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- W2912956470 abstract "1.Describe an innovative way to increase goals of care communication between providers.2.State the required components of goals of care discussions. Results of research studies show that clinicians typically avoid discussing goals of care (GoC) and prognoses with patients. However, in order for patients facing serious illness to receive the care they want that is consistent with their values and wishes, health care providers must be skilled at challenging conversations. Currently, the GoC documentation is variable between generalist providers leaving the Palliative Care clinicians unclear as to if the discussions took place or what was understood regarding quality of life goals. Because of this, a standardized GoC form was implemented in the EHR to help facilitate communication between clinicians that would be accessible for subsequent admissions and sudden changes in the patient’s condition. The purpose of this quality improvement project is to improve communication, collaboration and decision making about GoC between clinicians, patients and family members. The current standard of care is for clinicians to review GoC with patients upon admission and to document them in the GoC section of the EHR utilizing specific criteria. After an education session to all clinicians regarding the essential information to be included, GoC discussions were reviewed for all palliative care consults and rated as good, intermediate, or poor. Monthly standardized e-mail messages are sent to providers acknowledging good documentation as well as to offer assistance to improve discussion and documentation. Good GoC discussions increased by over 25% and patients with no GoC discussion decreased by over 20% during the initial study intervention. A secondary analysis of individual provider results is in progress. Providing feedback to clinicians helped to improve GoC discussions and documentation in the EHR. Additional recognition as a GoC ambassador was sent to the managers of those clinicians who consistently performed at a high level. By educating providers regarding how to have difficult discussions surrounding GoC documentation increased leading to care that aligns with the patient’s wishes." @default.
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- W2912956470 date "2019-02-01" @default.
- W2912956470 modified "2023-10-14" @default.
- W2912956470 title "It's Everyone's Business: Capturing the Conversation (QI712)" @default.
- W2912956470 doi "https://doi.org/10.1016/j.jpainsymman.2018.12.221" @default.
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