A Quality Improvement Initiative for Inpatient Advance Care Planning.

ABSTRACT:

Importance

The Centers for Medicare & Medicaid Services (CMS) implemented advance care planning (ACP) billing codes in 2016 to encourage practitioners to conduct and document ACP conversations, and included ACP as a quality metric in the CMS Bundled Payments for Care Improvement Initiative in 2018. Use of this billing code in the inpatient setting has not been studied.

Objective

To determine whether a quality improvement intervention to increase inpatient ACP is effective in increasing ACP billing rates or changing hospital treatment plans or patient outcomes.

Design, settings, and participants

This nationwide cohort study and difference-in-differences analyses compared changes in ACP billing, treatment, and outcomes in Medicare fee-for-service beneficiaries aged 65 y

SUBMITTER: Sacks OA 

PROVIDER: S-EPMC11452818 | biostudies-literature | 2024 Oct

REPOSITORIES: biostudies-literature