ACP-C: Difference between revisions

From CCMDB Wiki
Jump to navigation Jump to search
TOstryzniuk (talk | contribs)
mNo edit summary
TOstryzniuk (talk | contribs)
ACP @ admit- take to task meet- potential change
Line 9: Line 9:
*[http://www.wrha.mb.ca/professionals/acp/index.php WRHA ACP C]
*[http://www.wrha.mb.ca/professionals/acp/index.php WRHA ACP C]


== Discussion ==
{{Potential  Change}}
*{{Discussion}}
QI TEAM, Kendiss Olafson etc.  have asked if database team could collect ACP ststus at admission.
*ACP C
*ACP UK (no documented ACP on the chart)
*ACP R
*ACP M+ (no cardiac recuss but accepting intubation)
*ACP M- (no recuss/no intubation)
**(If ACP M is just written with no qualifiers then one would classify as ACP M-.  Since a significant proportion of patient do want intubation but do not want CPR, I do think it is useful to distinguish). Kendiss.


*Collecting ACP status at admission and discharge would allow us to follow:
**-% of patient with documented ACP during ICU
**-Level of care at both admission and discharge
**-% of patients with change in level of care during ICU
**-Level of care at the time of ICU death


[[Category: Take to TaskTeam]]





Revision as of 16:08, 29 May 2015

ACP C stands for Advanced Care Plan. C = Comfort Care-Goals of Care and interventions are directed at maximal comfort, symptom control and maintenance of quality of life excluding attempted resuscitation

For more information see: PDF of ACP form used in Region (2013): WRHA Advanced Care Plan Form

In terms of our program, the concept is related to end of life data.

see also

Discussion

Template:Potential Change

QI TEAM, Kendiss Olafson etc. have asked if database team could collect ACP ststus at admission.

  • ACP C
  • ACP UK (no documented ACP on the chart)
  • ACP R
  • ACP M+ (no cardiac recuss but accepting intubation)
  • ACP M- (no recuss/no intubation)
    • (If ACP M is just written with no qualifiers then one would classify as ACP M-. Since a significant proportion of patient do want intubation but do not want CPR, I do think it is useful to distinguish). Kendiss.
  • Collecting ACP status at admission and discharge would allow us to follow:
    • -% of patient with documented ACP during ICU
    • -Level of care at both admission and discharge
    • -% of patients with change in level of care during ICU
    • -Level of care at the time of ICU death