If “yes” is documented for a type of advance care plan, this is considered evidence that a member has an advance care plan in place and meets criteria. If “no” is documented, this is considered evidence that the member does not have this type of advance care plan in place and does not meet criteria. For example, documentation of “DNR – No” indicates “the member does not have a DNR,” and does not meet criteria. In addition, documentation of “no” is not considered evidence of an advance care planning discussion (asking if a member has an advance care plan in place and documenting “no” is not considered a discussion).
HEDIS 2018