Adarsha Bajracharya, second year MMSc student, presented his poster "Picking a Proxy on the Web: Web-based interview for Health Care Proxy Documentation" at the American Medical Informatics Association Annual Symposium in Washington, DC, November, 2014.
Problem: When ill or incapacitated, patients may be unable to make their own medical decisions. A health care proxy (HCP) form is a legal document formalizing the appointment of a surrogate decision-maker. Prior studies show that patients who had given surrogate decision-making information to their providers lacked documentation of this in their medical records.(1) (2)Physician reminders alone are not associated with greater HCP appointment, but reminders plus mailings to patients of advance care planning forms and related materials have improved HCP appointment rates.(3)
Solution: We have developed an interactive interview to be available in a patient portal, through which patients can provide health care proxy information. Information provided by the patient will be stored in the patient's electronic medical record for clinician review. This module also has an integrated educational section, that answers common questions, provides background information about the importance of health care proxies, and advises patients how best to discuss their care preferences with loved ones.
Aim: With this interview, we hope to increase the rate of appointment of health care proxy and provision of completed health care proxy forms by patients at Beth Israel Deaconess Medical Center.