Description
The study's objective is to identify the locations of ACP documentation in EpicCare EHR and to determine which patient and primary care provider characteristics are associated with having a scanned ACP document. A scanned document is the only documentation containing signatures (unsigned documents are not legally valid).
Conclusion
Only 33.5% of patients with ACP documentation somewhere in the EHR had an scanned document. Standardizing the location of these documents should become a priority to improve care. Actions are needed to eliminate disparities.
Funder
Metta Fund, Sutter Health Institute for Research and Education
Research Topics
Related Studies
Stupski Serious Illness Program Evaluation
Evaluate palliative care projects at seven healthcare organizations in the SF Bay Area.
Investigator: Sylvia Sudat, PhD
Improving the Outcomes of Older Adults with Psychosocial Vulnerability Undergoing Major Surgery.
Dr. Dillon will lead the qualitative research--data collection and analysis.
Investigator: External PI, Principal Investigator
Advance Care Planning in Older Adults With Multiple Medical Conditions Undergoing High-Risk Surgery
Goal is to determine the prevalence of preop documentation of ACP among older, high-risk surgical pts with multiple conditions.
Investigator: External PI, Principal Investigator
Does the Medicare Preventive Visit Coverage Benefit Seniors With Multiple Chronic Conditions?
We will assess the impact of covered preventive visits among Medicare beneficiaries using electronic health records data from PAMF, between 2006 and 2015.
Advance Care Planning Practices in Caring for Vulnerable Elders with Multiple Chronic Conditions
To examine the impact of the palliative care program on the patterns of ACP documentation in EHR of patients with multiple chronic conditions.
Creating a Patient-Centered Tool to Help Medicare Beneficiaries Choose Prescription Drug Plans
Goals are to develop and test a tool for PAMF pts providing out-of-pocket costs in different Medicare Part D plans.
Investigators: Albert S. Chan, M.D., M.S., FAAFP, Cheryl Stults, Ph.D.
Advancing Geriatrics Infrastructure and Network Growth
To improve individual and population health and health care through research leveraging the resources and capabilities of learning health care systems.
Aspirin in Reducing Events in the Elderly (ASPREE)
The purpose of this study is to determine whether the potential benefits of aspirin outweigh the risks for people over age 65.
Estimating the Prevalence of Harmful and Hazardous Alcohol Consumption in Older U.S. Adults
This study incorporates data from NHANES to estimate the national prevalence of at-risk drinking among older U.S. adults.
Improving Outcomes for CHF Patients at a Post Acute Nursing and Rehab Facility
Purpose is to compare for CHF pts the quality of care during, and re-hospitalization rates following, SNF adm with & w/o monitoring protocols.