Community-Wide Education, Trained Facilitators, and Improved Processes Lead to More Advance Care Planning, Consistency Between Plans and End-of-Life Decisions, and Low Care Costs

Standardized, community-wide education, trained facilitators, and improved management processes lead to more advance care planning by patients, high levels of consistency between such plans and actual end-of-life decisions, and low care costs in the last 2 years of life.