ACP Status Collection for LAU

Projects
Active?:	legacy
Program:
Requestor:	Dr. Dan Roberts
Collection start:	2025-03-15
Collection end:	2025-04-13

This dataset contains data in support of the LAU Collection Project.

ACP status affects care decisions (and sometimes indecision) and therefore Length Of Stay and also outflow pathways.

See ACP Status Collection over time for related collection projects.

Data Collection

• For any record collected as part of LAU Collection Project, enter
• The first documented ACP status
• The last documented ACP status if different than the first
• Do not collect multiple changes in the ACP status during the course of their hospitalization

, only as directed above.

Data Entry Instructions

For every LAU Collection Project, a line with Project = "ACP first" and item = "not entered" will automatically be entered. Update that line to one of the following:

• Project:
  • ACP first
  • ACP last
• Items:
  • ACP-C
  • ACP-M
  • ACP-R
  • not documented
• Date/Time: dttm of the status decision
  • if decision was made before admission, use the first service/admit dttm
  • if a time is not available, enter 12:00
• Checkbox, Integer, Real, Comment: not used

Sources

• ACP form
• Admission sheets
• Progress notes

If the patient is transferred from another facility, Can we use an ACP status that was documented by another site? or should we only use an ACP status that is documented/generated during the current admission? Similarly, can we use an ACP status that was documented/generated by another service or the ER? and is then transferred to ICU or medicine? Lisa Kaita 15:23, 5 June 2025 (CDT) You must have made a decision how to collect this... what was it? Can we add a one-liner or so and take out the discussion? Ttenbergen 13:46, 7 July 2025 (CDT) For LAU project, if they came from another unit or facility, I would check that ACP status against the ACP status determined by the LAU MD. For the new project Dr R wants a pre admission ACP status, so an ACP status determined by another service/facility is that pre admission or is it considered all part of this episode of care? Lisa Kaita 14:21, 30 July 2025 (CDT)

• SMW

• Cargo

• Categories

About the data

• Every patient in our sample had a ACP done by the end of their stay. This was confirmed with the data collector. Likely related to these patients being elderly. There might be a policy at the sites, we have not investigated this.

Data Use

This data is being collected as a current state for LAU Collection Project.

Consistency Checks

Data Integrity Checks (automatic list)

	App	Status
Query check ACP Status Collection	CCMDB.accdb	implemented

Log

• 2025-03-06 - discussed with DR if we should use the same dataset and definitions as for ACP Status collection in ICU ; we don't need the source or the M+/- distinction, but we do want the first and last ACP as we did for that project.

Related articles