Implementing a Serious Illness Risk Prediction Model: Impact on Goals of Care Documentation.

ABSTRACT:

Context

Goals of care conversations can promote high value care for patients with serious illness, yet documented discussions infrequently occur in hospital settings.

Objectives

We sought to develop a quality improvement initiative to improve goals of care documentation for hospitalized patients.

Methods

Implementation occurred at an academic medical center in Pittsburgh, Pennsylvania. Intervention included integration of a 90-day mortality prediction model grouping patients into low, intermediate, and high risk; a centralized goals of care note; and automated notifications and targeted palliative consults. We compared documented goals of care discussions by risk score before and after implementation.

Results

Of the 12,571 patients hospitalized preimplementatio

SUBMITTER: Schell JO 

PROVIDER: S-EPMC10828667 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature