Handout 4.1 Metrics and Current Ethics Practice ETHICS ISSUE 1: Shared Decision Making with Patients—Advance Care Planning 1. Ethics Issue 2. Ethical 3. Ethical Standard 4. Best Ethics 5. Metric 6. Current Ethics Standard Source(s) Description(s) with Practice Practice “Should” Exclusions “Is” A recent accreditation VHA Handbook VHA Handbook states Primary care patients Numerator: review of primary care 1004.2 Advance Care that additional who request health records found Planning and information about assistance with that only a few patient Management of advance directives completing an requests for Advance Directives and/or assistance in advance directive assistance with completing forms should receive it completing an must be provided for [unless patients advance directive all patients who change their minds were followed up on request this service. about their request for by clinic staff. assistance, withdraw Exclusion(s): from the Health Care __________________ Patients who change System or who now their minds about their Denominator: lack decision-making requests for capacity]. assistance, who withdraw from the Health Care System, or who now lack decision-making capacity. Method: Sample size: Time frame for data
Handout 4.1 Metrics and Current Ethics Practice ETHICS ISSUE 1: Shared Decision Making with Patients—Advance Care Planning 1. Ethics Issue 2. Ethical Standard Source(s) 3. Ethical Standard Description(s) with Exclusions 4. Best Ethics Practice “Should” 5. Metric 6. Current Ethics Practice “Is” A recent accreditation review of primary care health records found that only a few patient requests for assistance with completing an advance directive were followed up on by clinic staff. VHA Handbook 1004.2 Advance Care Planning and Management of Advance Directives VHA Handbook states that additional information about advance directives and/or assistance in completing forms must be provided for all patients who request this service. Exclusion(s): Patients who change their minds about their requests for assistance, who withdraw from the Health Care System, or who now lack decision-making capacity. Primary care patients who request assistance with completing an advance directive should receive it [unless patients change their minds about their request for assistance, withdraw from the Health Care System or who now lack decision-making capacity]. Numerator: __________________ Denominator: Method: Sample size: Time frame for data