QI activities

Increase advance care planning (ACP) for priority patients

About this activity

Use the QI template below to help you identify priority patients in your practice and how to start the conversation for ACP. 

Goal
Discuss ACP for patients with 2 or more chronic conditions.
Measures
Number of ACP discussions recorded in clinical software.
Improvement ideas
  • Decide on a method for recording ACP discussions in clinical software.
  • Use PenCAT4 to identify all active patients with at least one chronic condition who are eligible for a medication review or patients eligible for an annual 75+ health assessment.  
  • Offer ACP resources in a patient’s primary language.

Download the QI template below for more improvement ideas.

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QI Activity Template – Increase advance care planning (ACP) for priority patients  (650 KB)