Incorporating Life Care Planning into Specialty Care Populations

Incorporating Life Care Planning  into Specialty Care Populations

 

Matthew Handley, MD; Melissa Stern, MBA

https://doi.org/10.7812/TPP/17-140-02

Though most people say they are willing to discuss end of life and agree that documenting their wishes is important, only a very small number actually do. When the process is done well, it has the power to produce a written plan that accurately represents the individual’s preferences and thoroughly prepares others to make health care decisions consistent with these preferences. Life Care Planning is a National Quality Initiative driven by the six aims to deliver care that is patient-centered, effective, efficient, equitable, timely, and safe. It is currently being implemented in five Regions with a sixth to begin before year-end. This presentation describes an evidenced-based approach for ensuring that patients facing a life-threatening illness align the care given to their personal values and wishes and demonstrates how to integrate the methodology into “normal routine” care within the Nephrology and Cardiology specialties, which serve as examples of how it may be applied to any specialty. Making these decisions is difficult and the implications for not making them can have significant impact on patients, their families, and practitioners. This evidenced-based approach ensures patients are supported and guided in an unbiased and nonjudgmental way.

etoc emailClick here to join the eTOC list or text TPJ to 22828. You will receive an Email notice with the Table of Contents of each issue.

The Permanente Journal advances knowledge in scientific research, clinical medicine and innovative health care delivery. It is a peer-reviewed journal of medical science, social science in medicine, and medical humanities.

The Permanente Press

The Permanente Press publishes The Permanente Journal and books related to health care. For information about subscriptions, missing issues, billing, subscription renewal, and back issues, Email: permanente.journal@kp.org.

Circulation

27,000 print readers per quarter, 15,350 eTOC readers, and in 2018, 2 million page views of TPJ articles in PubMed from a broad international readership.

CME

The Kaiser Permanente National CME Program designates this journal-based CME activity for 4 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


ISSN 1552-5767 Copyright © 2019 thepermanentejournal.org.

All Rights Reserved.