End-of-life care done properly requires more than just a conversation between a physician and patient.
Even though it is a big step for the federal Medicare program to recommend that physicians be compensated for advanced care planning, such as end-of-life care, an expert at the Institute for Healthcare Improvement says that hospitals need to do more than talk.
“It’s not just having the conversation,” said Kelly McCutcheon Adams, a director for IHI. “It’s not one and done.”
Providers also need to understand such things as when and how often to have conversations, how to use over time what is learned in the conversations and the mechanics of how the information is recorded and presented in the electronic health record, said McCutcheon Adams, who is lead author of a recent IHIwhite paper called “Conversation Ready: A Framework for Improving End-of-Life Care.”
To find out the five principles of end-of-life care, please view the full article.