Dr. Mirarchi's most recent project incorporates easy-to-use technology with highly individualized Resuscitation Safety Statements in order to equip providers with accessible, comprehensible, and accurate information on patient end-of-life care preferences.
Patients of Dr. Mirarchi can now opt to produce "My Informed Decisions (MIDEO) Resuscitation Cards": personalized, digitized, card-sized advance directives designed to be carried around in a wallet or purse. MIDEO cards complement advance directive legal documents and POLST by reducing the guessing game for providers during critical moments.
QR codes on portable advance directive cards increase accessibility to patient's wishes
Before creating a Resuscitation Safety Statement, Dr. Mirarchi meets with each patient to discuss options in depth and determine the most effective way to communicate patient wishes with clinicians. Patients sign a HIPAA disclosure waiver so that the card can include salient information, such as:
- Date of birth
- Relevant medical history
- Contact information of the patient's PCP, health care agent, attorney, and Dr. Mirarchi's practice
Importantly, the MIDEO Card also features a QR code, which can be easily scanned by emergency providers using a free smartphone app. The code directs the provider to a short video featuring the patient (or the patient's health care agent) clearly specifying their wishes to either accept initial life-saving care or proceed with end-of-life care.
Providers receive the most time sensitive and critical information in the first minute of the video and are later directed to detailed legal documents for more information.
Dr. Mirarchi's primary goal is to create an industry standard for advance care planning that prioritizes the individualization and nuance that end-of-life planning deserves.
More on advance care planning
It's not a checkbox, but a patient-centered conversation
Questions about how to better support end-of-life planning? Email me at firstname.lastname@example.org.