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Michael paasche orlow ctac presentation 6.27.13
1. Enthusiastic Responses to
Advance Care Planning with
Video Decision Support Tools
Michael Paasche-Orlow, MD, MA, MPH
Associate Professor of Medicine
Boston University School of Medicine
3. The Video Images of Disease for Ethical
Outcomes (VIDEO) Consortium
Led by Dr. Angelo Volandes
Completed 13 clinical studies
7 ongoing studies
4. www.acpdecisions.org
Non-Profit Foundation
Video Decision Support Tools
Empower patients
Improve decision-making
18 scenarios to promote
Goals of Care
CPR
>50 health care entities
5. Extensively vetted and tested
Short
Plain language
Cinema vérité
Seen together with a provider
13. Additional Observations
Relieved to talk
Felt like a real unmet need
Poor communication w/ providers fear
Stuck on machines
Poor communication w/ surrogates fear
Burden
14. Conclusions
People are ready for engagement in ACP
Current decision-making frequently poor
Can be markedly improved