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Advance care planning is a powerful tool that helps to guide clinicians and family members to make care decisions that align with a patients values when that patient is unable to speak for themselves. Advance care planning documents such as advance directives are the primary tool used to put these patient preferences in writing, but there is little information about the true rates of document completion in Vermont. This project was focused on determining how many patients at the Mad River Family Practice had advance care planning documents, developing a tracking tool in the electronic medical record to see trends in document completion among panel patients over time, and identify strategies to increase engagement in advance care planning at the practice.

Clinical Site

Mad River Family Practice


Vermont, Advance Care Planning, Advance Directives

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


Medical Education | Palliative Care | Primary Care

Advance Care Planning Documentation at Mad River Family Practice