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 CenterOpportunities to Improve End-of-Life Care Quality among Patients with Short Terminal Admissions
Sullivan D, Jones K, Wachterman M, Griffin H, Kinder D, Smith D, Thorpe J, Feder S, Ersek M, Kutney-Lee A. Opportunities to Improve End-of-Life Care Quality among Patients with Short Terminal Admissions. Journal Of Pain And Symptom Management 2024, 68: 329-339. PMID: 38810950, DOI: 10.1016/j.jpainsymman.2024.05.020.Peer-Reviewed Original ResearchEnd-of-lifeLife-limiting conditionsTerminal admissionPalliative careEnd-of-life care quality indicatorsEnd-of-life care qualityEnd-of-life careImprove end-of-lifeDepartment of Veterans Affairs (VAVA inpatient settingsVeterans Affairs (VACare quality indicatorsNon-cancer conditionsCare qualityInpatient decedentsHealthcare useVeteran decedentsAcute careNon-VAInpatient settingVA hospitalsShort admissionsCareLonger admissionsQuality indicatorsFinding the Difference Makers: Revealing Necessary and Sufficient Conditions for Palliative Care Outcomes Through Coincidence Analysis (ME302)
Feder S, Zhan Y, Miech E. Finding the Difference Makers: Revealing Necessary and Sufficient Conditions for Palliative Care Outcomes Through Coincidence Analysis (ME302). Journal Of Pain And Symptom Management 2024, 67: e847. DOI: 10.1016/j.jpainsymman.2024.02.490.Peer-Reviewed Original ResearchPalliative careHospice careComplex interventionsDelivery of palliative careReceipt of palliative carePresence of multiple conditionsBackground Palliative carePalliative care deliveryPalliative care researchDepartment of Veterans AffairsPalliative care outcomesImplementation science studyHealth services researchMedical CenterVA Medical CenterCare deliveryCare outcomesMultiple conditionsPeer-reviewed literatureCare researchImplementation scienceVeterans AffairsHospiceServices researchCareThe Future of State Workforce Policy in Palliative Care
Sinclair S, Feder S, Rusyn E. The Future of State Workforce Policy in Palliative Care. Journal Of Pain And Symptom Management 2024, 67: e701-e702. DOI: 10.1016/j.jpainsymman.2024.02.175.Peer-Reviewed Original ResearchPalliative care workforcePalliative care policyCare workforcePalliative careWorkforce policyCare policySkill buildingPalliative care principlesPrimary careClinician shortagesCare principlesHealthcare professionalsBehavioral healthHealth AffairsWorkforce developmentCare paymentsWorkforce concernsHealth fieldState-level initiativesCareState-level policiesLoan forgivenessHealthWorkforceParticipantsVariation in Uptake of Specialist Palliative Care Among People with Advanced Heart Failure Across VA Medical Centers
Zhan Y, Han L, Abel E, Akgun K, Redeker N, Feder S. Variation in Uptake of Specialist Palliative Care Among People with Advanced Heart Failure Across VA Medical Centers. Journal Of Pain And Symptom Management 2024, 67: e551-e552. DOI: 10.1016/j.jpainsymman.2024.02.339.Peer-Reviewed Original ResearchSpecialist palliative careVA Medical CenterDepartment of Veterans AffairsPalliative careVeterans AffairsRandom intercept multilevel logistic regressionPalliative care deliveryDelivery characteristicsMedical CenterMultilevel logistic regressionCare deliveryICD-9/10 codesAdvanced heart failureRetrospective cohort studyHealth careModifiable factorsCareTeam staffingCohort studyHeart failureLogistic regressionImplementation effortsIdentified factorsICD-9/10Study findings
2023
USING MULTI-LEVEL MODELING TO EXAMINE RACIAL DISPARITIES IN PALLIATIVE CARE AMONG OLDER ADULTS WITH HEART FAILURE
Han L, Abel E, Zhan Y, Akgün K, Feder S. USING MULTI-LEVEL MODELING TO EXAMINE RACIAL DISPARITIES IN PALLIATIVE CARE AMONG OLDER ADULTS WITH HEART FAILURE. Innovation In Aging 2023, 7: 1149-1150. PMCID: PMC10736640, DOI: 10.1093/geroni/igad104.3689.Peer-Reviewed Original ResearchAdvanced heart failureVeterans Affairs Medical CenterSpecialist palliative careHeart failureOlder adultsWhite raceGuideline-concordant careICD-9/10 codesService delivery characteristicsAHF cohortSPC servicesPalliative careBlack raceMedical CenterLogistic regressionSocioeconomic disparitiesFacility characteristicsRacial disparitiesPersistent disparitiesAdultsRandom interceptDelivery characteristicsConventional logistic regressionCareEquitable accessDevelopment of the Palliative Care Law and Policy GPS to Assess National Policies in Palliative Care
