Provide End of Life Care Consistent with Patient Preferences
% of patients whose end-of-life care was consistent with documented preferences
Current Value
90.0%
Definition
Definition: This measure examines the extent to which clinicians at Dartmouth-Hitchcock find and follow POLST (Physician Order for Life Sustaining Treatment) documents in a patient's medical record
Primary Data Source: Dartmouth-Hitchcock Center for Shared Decision Making, Death Chart Audit
Other Data Parameters: This data is collected through a death chart audit, reviewing medical charts of deceased patients to see of POLST documents were present, and if so, whether patient wishes were followed consistently by care team members
Addtional Data Sources, if applicable:
Reporting:
Contact:
Story Behind the Curve
This measure examines the extent to which clinicians at Dartmouth-Hitchcock find and follow POLST (Physician Order for Life Sustaining Treatment) documents in a patient's medical record. POLST orders are physican orders completed with a patient experiencing severe health conditions and likley nearing end-of-life. These orders provide specific direction regarding the health care and emergency health care procedures a patient wishes for or does not wish for if they are unable to make decisions for themselves.
This data is collected through a death chart audit, reviewing medical charts of deceased patients to see of POLST documents were present, and if so, whether patient wishes were followed consistently by care team members. Dartmouth-Hitchcock aims to comply with these orders 100% of the time.
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