A Knowledge Translation Project on Benchmark End-of-life Care Practices for the Elderly in Primary Care
The project was done at primary care practice sites at Fraser Health and several divisions of Family Practice in BC. Primary care physicians were directly involved as they are well positioned to provide palliative and end-of-life (EOL) care to patients.
Findings: This project demonstrated that it is difficult but possible to translate best practice knowledge in EOL care into electronic medical record (EMR) specific tools for community-based providers. The EMR-specific tools are now available for OSCAR, Med Access and Profile EMR users.
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About the Project
This three year project will increase the uptake of benchmark EOL care for elderly patients with advanced illness. It involved the development of quality indicators associated with primary care best practices in EOL care and promoting their integration into the EMR of practicing primary care physicians in British Columbia.
It looked to translate best practice knowledge in EOL care into a set of tools in the EMR for use by care providers in the community setting. The tools contain EMR-specific data entry templates, query/reporting functions, and access to downloadable resources such as advance care plans. They are based on the EOL learning module from the BC General Practice Services Committee Practice Support Program to improve EOL care by primary care providers in the province.
Francis Lau, PhD, MBA, MSc -- University of Victoria
Doris Barwich, MD -- University of British Columbia
Neil Hilliard, MD -- Fraser Health Authority
Bruce Hobson, MD -- Private Practice, Powell River
Morgan Price, MD, PhD, CCFP -- University of British Columbia
Project Contact: Francis Lau -- firstname.lastname@example.org
Key words: knowledge translation; end-of-life care; primary care; elderly patients; advanced illness; electronic medical record