Feder S, Schulman-Green D, Huer J, Hoffman L, Martins L, Sinclair S, Gluck A, Rusyn E. Development of the Palliative Care Law and Policy GPS to Assess National Policies in Palliative Care. Journal Of Palliative Medicine 2023, 26: 1698-1701. PMID: 37585604, PMCID: PMC10714111, DOI: 10.1089/jpm.2023.0200.Peer-Reviewed Original ResearchValidation of Electronic Health Record-Based Algorithms to Identify Specialist Palliative Care Within the Department of Veterans Affairs
Feder S, Zhan Y, Abel E, Smith D, Ersek M, Fried T, Redeker N, Akgün K. Validation of Electronic Health Record-Based Algorithms to Identify Specialist Palliative Care Within the Department of Veterans Affairs. Journal Of Pain And Symptom Management 2023, 66: e475-e483. PMID: 37364737, PMCID: PMC10527602, DOI: 10.1016/j.jpainsymman.2023.06.023.Peer-Reviewed Original ResearchConceptsSpecialist palliative careInpatient encountersCurrent Procedural TerminologyPalliative careICD-9/ICDICD-9/10 codesCohort of peopleVeterans Affairs facilitiesStop codeNegative predictive valueElectronic health recordsChart reviewHeart failureAdministrative databasesSpecific clinicPredictive valueICD codesProcedural TerminologyVeterans AffairsOutpatientsHealth recordsAdministrative dataReference standardCareConsultationCare transition outcome measures of importance after emergency care: Do emergency clinicians and older adults agree?
Gettel C, Hwang U, Rising K, Goldberg E, Feder S, Uzamere I, Venkatesh A. Care transition outcome measures of importance after emergency care: Do emergency clinicians and older adults agree? Academic Emergency Medicine 2023, 30: 1061-1064. PMID: 37014286, PMCID: PMC10548356, DOI: 10.1111/acem.14732.Peer-Reviewed Original Research
2022
Experiences of Medical Interpreters During Palliative Care Encounters With Limited English Proficiency Patients: A Qualitative Study
Latif Z, Makuvire T, Feder S, Abrahm J, Pinzon P, Warraich H. Experiences of Medical Interpreters During Palliative Care Encounters With Limited English Proficiency Patients: A Qualitative Study. Journal Of Palliative Medicine 2022, 26: 784-789. PMID: 36516127, PMCID: PMC11079501, DOI: 10.1089/jpm.2022.0320.Peer-Reviewed Original ResearchConceptsPalliative care encountersPalliative care involvementPalliative careCare of patientsLimited English proficiencyCare encountersCare involvementLEP patientsLimited English proficiency patientsPalliative care utilizationPoor patient understandingMedical interpretersAcademic medical centerCare utilizationMedical CenterPatient understandingTreatment goalsPatientsSerious illnessTreatment planMean experienceCareSuboptimal timingInvolvementQualitative study
2021
Palliative Care During a Pandemic
Feder S, Schulman-Green D, Akgün K. Palliative Care During a Pandemic. Respiratory Medicine 2021, 345-372. DOI: 10.1007/978-3-030-81788-6_18.Peer-Reviewed Original ResearchCare deliveryLung diseasePalliative careSevere acute respiratory syndromeChronic lung diseasePalliative care deliveryAcute respiratory syndromeDisease careRespiratory pathogensRespiratory syndromeFamily caregiversHealthcare providersPrevious pandemicsCarePatient autonomyDiseasePalliative communicationVirus pandemicPandemicDeliveryPatientsProvidersSyndromeCaregivers
2020
National Variation in Palliative Care and Associated Outcomes Among Decedents with Heart Failure in Veterans Affairs Medical Centers (RP503)
Feder S, Ersek M, Kutney-Lee A, Redeker N, Bastian L, Akgun K. National Variation in Palliative Care and Associated Outcomes Among Decedents with Heart Failure in Veterans Affairs Medical Centers (RP503). Journal Of Pain And Symptom Management 2020, 60: 230. DOI: 10.1016/j.jpainsymman.2020.04.095.Peer-Reviewed Original Research
2018
Integrating Family Caregivers into Palliative Oncology Care Using the Self- and Family Management Approach
Schulman-Green D, Feder S. Integrating Family Caregivers into Palliative Oncology Care Using the Self- and Family Management Approach. Seminars In Oncology Nursing 2018, 34: 252-263. PMID: 30143346, DOI: 10.1016/j.soncn.2018.06.006.Peer-Reviewed Original ResearchConceptsPalliative oncology careOncology careFamily caregiversFamily caregiver involvementNumber of interventionsCaregiver goalsPalliative oncologyCancer careIllness needCaregiver involvementFamily management approachesFamily Management FrameworkNursing practiceCareCaregiversInvolvementOngoing communicationPatientsCancerNursesOncology