Description
High-risk surgery in older adults with multiple comorbid conditions (MCC) leads to major life-altering complications for at least 1 in 5 patients. In order to prepare patients and families for these adverse outcomes, advance care planning (ACP) must occur in the pre-operative setting. Little is known about ACP among older adults with MCC.
The goal of this pilot project is to determine the prevalence of pre-operative documentation of ACP among older, high-risk surgical patients with MCC and the patient characteristics associated with ACP documentation.
PI is Victoria Tang, MD, MAS, UCSF; site PI is Ellis Dillon, Ph.D. Co-investigators are Ming Tai-Seale, Ph.D., MPH; Rebecca Sudore, M.D., UCSF; Yan Yang, Ph.D., PAMF Research Institute; and John Boscardin, Ph.D., UCSF.
The goal of this pilot project is to determine the prevalence of pre-operative documentation of ACP among older, high-risk surgical patients with MCC and the patient characteristics associated with ACP documentation.
PI is Victoria Tang, MD, MAS, UCSF; site PI is Ellis Dillon, Ph.D. Co-investigators are Ming Tai-Seale, Ph.D., MPH; Rebecca Sudore, M.D., UCSF; Yan Yang, Ph.D., PAMF Research Institute; and John Boscardin, Ph.D., UCSF.
Principal Investigator
External PI, Principal Investigator
Funder
National Institute on Aging (through Health Care Systems Research Network and the Older American Independence Centers AGING Initiative
Research Topics
Related Studies
Pilot Project in Applied Artificial Intelligence: Using Machine Learning to Improve the Safety of Hospital Care
Develop and test predictive model identifying emerging sepsis using artificial intelligence, and translate learnings into improved operational criteria.
Investigator: Sylvia Sudat, PhD
Improving Cancer Care
Project will provide information about referrals to palliative care and way to enhance goals of care discussions for patients diagnosed with stage IV cancer.
Investigator: Su-Ying Liang, Ph.D.
Multilevel Study of Lung Cancer Screening Guidelines Implementation (MUST)
Provide insights into preventive services for lung cancer. This research will contribute to the concurrent progress in lung cancer screening with LDCT.
Investigator: Jiang Li, Ph.D., MPH
Implementing Universal Lynch Syndrome Screening Across Multiple Healthcare Systems: Identifying Strategies to Facilitate and Maintain Programs in Different Organizations Contexts
To describe and explain variations in Lynch syndrome (LS) screening implementation across healthcare systems and create a toolkit for implementing LS screening.
Investigators: External PI, Principal Investigator, Su-Ying Liang, Ph.D., Monique de Bruin, M.D., MPH
Severe Mental Illness and Patterns of Emergency Department Utilization
Purpose is to provide descriptive info for improving health outcomes by identifying a subgroup of high-frequency ER patients who may have severe mental illness.
Investigator: Kristen M.J. Azar, R.N., BSN, MSN/MPH
Open and Ask Study
Study is a head-to-head comparison of three different interventions that empower patients to speak up and enable MDs to respond effectively when they do.
Investigators: Albert S. Chan, M.D., M.S., FAAFP, Cheryl Stults, Ph.D.
HOMBRE (Hombres con Opciones para Mejorar el Bienestar y bajar el Riesgo de Enfermedades crónicas)
A pragmatic, comparative effectiveness trial: obese Latino men will receive, by random assignment, the HOMBRE intervention or a minimal intensity intervention.
Investigator: Kristen M.J. Azar, R.N., BSN, MSN/MPH
Understanding the Needs and Experiences of High Utilizers at the Emergency Department of Highland Hospital
Gather insights from pts in the ER to help address unmet clinical and social needs in the underserved in Alameda County.
Investigator: Kristen M.J. Azar, R.N., BSN, MSN/MPH
Understanding Non-clinical Determinants of Long-term Hospital Stays Among High Utilizing Patients at ABSMC
Collect info to inform pt care and identify strategies to more efficiently transition high utilizers to more appropriate care arrangements.
Investigator: Kristen M.J. Azar, R.N., BSN, MSN/MPH
The Impact of Lean Management on Primary Care Efficiency, Affordability, and the Patient Experience
The goal of this study is to investigate the impact of Lean on provider work efficiency, system affordability, and patient experiences in primary care.
Investigator: Su-Ying Liang, Ph.D.