2021
Goals of Care Documentation: Insights from A Pilot Implementation Study
Haverfield M, Garcia A, Giannitrapani K, Walling A, Rigdon J, Bekelman D, Lo N, Lehmann L, Jacobs J, Festa N, Lorenz K. Goals of Care Documentation: Insights from A Pilot Implementation Study. Journal Of Pain And Symptom Management 2021, 63: 485-494. PMID: 34952172, DOI: 10.1016/j.jpainsymman.2021.12.023.Peer-Reviewed Original ResearchConceptsPatient care experiencesGoals of careCare documentationCare experiencesLife-Sustaining Treatment Decisions InitiativeCare Assessment Need (CAN) scoreLikelihood of documentationVeterans Affairs sitesVeterans Health AdministrationLife-threatening eventsPilot implementation studySerious health conditionsRace/ethnicityQuality improvement analysisFrail patientsIll patientsOverall careCare assessmentCare conversationsWhite raceHigh riskHealth AdministrationPatientsSurvey scoresRural status
2020
Pilot of the Life-Sustaining Treatment Decisions Initiative Among Veterans With Serious Illness
Giannitrapani KF, Walling AM, Garcia A, Foglia M, Lowery JS, Lo N, Bekelman D, Brown-Johnson C, Haverfield M, Festa N, Shreve ST, Gale RC, Lehmann LS, Lorenz KA. Pilot of the Life-Sustaining Treatment Decisions Initiative Among Veterans With Serious Illness. American Journal Of Hospice And Palliative Medicine® 2020, 38: 68-76. PMID: 32383388, DOI: 10.1177/1049909120923595.Peer-Reviewed Original ResearchMeSH KeywordsAgedCommunicationDecision MakingFemaleHumansMalePatient Care PlanningQuality of LifeResuscitation OrdersVeteransConceptsIll patientsDecision-making capacityLife-Sustaining Treatment Decisions InitiativeLST decisionsLarge integrated health care systemIntegrated health care systemProspective observational studyRisk of hospitalizationGoals of careFamilies/caregiversQuality of lifeDecisions InitiativeHealth care systemChart abstractionPatient demographicsObservational studyCare conversationsProlong lifePatientsSerious illnessVeterans AffairsCare systemStandardizing practicesPilot periodGOCC