Status: Active

Timeline: 2026 - present

Visit site: acperitool.netlify.app

Technologies: SvelteKit, Tailwind CSS & Netlify

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The ACP-Equity Risk Index is a clinical decision support tool for advance care planning, built around a problem that is well documented but rarely tooled for. African-American patients complete advance care plans at much lower rates, and the reasons usually come down to trust, communication, and culture rather than the medicine itself.

At the bedside you work through a checklist, ticking the barriers that apply to the patient. The tool scores them into a composite risk index, surfaces the barrier domains that are driving it, and then generates tailored intervention recommendations with conversation guidance you can use in the room.

The barriers are grouped into domains such as medical trust (say, a patient who voices distrust of providers or the health system), health literacy, religious and spiritual values, family dynamics, and language and communication. Each domain carries its own weight, so the result points you at what matters most for this particular person instead of a flat checklist.

The intervention side is where the AI augmentation comes in. Based on the dominant domains, it suggests concrete next steps like bringing in palliative care, involving a faith community leader, switching to language-concordant materials, or adjusting the pace and framing of the conversation, each tied to evidence on what actually moves ACP completion in this population.

I built it in SvelteKit with Tailwind and put it on Netlify. It is a decision aid, not a substitute for knowing your patient.