Evaluating implementation strategies to support documentation of veterans' care preferences.

ABSTRACT:

Objective

To evaluate the effectiveness of feedback reports and feedback reports + external facilitation on completion of life-sustaining treatment (LST) note the template and durable medical orders. This quality improvement program supported the national roll-out of the Veterans Health Administration (VA) LST Decisions Initiative (LSTDI), which aims to ensure that seriously-ill veterans have care goals and LST decisions elicited and documented.

Data sources

Primary data from national databases for VA nursing homes (called Community Living Centers [CLCs]) from 2018 to 2020.

Study design

In one project, we distributed monthly feedback reports summarizing LST template completion rates to 12 sites as the sole implementation strategy. In the second involving five sites, w

SUBMITTER: Carpenter JG 

PROVIDER: S-EPMC9264454 | biostudies-literature | 2022 Aug

REPOSITORIES: biostudies-literature