Respecting End-of-Life Care Wishes

When "Conversation Ready" organizations begin focusing on this work, they often learn that the extent of their knowledge about patients' end-of-life care wishes begins and ends with selecting "yes" or "no" fields in the medical record to note whether a healthcare a...

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Bibliographic Details
Published in:Healthcare Executive 2017-09, Vol.32 (5), p.68
Main Authors: Adams, Kelly McCutcheon, Warshaw, Harriet
Format: Article
Language:English
Subjects:
Advance directives
Cultural values
Culture
Guidelines
Health care industry
Health care management
Medical screening
Palliative care
Patients
Principles
Strategic management
Values
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Summary:When "Conversation Ready" organizations begin focusing on this work, they often learn that the extent of their knowledge about patients' end-of-life care wishes begins and ends with selecting "yes" or "no" fields in the medical record to note whether a healthcare agent has been designated and an advance directive submitted. Virginia Mason Medical Center in Seattle built the Advance Directive Note Type field into its EHR, which captures both scanned documents and narrative clinician notes. * Respect people's wishes for care at the end of life by partnering to develop a patient-centered plan of care. In that vein, Beth Israel Deaconess Medical Center in Boston expanded the definition of "preventable harm" to include issues such as disrespect and failure to communicate, especially at the very moment patients and family members assume healthcare providers have clarity about their priorities for end-of-life care. * Exemplify this work in our own lives so that we fully understand the benefits and challenges.
ISSN:0883-5381