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Want to improve patients' experiences and promote shared decision-making while decreasing costs of care? Our platform can spark a scalable and sustainable enterprise for change.
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Developing a Roadmap

We work with health care organizations to create patient-centered ecosystems of care through the implementation of evidence-based video decision aids.

Let's Start a Conversation

We can work with your organization to create an easy-to-implement strategy to enhance advance care planning using our video decision aids and tools.

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We empower clinicians and patients in shared decision making

Patient Resources

The Conversation

English, Spanish

What is Palliative Care?

English, Spanish, Chinese, German, Russian

Talking to Your Doctor

English, Spanish, Chinese, German, Russian

POLST

English, Spanish

Patient Checklist

English, Spanish, Chinese, German, Russian, Arabic, Persian, Korean, Vietnamese

Everyone knows that adults learn best not only through language but also through nonverbal communication: things like the tone of voice, visual images, facial expression, and contextual factors such as trust, a sense of reassurance, and use of plain, clear language. Though we know these things, this knowledge is seldom put to work in helping persons with serious illness and their families to make some of the most medical important decisions they will ever face. Angelo’s use of video breaks through into the often silent world of doctors and patients by using clear, simple, plain language, images of people in similar situations, and a calm, kind context for the information. Clinicians looking to support truly informed decision making for their patients and their families need go no further.

Prior to working with ACP Decisions, advance care planning in both our acute care and ambulatory care settings were constrained by the tools and communications options we had available to use, as well as by the skill and experience of the clinicians engaging in the conversations. Advance care planning discussions were led by those clinicians considered most “capable” of having them, which limited overall responsibility for initiating the process.

Working with ACP Decisions has been a wonderful experience, as it has facilitated a broader and deeper understanding of what constitutes effective communication around advance care planning. With the video decision tools, we are engaging a larger number of the care team in the process and opening their options for participation. The depth, breadth and diversity of topics and languages have given us the ability to work in a more culturally competent matter. Most importantly, our patients and families are now empowered to engage in dialogue with us, as we have given them tools to work with they didn’t have before.

The team at ACP Decisions and the tools they provide are unsurpassed in quality and commitment to engage our communities in the important work around informed decision making.

We use the ACP Decisions video library in several outpatient and inpatient settings at Presbyterian and have found the quality of the language, voice and images to be highly supportive of our patients and families. The videos are brave and honest, offering our patients the truth they are seeking in a caring manner during a time of critical medical decision-making. The videos are offered in many languages, with a focus on culturally based, respectful translation which enhances the value for our patient population.

Throughout the development and implementation of our advance care planning projects, The ACP Decisions team has been tremendously supportive and responsive while providing a wide range of expertise from engagement to recent research to operational details.

Working with a highly vulnerable population, we identified a need to improve shared decision making for our patients with lower health literacy. Using ACP Decisions’ video decision tools has enabled us to standardize the advance care planning process and be effective in all populations, regardless of education status or other factors. ACP Decisions has been exceptionally responsive to our work and operational needs and an invaluable partner in helping us work through the complexities of serious illness conversations, scale issues, and technology platform implementation.

We have had nothing but good experiences with the videos. They help make the discussion about choices for care easier, and they help make these discussions more patient-centered. They make the discussion less about the illness and more about the patients. The videos don’t replace discussions about decisions, they tee up and facilitate these discussions. The videos are part of our larger effort to ensure patients have the information they need to be active in shared decision-making, and to help physicians understand patients’ values and preferences so they can arrive at the right decision together.

Whether you’re a patient or a physician, end-of-life care is a difficult topic to approach. But it’s a discussion that patients and their families need to have so they can make informed decisions about their choices. These videos give caregivers a way to start talking about this sensitive subject. Our experience has been that this program and these videos have helped physicians, their patients, and their patients’ families address the issues they need to face around end-of-life care, and make more informed decisions.

Dartmouth research has demonstrated extraordinary differences in the intensity of the treatment patients receive at the end of life, depending on where they live and who treats them. This suggests there is significant room for improvement, especially in helping patients make informed choices. It is important that patients and caregivers engage in discussions with their doctors that lead to a decision that values the patient’s goals and preferences. This is never easy, but these videos are a powerful tool to help providers communicate choices and to help families reach an informed decision.

2010

ACP Decisions is formed. Goals of Care video studies are released in the Journal of Clinical Oncology and Patient Education & Counseling.

2011

ACP Decisions featured by CBS News. Goals of Care video studies released in the Journal of Palliative Medicine. CPR video studies released in the Journal of Clinical Oncology and the Journal of Palliative Medicine.

2012

Goals of Care video studies released in Cancer and in the Journal of Palliative Medicine. CPR video studies released in the Journal of Clinical Oncology and the Journal of Palliative Medicine.

2013

CPR video study released in the Journal of General Internal Medicine.  ACP Tools released for iOS. Boston Globe and The Atlantic highlights ACP Decisions work.

2014

ACP Decisions launches the My ACP Decisions platform. Washington Post features ACP Decisions’ work. ACP Decisions releases 10+ videos in English and Spanish.

2015

ACP Decisions releases the My ACP Decisions platform and the ACP Tools iOS app. ACP Decisions’ work is highlighted by the New York Times, The Boston Globe, CNBC, NPR, the Wall Street Journal and Modern Healthcare.

2016

Hawaii implementation study released in the Journal of General Internal Medicine. Goals of Care video study released in Circulation. 20+ videos in English, Arabic, and Navajo released.

2017

20+ videos in English, Spanish, and Mandarin released.  ACP Tools 2.0 for iOS and Android released. Caregivers Academy video library created.

2018

ACP Decisions releases Version 2.0 of My ACP Decisions platform. Multiple videos released in English and Spanish, including content in the Caregivers Academy video library. Video declaration study released in the Journal of Palliative Medicine.

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