IntroductionOlder adults with advanced chronic diseases require an integrated model of care that includes an adaptation of the therapeutic effort. The objective of this work was to estimate compliance with a standardized process of identification and registry of advance care planning (ACP) of patients in chronic home care (CHC) with palliative needs living in nursing homes and referred to the Hospital for COVID19.Theory/MethodsProspective cohort of patients in nursing home chronic care, >64 years, affiliated to the Health Maintenance Organization Hospital Italiano de Buenos Aires, with a diagnosis of COVID19 infection (3/15/2020 to 9/15/2020). The standardized care process uses the identification of patients with palliative needs based on the Necpal tool and registry of the advanced care planning in a central place in the electronic health record (EHR).Results30% (1032) of CHC patients live in nursing homes. 65% (374/568) of suspected cases for COVID-19 were confirmed as positive.Among COVID-19 cases: 88% were women, median age was 88 yo., 92% were admitted to the Hospital, 0.3% used invasive ventilation, 80% (295) were stratified and identified in the EHR as patients with palliative needs, 68% (199) had the ACP registered in the EHR. 32.6% of hospitalized patients met severity criteria. 1% of patients with advanced chronic diseases with severity criteria were admitted to the intensive care unit. Mortality was 25% (94/374). Of those who died, 74.4% had severity criteria (p