) |
HCP—Health care proxy; DOPA—Durable power of attorney; EOL—end of life; HIPAA—Health Insurance Portability and Accountability Act; MOLST—Medical Orders for Life Sustaining Treatment
*
To be ‘identified’ a patient must have at least one standardized ACP document in their EHR, regardless of whether it is a correct or incorrect document
**
This may be a duplicate of a correct or incorrect standardized ACP document