Implementing Patients’ Preferred Plan of Care (PPOC) in a Private Hospital Institution
Care Continuum
National Healthcare Innovation and Productivity Medals
Private Hospital
31 December 2024
Design a structured process for facilitating decision-making for terminally ill patients on their preferred plan of care. Integrating PPOC discussions into routine care enhances patient autonomy and dignity.
Year Submitted: 2024
Published Date: 31 December 2024
Tags: Care Continuum, End-Of-Life Care, Palliative Care, Quality Of Life
About this Content
Aims
Design a structured process for facilitating decision-making for terminally ill patients on their preferred plan of care during their hospital admission.
Background
Previously, decision-making was solely left to the Next of Kin (NOK), often causing distress. Patients frequently underwent aggressive medical interventions despite bleak recovery chances.
Methods
Introduced structured PPOC discussions with patients, NOK, and healthcare teams, documented care preferences in electronic health records, and improved communication.
Results
80% completion rates for Code Status, especially among cardiology patients. NOK had reduced emotional burden, and patients received care aligned with their values.
Conclusion
Integrating PPOC discussions into routine care enhances patient autonomy and dignity. Future plans include wider adoption and improved documentation processes.
Lessons Learnt
Early discussions improve end-of-life care decisions, reduce unnecessary interventions, and support caregivers.
Keywords
Terminally-ill Patient, Next of Kin, Mortality Report, Geriatric Medicine, Cardiology, Length of Stay, DNR, Modified Code
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | Private Hospital |
Organization(s) Involved | Mount Alvernia Hospital |
Platform(s) | National Healthcare Innovation and Productivity Medals |
Healthcare Professional Group(s) | Allied Health, Healthcare Administration |
Applicable Specialty or Discipline | Healthcare Administrators, Palliative Medicine |
Project Lead(s) | Cecil Ng Jie Ying, Audrey Lim Chwee Ling |
Project Member(s) | Joyce Cheah Lean Eng |
Connect with this contributor!
Amalia Huab - amalia.huab@mtalvernia.sg