We cannot show progress if we cannot measure it. C-TAC is developing an advanced care index (ACT) to track progress in the movement. The index will include measures from different domains that are agreed upon by experts in the field. This tool will allow the community to monitor success over time, and to focus efforts and resources on the initiatives that will be most effective for improving advanced illness care.
The chart shows actual results through 2014 and projected results through 2030, for both the Index (orange) and Medicare enrollment (green). The ability of the healthcare system to provide the necessary person-centered care, reflected by the ACT Index, is not sufficient to keep pace with the growing needs of the Medicare population, let alone close current care gaps. In its current version, the index shows an annual net improvement of 2.1%, a rate that is inadequate to close current and projected care gaps.