UNASSIGNED: 234 Background: @entity1442 ( @entity1442 ) in the ambulatory setting is underutilized and poorly documented at the University of Illinois @entity5 Center (UICC). A baseline 8 week review noted 8.8% of metastatic @entity5 @entity1 had @entity1442 documentation in the electronic medical record (EMR) by the third visit and 23% in the previous two visits. Our aim was to increase @entity1442 documentation to 75% of UICC metastatic @entity5 @entity1 charts by the third visit through development of a standardized process for @entity1442 discussion and documentation. METHODS: A multidisciplinary team of oncology physicians, nurses, social workers (SW), and palliative care created a process map of @entity1442 discussion. A new process for SW consults was piloted over 6 weeks. Additionally, all clinic staff participated in a standardized curriculum for @entity1442 discussions. Post intervention data was prospectively collected over six weeks. RESULTS: Total 94 encounters occurred during the pilot evaluating @entity1442 in metastatic @entity5 @entity1 of which 37/55 (39.4%) had documented @entity1442 discussion. SW consults occurred in 18/94 (19.1%), leading to 18/18 (100%) with Power of Attorney (POA) forms in EMR. Evaluation by @entity5 subtypes showed 14/21 (66.7%) of gastrointestinal @entity1 had @entity1442 documentation with 9/21 (42.9%) with SW consults leading to 11/21 (52.4%) with POA forms in EMR. Of 39 total @entity1514 @entity1 , 19/39 (48.7%) had @entity1442 documentation of which 9/39 (23%) with SW consults and 7/39 (17.9%) with POA forms in EMR. CONCLUSIONS: UICC successfully piloted the creation and implementation of a process for @entity1442 consults and standardization of @entity1442 discussion and EMR documentation. While our initial aim of 75% a chart was not reached, the piloted process increased SW consults and completion of POA forms, as well as greater multidisciplinary effort and @entity1 engagement. Compared to the pilot period, a multidisciplinary approach and use of the new process did improve @entity1442 documentation. We plan to expand to all metastatic @entity1 . [Table: see text].

Improving advance care planning for UICC Oncology XXXX .

@entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'solid tumor', 'Cancer'] @entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity1442 :: ('MESH:D020178', 'Disease') :: ['ACP', 'Advance care planning'] @entity1514 :: ('MESH:D013896', 'Disease') :: ['thoracic']
@entity1 :: (9606,Species) :: ['patients']
