Goal is to determine the prevalence of preop documentation of ACP among older, high-risk surgical pts with multiple conditions.

To examine the impact of the palliative care program on the patterns of ACP documentation in EHR of patients with multiple chronic conditions.

To improve individual and population health and health care through research leveraging the resources and capabilities of learning health care systems.

The purpose of this study is to determine whether the potential benefits of aspirin outweigh the risks for people over age 65.

Goals are to develop and test a tool for PAMF pts providing out-of-pocket costs in different Medicare Part D plans.

We will assess the impact of covered preventive visits among Medicare beneficiaries using electronic health records data from PAMF, between 2006 and 2015.

This study incorporates data from NHANES to estimate the national prevalence of at-risk drinking among older U.S. adults.

Purpose is to compare for CHF pts the quality of care during, and re-hospitalization rates following, SNF adm with & w/o monitoring protocols.

The study's objective is to identify the locations of ACP documentation in EpicCare EHR and to determine which patient and primary care provider (PCP) characteristics are associated with having a scanned ACP document.

We specifically aim to examine the productivity of physician-patient communication by linking elements of quality of communication on mental health in the context of busy clinics and competing demands from co-morbidities.