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

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