Advance Care Planning

Advance Care Planning

Release Date: 09/26/2019
Expiration Date: 09/30/2021
Format: Enduring Online Material

Target Audience

This activity is intended for physicians, physician assistants, nurse practitioners, nurses, social workers, and public health professionals.

Statement of Need

Advance Care Planning (ACP) is the face-to-face time a physician or other qualified health care professional spends with a patient, family member, or surrogate to explain and discuss advance directives.  Many people die in a manner they would not choose, and many find themselves having to make end of life decisions for a loved one without prior discussion of preferences with that loved one.  Every person should have the opportunity to express their wishes for end of life care. Documenting preferences will aid the medical team in respecting the individual's wishes as he or she approaches the end of life.

Educational Objectives

Upon completion of this activity, participants should be able to:

1. Identify the advanced directive document and how to complete them.
2. Explain the components of the Texas MOST form. 
3. Discuss challenges with completion of advance directives in those with different
    stages of cognitive impairments or who may be incapable of decision making. 
4. Review billing and coding for Advance Care Planning. 


Sarah Ross, MS, DO practices Geriatric Medicine in Fort Worth, Texas. Dr. Ross graduated from University of North Texas Health Science Center Texas College of Osteopathic Medicine in 2007 and has been in practice for 12 years.

She is currently Assistant Professor of Medicine in the Center for Geriatrics, Department of Internal Medicine, at the University of North Texas Health Science Center. Dr. Ross also serves as Assistant Director at the Center for Geriatrics at UNTHSC. 

Instructional Designers

Stephen McBroom, BA, INCEDO

Brenda Wilson, MS, INCEDO


In accordance with the appropriate accrediting bodies, all planners, teachers, and authors with control over activity content are required to disclose to the provider any relevant financial relationships (those held by the planner or significant other, currently or within the last 12 months) with commercial interests. Accredited providers are required to provide this information to learners before the start of an activity.

The UNT Health Science Center INCEDO office planning team has anything to disclose.

Sarah Ross, MS, DO has nothing to disclose.

Accreditation and Credit Statements


The University of North Texas Health Science Center is accredited by the American Osteopathic Association to award continuing medical education to physicians.

The University of North Texas Health Science Center has requested that the AOA Council on Continuing Medical Education approve this program for 1 hour of AOA Category 1B CME credits. Approval is currently pending.

The University of North Texas Health Science Center is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of North Texas Health Science Center designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

The University of North Texas Health Science Center presents this activity for educational purposes only. Participants are expected to utilize their own expertise and judgment while engaged in the practice of medicine. The content of the presentations is provided solely by presenters who have been selected for presentations because of recognized expertise in their field.

ACGME Competencies

  • Patient care
  • Interpersonal and communication skills

IOM Competencies

  • Provide patient-centered care
  • Work in interdisciplinary teams

IPE Competencies

  • Interprofessional Communication

CBRN (nursing)

UNT Health Science Center is approved by the California Board of Registered Nursing, Provider # 16274. This activity is approved for 1 Contact Hours.


This activity is approved for a maximum of 1 Clock Hours for Social Workers.


The University of North Texas Health Science Center certifies this activity for 1 hour of participation.


All information contained within this activity is intended for educational purposes only. Physicians and other health care professionals are encouraged to consult other sources and confirm the information contained in this site. No single reference or service can take the place of medical training, education, and experience. This website does not define a standard of care, nor is it intended to dictate an exclusive course of management. This information should not substitute for a visit or consultation with a health care provider.

Technical Requirements

This activity is best experienced using the most current browser (or one back) of Chrome. For all activities featuring audio, you must have a sound card and speakers. To view graphic images and references that appear in separate "pop-up" windows, you must have JavaScript and session cookies enabled on your computer. Adobe Acrobat Reader may be required for certain activities.

Institutional Review Board

Data collected as part of this activity may be analyzed as part of educational research to study the effectiveness of interventions. This project is included under UNTHSC IRB protocol #2017-056.


This project is supported by grant funding from the United Way of Tarrant County and the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U1QHP28735. The contents are solely the responsibility of the authors and do not necessarily represent the official view of the Health Resources and Services Administration or the U.S. Department of Health and Human Services. No commercial support was received for this activity.

WE-HAIL LogoUnited Way of Tarrant County LogoUNT Health Science Center Center for Geriatrics

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