Background: Advance care planning (ACP) informs future medical decision-making, particularly for hospitalized patients with older age or serious illness. The majority of end-of-life conversations are led by hospitalists in the inpatient setting. Despite the importance of ACP in end-of-life care, health disparities exist, with racial and ethnic minorities less likely to have advanced directives and [...]

Background: During a pre-intervention baseline survey period, only 38% of internal medicine inpatients with a do-not-resuscitate (DNR) order at time of hospital discharge and absent or discordant Portable Orders for Life-Sustaining Treatment (POLST) form at time of admission were discharged with a concordant POLST form. Purpose: To improve documentation of end-of-life preferences in hospitalized adults [...]