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ADVANCE CARE PLANNING MEAGAN ADAMS – BENDIGO HEALTH ACP COORDINATOR

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Page 1: Better Health, Better Care, Better Systems. - ADVANCE CARE … · 2018-01-31 · Bendigo Heath support a community and regional approach? • No designated funding for this work -

ADVANCE CARE PLANNINGMEAGAN ADAMS – BENDIGO HEALTH ACP COORDINATOR

Page 2: Better Health, Better Care, Better Systems. - ADVANCE CARE … · 2018-01-31 · Bendigo Heath support a community and regional approach? • No designated funding for this work -

Advance Care Planning at Bendigo Health• Implement an Advance Care Planning program (patient

initiated documentation), in a staged approach, at Bendigo Health and evaluate it

• Implement Life Prolonging Treatment Policy and Guide to Treatment Limitation (medically initiated documentation)

• Create culture change around Advance Care Planning

• Support patient and family input into care

Page 3: Better Health, Better Care, Better Systems. - ADVANCE CARE … · 2018-01-31 · Bendigo Heath support a community and regional approach? • No designated funding for this work -

Limitation of Medical Treatment vs ACP

Treatment Limitation and Resuscitation Plan MR85

•Medically initiated

•Considers treatment in the ‘best interest’ of the patient

•Only valid for current admission

•Only applicable to Bendigo Health

•NOT stored in the Greensleeve

Advance Care Plan

•Patient initiated

•Valid until revoked or changed by patient or MEPOA

•Recognised under legislative and common law

•Stored in the Greensleeve

Page 4: Better Health, Better Care, Better Systems. - ADVANCE CARE … · 2018-01-31 · Bendigo Heath support a community and regional approach? • No designated funding for this work -
Page 5: Better Health, Better Care, Better Systems. - ADVANCE CARE … · 2018-01-31 · Bendigo Heath support a community and regional approach? • No designated funding for this work -

Refusal of Treatment Certificates

MR0.3 MR0.4

Page 6: Better Health, Better Care, Better Systems. - ADVANCE CARE … · 2018-01-31 · Bendigo Heath support a community and regional approach? • No designated funding for this work -

MEPOA / ACD documents

MR0.6 MR0.7

Page 7: Better Health, Better Care, Better Systems. - ADVANCE CARE … · 2018-01-31 · Bendigo Heath support a community and regional approach? • No designated funding for this work -

How does Bendigo Health store them?This is a ‘Greensleeve’ with a Discussion Record card in it – it is now the MR0.5

Page 8: Better Health, Better Care, Better Systems. - ADVANCE CARE … · 2018-01-31 · Bendigo Heath support a community and regional approach? • No designated funding for this work -

Bendigo Heath support a community and regional approach?

• No designated funding for this work - combine our resources• Opportunity to collaborate with RPC on their National RACF / GP roll-

out ($14.3M)

• Our patients travel throughout the region and need consistency in their healthcare

• Bendigo Health offers ACP workshops

• Consistency of documentation and processes / EMR development

Page 9: Better Health, Better Care, Better Systems. - ADVANCE CARE … · 2018-01-31 · Bendigo Heath support a community and regional approach? • No designated funding for this work -

Thank-youMeagan Adams

Advance Care Planning Coordinator

CHERC

Bendigo Health

p. 03 5454 6386 | f. 03 5454 6420 | m. 042 7878 219

e. [email protected]