Table 1.

Characteristics of primary care patients who received an advance care planning portal-based outreach initiative (n = 105).

Characteristic	N (%)
Age, Mean ± SD	77.7 ± 5.9
Female	67 (64)
Patient Registry
Cancer	41 (39)
Diabetes	18 (17)
Chronic Kidney Disease	15 (14)
Congestive Heart Failure	4 (3.8)
Chronic Obstructive Pulmonary Disease	12 (11)
Value Based Payment Program
Comprehensive Primary Care Plus	47 (45)
Medicare Shared Savings Program	46 (44)
Advance Care Planning Documentation at Baseline
Living Will	7 (6.7)
MOST form	13 (12)
No ACP documents, but has provider documentation of orally appointed decision maker	61 (58)