Background: Hospitalists commonly discuss advance care planning (ACP), which supports patients in understanding and expressing their values for medical care during serious illness. The coronavirus disease of 2019 (COVID-19) pandemic has increased the urgency of these conversations, especially for patients with older age, comorbidities, or an otherwise high risk for complications such as ICU admission, [...]

Background: Patients with a pre-existing diagnosis of advanced cancer who discharge to a skilled nursing facility (SNF) after an acute care hospitalization rarely receive future oncologic treatment, have high readmission rates, and minimal hospice use. We aimed to evaluate survivorship of patients discharging to a SNF with a new diagnosis of cancer based on their [...]

Background: Due to medical complexity, children with complex chronic conditions (CCC) have high hospital mortality rates. End-of-life (EOL) care planning is critical for these children and requires collaboration with families. Despite the importance of EOL care aligned with patient/family goals and potential harm when EOL care is inconsistent with these goals, there is limited literature [...]