Table 3.
Chart Review Content of Structured Data Advance Care Planning Documents by Classification
| Chart review classification N = total number of documents | Site 1 (N = 55)a | Site 2 (N = 176)a | Site 3 (N = 132)a | Overall (N = 363) |
|---|---|---|---|---|
| 1. Data elements that represent unique advance care planning documents (correct) | ||||
| Advance directive/description of EOL wishes | 14 (25.5) | 104 (59.1) | 1 (0.8) | 119 (32.8) |
| MOLST/out of hospital code status | 0 (0.0) | 17 (9.7) | 7 (5.3) | 24 (6.6) |
| Post-mortem instructions | 0 (0.0) | 4 (2.3) | 0 (0.0) | 4 (1.1) |
| HCP/DPOA for health care | 13 (23.6) | 22 (12.5) | 33 (25.0) | 68 (18.7) |
| Total correct documents | 27 (49.1) | 147 (83.5) | 41 (31.1) | 215 (59.2) |
| 2. Data elements that represent blank, not available/completed documents, or those that do not represent ACP (incorrect) | ||||
| Blank or incomplete 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 present | 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) |
| Total incorrect documents | 20 (36.4) | 16 (9.1) | 50 (37.9) | 86 (23.7) |
| 3. Duplicate documents (identical to another form) | 8 (14.5) | 13 (7.4) | 41 (31.1) | 62 (17.1) |
a
Statistics presented: n (%).
DPOA, durable power of attorney; EOL, end of life; HCP, health care proxy; HIPAA, Health Insurance Portability and Accountability Act; MOLST, Medical Orders for Life Sustaining Treatment.