Should the completion of Advance Directives be a routine part of quality of care measures similar to pain assessment?
Yes. The National Quality Forum Framework and Preferred Practices for Quality Palliative Care & Hospice Care issued in 2006 recommends preferred practices for advance care planning. Adapted for New York State, these include: • Document the designated agent (surrogate decision maker) in a Health Care Proxy for every patient in primary, acute and long-term care and in palliative and hospice care. • Document the patient/surrogate preferences for goals of care, treatment options, and setting of care at first assessment and at frequent intervals as condition changes. • Convert the patient treatment goals into medical orders and ensure that the information is transferable and applicable across care settings, including long-term care, emergency medical services, and hospital, i.e., the Medical Orders for Life-Sustaining Treatments – MOLST, a POLST Paradigm Program. • Make Advance Directives and surrogacy designations available across care settings. • Develop and promote healthcare and communi
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