1291 Adaptive training and digital integration for advance care planning: implementing a scalable, person-centred solution across multi-site aged care organisations

<h3>Introduction</h3> Advance Care Planning (ACP) is increasingly recognised as essential to person-centred aged care. Yet, its implementation across multi-site aged care organisations is complex, hindered by diverse clinical workflows, varying levels of digital readiness, and regulatory compliance demands. This paper presents a collaborative initiative involving a residential aged care provider, a digital health company, and an independent social impact evaluator to implement a digitally integrated ACP platform across 27 facilities in Australia. The project supports the strengthened Aged Care Quality Standards, Australia’s interoperability goals, and broader person-centred care objectives. The focus is not only on technology adoption but also on embedding adaptive training strategies to build staff capability and drive sustainable change. <h3>Approach</h3> The ACP platform allows the uploading, storage, sharing, and instant access of advance care planning documents and directives. The platform integrates Microsoft Azure Single Sign-On and follows FHIR-based interoperability standards, enabling potential real-time integration with My Health Record and other monitoring systems. Training was designed using an adaptive learning framework, tailored to individual staff roles, digital literacy levels, and care settings. Participants for interviews and surveys are purposively sampled to include representation across clinical, administrative, and resident stakeholders at each site. Quotas ensure proportional representation by role and region, while mixed-method data collection captures nuanced perspectives and operational insights. <h3>Body</h3> Preliminary results suggest that adaptive training and co-design are critical enablers of platform adoption but there are many obstacles to adoption. Early data across 3 pilot facilities show a 58% staff login rate, with over 180 ACP documents initiated or uploaded within the first two months. Staff confidence scores increased post-training, and feedback highlighted improved team communication and care alignment. Ongoing evaluations will track changes in ACP uptake, documentation accuracy, and staff workload across all facilities. Imtegration with existing clinical systems and early communication of digital systems is proving essential to scaling implementation without disruption to staff workflows and family members. <h3>Conclusions</h3> This implementation offers early insights into how adaptive training, combined with interoperable digital solutions, can accelerate ACP uptake in aged care. The approach holds promise as a scalable model for national ACP rollouts. Final outcomes, expected mid-2025, will inform best practices for embedding person-centred digital health initiatives within aged care settings.