ACP GCD Surveys and Chart Audit Tools

The following tools were developed to support research and quality improvement initiatives. Specifically, they have been used with clinical teams and patients in an acute care, primary care, outpatient, and home care setting to evaluate change in advance care planning and goals of care usage.

These tools are free to use by others provided they are appropriately referenced as per each tool's Creative Commons license.

Patient Survey image

Patient Survey

Captures patient reported experience measures

View Patient Survey

Healthcare Provider Survey (Pre-Intervention) image

Healthcare Provider Survey (Pre-Intervention)

Measures key healthcare provider-perceived barriers and facilitators to ACP and goals of care

View HCP Pre-Intervention Survey

Healthcare Provider Survey (Post-Intervention) image

Healthcare Provider Survey (Post-Intervention)

Measures key healthcare provider-perceived barriers and facilitators to ACP and goals of care

View HCP Post-Intervention Survey

Inpatient Chart Audit Tool image

Inpatient Chart Audit Tool

Measures ACP GCD process adherence in the inpatient setting

View Inpatient Chart Audit Tool

Outpatient Chart Audit Tool image

Outpatient Chart Audit Tool

Measures ACP GCD process adherence in the outpatient setting

View Outpatient Chart Audit Tool