Lessons Learned From a Pilot Project on Telemedicine Advance Care Planning in an Urban Geriatric Primary Care Office

Am J Hosp Palliat Care. 2022 Jun;39(6):701-704. doi: 10.1177/10499091211036978. Epub 2021 Aug 5.

Abstract

Purpose: There is a dearth of literature regarding the documentation of advance care planning (ACP) in the geriatric population, despite the controversial, yet well-studied need for ACP. The purpose of this pilot study was to provide an update to a prior study from our institution that outlined the need for increased documentation of advance care planning (ACP) in an urban geriatric population.

Methods: Our study involved using telemedicine to conduct dedicated ACP visits and an electronic medical record (EMR) note-template specifically designed for these visits in an attempt to increase the amount of documented ACP in the EMR in this population.

Results: The study did not yield significant results due to the inability to schedule enough patients for these dedicated visits.

Discussion: While our study was ultimately unsuccessful, 3 crucial lessons were identified that will inform and fuel future interventions by the authors to further the study of documentation of ACP.

Keywords: advance care planning; electronic medical record; geriatrics; primary care; telemedicine.

MeSH terms

  • Advance Care Planning*
  • Aged
  • Documentation
  • Humans
  • Pilot Projects
  • Primary Health Care
  • Telemedicine*