P-30 Advance care plans: creation, content and use during wave 1 of the COVID-19 pandemic. an analysis of data from coordinate my care, a large electronic palliative care coordination system

Situation, Education, Innovation, and Recommendation: A Large-Scale Systematic Review of Advance Care Planning in the Age of COVID-19

“…The adoption of telehealth technologies and electronic platforms, such as eMOLST, facilitated this increase, allowing patients and families to discuss ACP remotely and ensure their care preferences are documented and respected [ 96 , 109 ]. Due to visitation restrictions, patients and healthcare providers employed virtual tools for ACP discussions, leading to significant improvements in ACP documentation [ 99 , 102 , 117 ].…”

“…Alongside the telehealth-related innovations that have facilitated ACP conversation, this review also revealed notable innovation and flexibility in ACP documentation accommodating the constraints of the pandemic [ 116 , 117 , 118 , 119 , 120 , 121 , 126 , 127 , 128 , 135 ]. These innovations, which have facilitated the completion and accessibility of ACP documents, include streamlining the ACP processes [ 127 ], modification of the electronic health records to facilitate ACP documentation [ 71 ], the use of user-friendly [ 83 ] and electronic ACP forms [ 116 , 121 , 126 , 145 ], COVID-19-specific ACP documentation [ 135 ], apps to capture electronic signatures [ 63 ], electronic means of signature witnessing [ 138 ], and drive-by document signing [ 63 ].…”

“…These innovations, which have facilitated the completion and accessibility of ACP documents, include streamlining the ACP processes [ 127 ], modification of the electronic health records to facilitate ACP documentation [ 71 ], the use of user-friendly [ 83 ] and electronic ACP forms [ 116 , 121 , 126 , 145 ], COVID-19-specific ACP documentation [ 135 ], apps to capture electronic signatures [ 63 ], electronic means of signature witnessing [ 138 ], and drive-by document signing [ 63 ]. As an example of how ACP documentation innovations can increase ACP documentation, McFarlane and colleagues describe a 296% increase in usage of the NHS’s Coordinate My Care services ( , accessed on 14 May 2023), which takes an innovative integrative approach to care planning (including an ACP component) [ 117 ].…”