Improving incidence of code status documentation through process and discipline

Journal of Oncology Practice
Marcus A NeubauerJ Russell Hoverman

Abstract

Documentation of a patient's preferred code status is a critical outcome of advance care planning. Although there is agreement that code status is valuable information, little progress has been made to increase the incidence of documented code status within the medical record in an outpatient setting. Incidence of code status documentation in the community oncology setting has not been studied. In April 2013, the US Oncology Network and McKesson Specialty Health launched a new advance care planning initiative for the purpose of promoting conversations between clinicians and patients regarding end-of-life care preferences. The program-My Choices, My Wishes-provides a systematic approach for learning about and documenting a patient's values and goals for care in the electronic health record. Code status documentation is one of several program performance measures. During the 14-month period from August 1, 2013, through September 30, 2014, collective sites participating in My Choices, My Wishes included discrete code status documentation within the medical record for 5,467 patients with metastatic disease. Although much work remains, early results show promise for improvement in incidence of code status documentation within health...Continue Reading

References

Mar 7, 2001·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·C F von Gunten
Aug 9, 2008·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Anne WallingNeil S Wenger
Nov 7, 2009·Journal of General Internal Medicine·Jennifer S TemelWilliam F Pirl
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Jul 31, 2013·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Pallavi Kumar, Jennifer S Temel

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Citations

Jun 7, 2017·Journal of Oncology Practice·Christine M Bestvina, Blase N Polite
Jun 20, 2017·The American Journal of Hospice & Palliative Care·Michael Todd HuberJoyce Wing-Yi Tang
Aug 17, 2018·Journal of Oncology Practice·Safiya KarimChristopher M Booth
Sep 13, 2017·Journal of Oncology Practice·Marie A BakitasThomas J Smith
Jun 1, 2017·American Society of Clinical Oncology Educational Book·Carolyn J PresleyCorey J Langer
Jul 10, 2019·Journal of Palliative Care·Meaghann S WeaverMaureen E Lyon

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