decisionhealth Newsletters, Part B News - 2019 Issue 3 (March)
Practices seek solutions about how to optimally store ACP documents
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Article Overview
This article discusses the growing role of advance care planning in practice management and the operational challenge of keeping patient documents accessible when needed. It summarizes concerns raised by a federal watchdog, perspectives from clinicians and legal experts, and general approaches such as EHR visibility, patient-held copies, state registries, and other methods of document access. The piece is relevant to practices, palliative care clinicians, long-term care teams, and anyone involved in ACP documentation workflows.
Why This Topic Matters
Advance care planning only helps when the related documents can be found quickly during routine care or emergencies. The article highlights why document storage, retrieval, and sharing processes matter for patient care, compliance, and workflow design.
Article Sections
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Practice management and ACP document access
Introduces the operational question of where advance care planning documents should be kept and who is responsible for maintaining access. It frames the issue in the context of practice management and patient care coordination.
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Billing activity and federal concerns
Discusses increased use of advance care planning services and the related concern that completed documents may still be difficult to locate. It summarizes the federal watchdog perspective on access and standardization challenges.
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Consider varied approaches
Outlines general strategies practices and patients may use to improve document availability, including record storage, EHR visibility, patient-held copies, state registries, legal involvement, and digital options. The section also touches on broader policy and technology considerations.
What You Will Learn
- Why advance care planning document storage can be difficult for practices and families
- How EHR workflows may help surface ACP documents more quickly
- What general approaches are discussed for improving access to ACP records
- Why state registries and other sharing methods matter for ACP documentation
- How legal and technical factors can affect document availability
Who Should Read This
- Physicians
- Practice managers
- Palliative care clinicians
- Nurses
- Social workers
- Long-term care providers
- Health information management staff
- Medical coders
Codes Discussed
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