Fig. 2

Overview of the elements of the regional ACP program. The intervention elements at the individual level support the residents to plan for future medical care. On the institutional and regional level, a systems redesign and networking is to ensure that the residents’ wishes will be known and honored in case of critical illness accompanied by a lack of decisional capacity. Caption: ACP advance care planning, AD advance directive, QA quality assurance. For further information, see additional file 1 (selected intervention details) and 2 (TIDeR Checklist).