Enhancing Advance Care Planning in Primary Care Utilizing Project 5 Wishes

Abstract

This quality improvement project aimed to enhance advance care planning in primary care by implementing Project 5 Wishes, a structured tool designed to improve patient-provider discussions and documentation. Conducted during Medicare Annual Wellness Visits, the intervention increased the frequency of advance care planning conversations, improved documentation, and enhanced related billing practices. While completion rates remained consistent with national averages, patient understanding and satisfaction improved. Project 5 Wishes effectively promotes patient-centered care, supports providers in facilitating critical conversations, and highlights the need to address barriers to advance care planning across diverse populations.