1264 How the statewide office of ACP, ACP tracker and related systems support ACP in Queensland

<h3>Purpose</h3> To support a unified system of ACP and end-of-life care that facilitates person-centred, high-value care by strengthening the capacity of clinicians to respond efficiently and effectively to the end-of-life care needs of Queenslanders. <h3>Background</h3> ACP is central to quality end-of-life care. Queensland Health (QH) recognised people were not dying as they wished, and a standardised ‘system’ was needed to promote iterative ACP; and provide real-time access to quality ACP documentation across service settings. <h3>Main Text</h3> QH implemented a system that includes: Statewide Office of Advance Care Planning (OACP) My Care, My Choices website Digital system infrastructure—ACP Tracker Funding incentives/activity reports Educational resources dedicated ACP facilitators (some HHS). Queensland is the first jurisdiction to have a state-wide system of this kind. The OACP provides ACP education to public and health professionals, and has a key role in supporting the receipt, quality review, upload and access of ACP documents, allowing clinicians, including first responders to quickly establish a person’s views, wishes and preferences for care and associated medical orders. As of March 2025, the OACP has received and reviewed 203,107 ACP documents from individuals, acute, community and aged care settings. 161,642 effective documents are now uploaded to individuals’ QH electronic hospital records in the ACP Tracker, ordered by document date and name, and accessible via authorised users in all QH hospitals and AHPRA-registered health practitioners (via the Health Provider Portal). In 2023–24, &gt;55,100 electronic Acute Resuscitation Plans were created and available in the ACP Tracker in real time. Awareness and access of the ACP Tracker is growing (2023–24: &gt;1,091,886 launches (by a range of staff disciplines) and 48,404 ACP Tracker comments).Senders are advised of issues when documents do not meet criteria for upload and provided with options to remedy. In 2023–24, 29% of ineffective ACP documents were returned as effective. <h3>Unique Contribution</h3> The ACP system implemented in Queensland—inclusive of infrastructure, services and educational resources is providing a single ‘source of truth’ to inform person-centred and high-value care. This unique system also supports the iterative ACP process and health services achievement of National Quality Standards related to ACP. <h3>Implications</h3> The capacity to deliver person-centred care and reduce use of resources that are not in line with person’s wishes is strengthened by the ACP ‘system’ that has been implemented in Queensland. Digital linking of the ACP Tracker with My Health Record will further enhance this ‘system’.