decisionhealth Newsletters, Part B News - 2016 Issue 4 (April)
Get providers comfortable with advance directives to encourage ACP use
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Article Overview
This piece is aimed at clinicians, coders, practice managers, and hospice or care-planning staff who want a clearer understanding of advance care planning workflows. It focuses on the major types of advance directive documents, how practices can educate staff and patients, why state-specific forms matter, and why formal review processes can help support advance care planning services and documentation.
Why This Topic Matters
Advance care planning depends on more than billing knowledge; staff need familiarity with the forms and conversations that support patient wishes. The article helps readers understand the general document types and practice processes involved so they can determine whether their organization is ready to offer or support ACP services.
Article Sections
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Survey findings on ACP use
Summarizes physician survey results about how often advance care planning is performed or billed and identifies broad barriers reported by respondents. It also notes the role of formal systems in supporting these conversations.
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Advance directive forms and patient documentation
Introduces the concept of advance directives and explains that patient-completed documents are not always required to support the service. The section frames advance directives as part of broader care-planning documentation.
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Educate providers about these ACP documents
Reviews common advance directive document types and related state-law considerations. It also addresses who may be named in these documents and why policies can vary by state.
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Be careful about dispensing forms
Discusses practice-level precautions when providing advance directive forms to patients, including the need to confirm that forms align with state requirements. It also mentions outside services that may provide state-specific forms.
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2 tips for using ACP forms
Offers broad implementation ideas for staff education and periodic review of completed directives. The section emphasizes workflow support and ongoing communication with patients.
What You Will Learn
- How advance care planning is being adopted in clinical settings
- The major categories of advance directive documents discussed in practice
- Why state law and form selection matter for advance directive workflows
- Ways practices can educate staff and support patient conversations
- Why periodic review of advance directives can be part of an ACP process
Who Should Read This
- Physicians
- Nurse practitioners
- Physician assistants
- Clinical staff
- Practice managers
- Hospice and home health personnel
- Medical coders and billing staff
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