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Search Results for CARE PLAN
Abstract Number: D5
SHM Converge 2022
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 […]
Abstract Number: J7
SHM Converge 2022
Background: Documentation of code status is critical to goal-concordant care. Historically, documentation rates have been low due to time, the sensitive nature of discussions, and lack of experience. The COVID-19 pandemic, due to the risk of rapid decompensation and in-hospital mortality, created an urgent need for documentation of code status preferences among patients admitted to […]
Abstract Number: 110
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Advance care planning (ACP) is recommended to improve compliance with patient end-of-life wishes and to ensure appropriate use of healthcare resources. However, most American adults have neither living wills nor advance directives. Hospital physicians play a critical role in discussing and executing advance care plans, and stronger doctor-patient relationships may help increase rates of […]
Abstract Number: 145
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Lonely adults are prone to a variety of poor health outcomes, including accelerated functional and cognitive decline, depression, and premature mortality. As a result, lonely adults may be prone to higher health-related suffering, triggering increased healthcare utilization and possibly undesired aggressive care, particularly as they approach end of life (EOL). However, little is known […]
Abstract Number: 195
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The Physician Orders for Life-Sustaining Treatment (POLST) form is an important tool to elicit and document patients’ treatment preferences in a way that is valid across health care settings. Studies on its efficacy have found high rates of consistency between patients’ treatment preferences for cardiopulmonary resuscitation (CPR), medical interventions, and artificial nutrition documented on POLST […]
Abstract Number: 198
SHM Converge 2023
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 […]
Abstract Number: 199
SHM Converge 2024
Background: Problem Definition: Inadequate Advance Care Planning conversations and documentation remain a persistent gap in healthcare delivery. Admitting patients to the inpatient service without explicitly exploring the ‘goals of care’ and ‘code status’ results in stressful moments for the patients, their families, and providers if the condition deteriorates and may result in providing care that […]
Abstract Number: 200
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: High risk patients undergoing elective surgery are at increased risk of life-threatening complications. Also, most are under anesthesia, lacking capacity for at least that time. Despite this they often lack advance directives (ADs) or do not have them accessible in their medical records. Methods: We did a retrospective chart review of 231 patients seen […]
Abstract Number: 223
SHM Converge 2024
Background: Advance Care Planning (ACP), palliative care (PC), and enrolling inpatients near end of life into hospice are known methods to improve patient experience and reduce inappropriate use of inpatient (IP) resources. We sought to increase ACP, PC, and hospice referral by proactively identifying patients near end of life. Methods: In 2020 we introduced the […]
Abstract Number: 246
SHM Converge 2021
Background: Advance care planning (ACP) helps patients plan end of life care in accordance with their goals and values, but is often performed too late and infrequently. Hospitalists play an important role in delivering ACP for patients admitted for serious illnesses, but often cite competing inpatient priorities, lack of time and training, and uncertainty about […]