QUALITY IMPROVEMENT PROGRAM

Your Care Plan™

GOCCNJ Your CarePlanYour CarePlan is a web-based, video guided POLST completion tool that can be used in long-term care facilities, hospitals, or private practices. Your CarePlan was created to help patients make informed choices about treatment decisions. But it was also created for you, to help script the conversation around end-of-life (EOL) decisions, improve health literacy and ensure informed consent when completing the POLST form.

Goals of Care Coalition of New Jersey (GOCCNJ)

QUALITY IMPROVEMENT PROGRAM

Your Care Plan™

GOCCNJ Your CarePlanYour CarePlan is a web-based, video guided POLST completion tool that can be used in long-term care facilities, hospitals, or private practices. Your CarePlan was created to help patients make informed choices about treatment decisions. But it was also created for you, to help script the conversation around end-of-life (EOL) decisions, improve health literacy and ensure informed consent when completing the POLST form.

Goals of Care Coalition of New Jersey (GOCCNJ)

How Does it Help?

Using Your CarePlan to complete a POLST form:

  • Makes it easy to have these often uncomfortable conversations
  • Improves patient health literacy
  • Ensures informed consent
  • Reduces unnecessary hospital readmissions
  • Increases referrals and earlier access to palliative and hospice care
  • Reduces the burdens of serious illness on patients and caregivers
  • Helps HCPs deliver care aligned to a patient’s values and goals
Photo of physician talking with senior patient

“Your CarePlan made the POLST conversation feel natural and comfortable for both our staff and patients.”
— Joanita M., LCSW, Long-Term Care

How Does it Help?

Using Your CarePlan to complete a POLST form:

  • Makes it easy to have these often uncomfortable conversations
  • Improves patient health literacy
  • Ensures informed consent
  • Reduces unnecessary hospital readmissions
  • Increases referrals and earlier access to palliative and hospice care
  • Reduces the burdens of serious illness on patients and caregivers
  • Helps HCPs deliver care aligned to a patient’s values and goals
Photo of physician talking with senior patient

“Your CarePlan made the POLST conversation feel natural and comfortable for both our staff and patients.”
— Joanita M., LCSW, Long-Term Care

photo of medical students on computer

valuable Resources for Providers and Patients

Your CarePlan includes:

  • Two training modules covering topics such as identifying appropriate patients, best practices for conducting care plan meetings, documentation and billing
  • Support calls to coach staff and help with implementation
  • A training manual
  • A series of videos that help the patient/medical decision-maker prepare for the care planning discussion

Your CarePlan in Clinical Practice Real world evidence (RWE) obtained from 326 provider and patient POLST conversations using Your CarePlan resulted in:

36% of patients electing DO NOT HOSPITALIZE (DNH)1

  • 36% 36%

98% of patients electing DO NOT RESUSCITATE (DNR)1 DO NOT INTUBATE (DNI)1

  • 98% 98%

A recent study2 found that when HCPs used Your CarePlan, they achieved high rates of:

COMPLETION*

  • 99% 99%
  • 48% 48%

* p<0.001

LESS AGGRESSIVE CARE*

Patients Electing Limited or Symptom Treatment

  • 96% 96%
  • 80% 80%

* p<0.001

NUTRITIONAL PREFERENCES*

Patients Electing No Artificial Nutrition

  • 77% 77%
  • 54% 54%

* p<0.0001

Patients Using Your CarePlan (n=112)

Control Group (n=214)

1. Data on File. GOCCNJ; RWE Sept. 17, 2018 – March 11, 2020.

2. Data on File. GOCCNJ; Pilot Study, Jan. 2017 – Dec. 2017.

Your CarePlan in Clinical Practice Real world evidence (RWE) obtained from 326 provider and patient POLST conversations using Your CarePlan resulted in:

36% of patients electing DO NOT HOSPITALIZE (DNH)1

  • 36% 36%

98% of patients electing DO NOT RESUSCITATE (DNR)1 DO NOT INTUBATE (DNI)1

  • 98% 98%

A recent study2 found that when HCPs used Your CarePlan, they achieved high rates of:

COMPLETION*

  • 99% 99%
  • 48% 48%

* p<0.001

LESS AGGRESSIVE CARE*

Patients Electing Limited or Symptom Treatment

  • 96% 96%
  • 80% 80%

* p<0.001

NUTRITIONAL PREFERENCES*

Patients Electing No Artificial Nutrition

  • 77% 77%
  • 54% 54%

* p<0.0001

Patients Using Your CarePlan (n=112)

Control Group (n=214)

1. Data on File. GOCCNJ; RWE Sept. 17, 2018 – March 11, 2020.

2. Data on File. GOCCNJ; Pilot Study, Jan. 2017 – Dec. 2017.

License Your CarePlan

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Photo of healthcare professional going over tablet with a patient, with the Your CarePlan icon on the right

“We found the quality of our conversations with patients improved after we started using Your CarePlan. And, we’ve completed so many more POLSTS!”
— Laurie P., LCSW, Community-Based Practice

License Your CarePlan

Contact Us

Photo of healthcare professional going over tablet with a patient, with the Your CarePlan icon on the right

“We found the quality of our conversations with patients improved after we started using Your CarePlan. And, we’ve completed so many more POLSTS!”
— Laurie P., LCSW, Community-Based Practice