Handout 4.2 Metrics and Current Ethics Practice—Answer Keys 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 Numerator: 3 ÷ 30 = 10% review of primary care 1004.2 Advance that additional patients who request The number of primary health records found Care Planning and information about assistance with care patients provided Currently, 10% of that only a few patient Management of advance directives completing an with assistance as primary care patients requests for Advance Directives and/or assistance in advance directive who have a measured by a note assistance with completing forms must should receive it template completed by documented request completing an be provided for all [unless patients a social worker or for assistance with advance directive patients who request change their minds completing an someone equally were followed up on this service. about their request trained advance directive by clinic staff. for assistance, __________________ receive it. Exclusion(s): withdraw from the Denominator: Patients who change Health Care System their minds about their Total number of or who now lack requests for assistance, primary care patients decision-making who withdraw from the who requested capacity]. Health Care System, or assistance with who now lack completing an advance capacity. directive Method: Record review Sample size: 30 Time frame for data collection: 1 week
Handout 4.2 Metrics and Current Ethics Practice—Answer Keys 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 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: The number of primary care patients provided with assistance as measured by a note template completed by a social worker or someone equally trained __________________ Denominator: Total number of primary care patients who requested assistance with completing an advance directive Method: Record review Sample size: 30 Time frame for data collection: 1 week 3 ÷ 30 = 10% Currently, 10% of primary care patients who have a documented request for assistance with completing an advance directive receive it.
pe_btb_mod4_handouts_final_06162014.docx