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Attachment A <br />Appendix A: IMPROVEMENT OPPORTUNITY : ADDRESS ADVANCED PLANNING EDUCATION <br />CURRENT STATE <br />As indicated by Roseville survey: <br />1. DPOA-Health Care: <br />Adults (18-59) 35% have <br />Seniors (>_ 60) 66% have <br />53% do not have 11% unfamiliar <br />30% do not have 4% unfamiliar <br />2. Medical Health Care directive: <br />Adults (18-59) Did not address? <br />Seniors (>_ 60) 76% have 22% do not have 2% unfamiliar <br />3. POLST (Physician Orders for Life Sustaining Treatment): <br />Adults (18-59) 15% have 54% do not have 30% unfamiliar <br />Seniors (>_ 60) 40% have 31% do not have 30% unfamiliar <br />4. Honoring Choices: <br />Adults (18-59) Did not address? <br />Seniors (>_ 60) 13% have used 39% have not used 48% unfamiliar <br />(Note: Majority of surveys completed by those of caucasian/Northern European ancestry) <br />National Averages: <br />Approx. 30% of all adults have advanced directives. <br />(FYI: Statistics from one study): <br />"Of the 7946 respondents, 26.3% had an advance directive. The most frequently reported reason for not <br />having one was lack of awareness. Advance directive completion was associated with older age, more <br />education, and higher income and was less frequent among non-white respondents. Respondents with <br />advance directives also were more likely to report having a chronic disease and a regular source of care. <br />Advance directives were less frequent among those who reported not knowing if they had an EOL concern." <br />Rao, Jaya K et al "Completion of Advance Directives Among U.S. Consumers". American Journal of Preventive <br />Medicine 46.1 (2014): 65-70 PMC.Web23 Sept 2015 <br />DESIRED STATE <br />Majority of adult population (of all ages) will have access to information regarding advance directives and will <br />have medical information/advance directives (of some type-Vial of Life, POLST, Medical Directive, DPOA-HC) in <br />place. <br />Reference: Respecting Choices LaCrosse WI <br />