End of Life / Increasing Advance Care Planning

Increasing Advance Care Planning2021-03-26T05:05:32+00:00

Only 10 percent of Californians talk about end of life care with their doctors. Have you had the talk?1

Advance care planning is the process of making sure that every individual determines and documents their preferences for treatment to guide decision-making, in situations when they cannot speak for themselves.1 This indicator measures use of Physician Orders for Life Sustaining Treatment (POLST) as part of advance care planning among nursing home residents.1 Other measures that monitor patient preferences for care and the processes for documenting and complying with those wishes need to be identified and will be critical additions to the dashboard in the coming years.

Although there is currently no indicator to measure statewide levels of advance care planning, this has been identified as an opportunity for further data development to monitor this priority area of attention.

Indicator Highlights

Medical-Legal Partnership for Seniors

The Medical-Legal Partnership for Seniors provides legal assistance to lower income adults assisting them with health and financial advice, as well as advance care planning. Through a partnership between UCSF Medical Center’s Geriatric Programs and UC Hastings College of Law, eligible seniors obtain free one-on-one legal advice and education on a variety of issues. Meanwhile, law students gain valuable experience while providing assistance to this underserved population. Read more »

UCLA Health/Coalition for Compassionate Care of California Advance Care Planning Initiative (ACPI)

The Coalition for Compassionate Care of California (CCCC) is partnering with the UCLA Health System to develop and test an innovative comprehensive advance care planning model that routinely receives patient preferences through a standardized process that ensures that these preferences are recorded and that they can be retrieved and honored at critical times. This collaborative brings together two of California’s leading organizations to co-create a program that addresses the complex advance care planning needs of seriously ill patients receiving care within an academic health system. The ultimate goal is to create an advance care planning program that can be replicated in other health care systems in the state and across the country. Read more »

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Although there is currently no indicator to measure levels of advance care planning, this has been identified as an opportunity for further data development to monitor this priority area of attention.

1. Let’s Get Healthy California Task Force. (December 2012). Lets Get Healthy California Task Force Final Report.

Stories & Solutions

Aging With Dignity at Home

Aging with Dignity at Home, AltaMed’s Program of All-Inclusive Care for the Elderly (PACE) allows seniors to receive coordinated medical, social, dental, nutritional and rehabilitative services, including Adult Day Health Care (ADHC) close to their homes and within the community.

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