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1270 Finding our way – using resuscitation plan data to engage clinicians in advance care planning

bmjspcare · 2025-09-09 · canonical JSON source

1 visible annotations · policy: published · automated confidence ≥ 75.00%

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Aim Using Resuscitation Plan data to engage clinicians in advance care planning.Background The role of Advance Care Planning (ACP) Coordinator for Nepean Blue Mountains Local Health District (NMBLHD) was established in August 2023. With limited data points available, establishing robust data to guide service development, evaluate interventions and satisfy reporting and accreditation requirements was required.Main Text As the role developed, Resuscitation Plans emerged as a recurring theme from clinicians. This reference point was developed as a driver to embed advance care planning within the health service.Quantitative data on Resuscitation Plans was extracted from a report on the Electronic Medical Record (eMR). A Power BI Dashboard, created by the Data & Evaluation Project Officer, allowed systematic and concise review of data points. Further analysis, incorporating data from the Inpatient Patient Management System (IPMS) and utilising Quality Improvement Data System (QIDS), enabled detailed scrutiny of fields such as patient age, residence status (e.g., aged care facility), and diagnosis.These insights facilitated engagement with medical and surgical specialties across NBMLHD, informing discussions with clinicians when developing trigger points for advance care planning conversations. Clinician engagement with the process is supported by relevant data, leading to investment in the process in a climate of consultation and collaboration.During the conference presentation, I will share Resuscitation Plan dashboard data and demonstrate its use with IPMS and QIDS to engage clinicians.Unique Contribution Utilising Resuscitation Plans as a point of engagement for ACP was unexpected. The strategy is to ‘work backwards’ from the clinician identified access point, taking clinicians into ACP core clinical practice.Resuscitation Plan data has led to exploration of other data sources to further investigate points of interest, resulting in an ongoing, evolving process. This work is in its early days, driven by data opportunities and clinician engagement.The data methods discussed have garnered significant interest from peers in the New South Wales ACP Community of Practice. Several members have requested follow up meetings to discuss further.Implications Capturing clinicians’ attention with data provides opportunity to promote ACP beyond focusing on ‘resus status’, aligning with current ACP ideology. Returning to specialty groups with data updates keeps ACP on their agenda.Using data to engage clinicians fosters their investment in embedding advance care planning to everyday practice, leading to better outcomes for patients, carers and healthcare workers.