2024
Clinician Insights into Effective Components, Delivery Characteristics, and Implementation Strategies of Ambulatory Palliative Care for People with Heart Failure: A Qualitative Analysis
Feder S, Iannone L, Lendvai D, Zhan Y, Akgün K, Ersek M, Luhrs C, Allen L, Bekelman D, Goldstein N, Kavalieratos D. Clinician Insights into Effective Components, Delivery Characteristics, and Implementation Strategies of Ambulatory Palliative Care for People with Heart Failure: A Qualitative Analysis. Journal Of Cardiac Failure 2024 PMID: 39098653, DOI: 10.1016/j.cardfail.2024.07.009.Peer-Reviewed Original ResearchSpecialist palliative careVeterans Affairs Medical CenterCardiology cliniciansPalliative careImplementation strategiesDelivery characteristicsDiscussion of goals of careSpecialist palliative care cliniciansAmbulatory palliative careGoals of careGuideline-directed careQualitative descriptive studyAffairs Medical CenterSemi-structured interviewsCare deliveryAdvanced practiceLeadership supportVA systemReferral proceduresDescriptive studyAmbulatory settingClinicians insightCareHeart failureMedical Center
2017
Validation of the ICD-9 Diagnostic Code for Palliative Care in Patients Hospitalized With Heart Failure Within the Veterans Health Administration
Feder SL, Redeker NS, Jeon S, Schulman-Green D, Womack JA, Tate JP, Bedimo RJ, Budoff MJ, Butt AA, Crothers K, Akgün KM. Validation of the ICD-9 Diagnostic Code for Palliative Care in Patients Hospitalized With Heart Failure Within the Veterans Health Administration. American Journal Of Hospice And Palliative Medicine® 2017, 35: 959-965. PMID: 29254358, PMCID: PMC7491538, DOI: 10.1177/1049909117747519.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationSpecialist palliative carePalliative care consultationHeart failurePalliative careCare consultationsHealth AdministrationElectronic health record reviewICD-9 diagnostic codesIntensive care unit admissionSpecialist palliative care consultationUnmet palliative care needsVeterans Aging Cohort StudyCare unit admissionHealth record reviewPalliative care needsPalliative care servicesAging Cohort StudyGoals of careNinth Revision codesICD-9 codesYear of hospitalizationSite of careNegative predictive valueUnit admissionOncologists’ experiences with goals of care conversations.
Smith C, Solomon R, Lin J, Feder S, Bickell N, Schulman-Green D. Oncologists’ experiences with goals of care conversations. Journal Of Clinical Oncology 2017, 35: 50-50. DOI: 10.1200/jco.2017.35.31_suppl.50.Peer-Reviewed Original ResearchGOC conversationsGOC discussionsCare conversationsYounger patient ageGoals of careActive patient participationCommunication training interventionsASCO guidelinesEnd of lifePatient ageAdvanced cancerCare discussionsPatient's failurePatients' beliefsOncologists' experiencesTreatment goalsPatient participationCancer severityCare plansRural hospitalsOncologistsPatientsCommunication interventionsInterpretive descriptionTraining intervention“They Need to Have an Understanding of Why They're Coming Here and What the Outcomes Might Be.” Clinician Perspectives on Goals of Care for Patients Discharged From Hospitals to Skilled Nursing Facilities
Feder SL, Britton M, Chaudhry SI. “They Need to Have an Understanding of Why They're Coming Here and What the Outcomes Might Be.” Clinician Perspectives on Goals of Care for Patients Discharged From Hospitals to Skilled Nursing Facilities. Journal Of Pain And Symptom Management 2017, 55: 930-937. PMID: 29097273, DOI: 10.1016/j.jpainsymman.2017.10.013.Peer-Reviewed Original ResearchMeSH KeywordsAttitude of Health PersonnelContinuity of Patient CareFamilyHealth CommunicationHealth Knowledge, Attitudes, PracticeHospital AdministratorsHumansInterviews as TopicNursesPatient Care PlanningPatient DischargePhysiciansProfessional-Patient RelationsQualitative ResearchSkilled Nursing FacilitiesSocial WorkersConceptsSkilled nursing facilitiesAcute care hospitalsSNF careHospital readmissionCare hospitalHospitalized patientsClinician's perspectiveNursing facilitiesUnplanned hospital readmissionGoals of careNumber of patientsExperience poor outcomesPoor patient outcomesGOC conversationsSNF cliniciansUnrealistic patientPoor outcomeGOC discussionsTreatment optionsPatient goalsPatient outcomesCare continuumPatient dissatisfactionDisease processPatients