Background: Serious Illness Conversations (SICs) lead to a better understanding of patient values and preferences, improved patient and family satisfaction, and other benefits. Prognostic awareness and early identification of patients who may benefit from an SIC remains a challenge. Epic’s Risk of Unplanned Readmission (Readmission Risk Score), a composite score (0-100) that includes clinical factors [...]

Background: Ensuring that hospitalized patients have a clearly documented Advance Care Plan (ACP) is important to provide them with goal-concordant care. Our institution undertook an inpatient Quality Improvement (QI) initiative to improve accessible ACP documentation. Though this work significantly improved ACP documentation rates, ACP rates for Latinx patients were significantly lower than those of the [...]