ACP Status collection in ICU

see Comfort Care for collection of similar info in Medicine

This article is about collecting the "ACP Status" temp entry.

Coding Instructions

When you enter a new ICU patient two records will be automatically generated in the tmp table:

• ACP Status at admit (ie within 6 hours of admission)
• ACP Status at end (ie at end of stay resp. at death)

Change the ITEM for each of them to the ACP status at that time. Options are as follows

• ACP C - comfort care
• ACP R - full resuscitation
• ACP M+ - all medical care given except cardiac resuscitation; intubation either happened or allowed
• ACP M- - all medical care given except resuscitation and intubation
• ACP n/a - no documented ACP on the chart
• Note: If you cannot find any mention of ACP on the chart, do not default to ACP-R, Put ACP n/a as above instructions indicate. (Verified with Kendiss Olafson on August 18, 2015).

Don't fill Checkbox, dates, numbers, not used for this project

What if ACP-M is documented without +/-?

If ACP M is just written with no qualifiers then one would classify as ACP M-.

WRHA guidelines

See http://www.wrha.mb.ca/acp/files/Workbook.pdf for the WRHA ACP Guidelines.

Start and stop date

• Start Date: 2015-08-10
• Stop Date: none

Data use / Reporting and Analysis

• would allow QI team 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

RE Patients admitted prior to August 10

I spoke with Julie about this and she said to put in the ACP status on all your patients if it is not too much trouble when you have the charts. If you have finished reviewing charts and they are complete, don’t bother going back to look for the ACP status. There will probably be a week transition period given before she starts gleaning this data to give us time to get used to collecting this information. Hope this helps. Laura