Social and Behavioral Sciences Commons^™

Goals Of Care Documentation: Insights From A Pilot Implementation Study, Marie C. Haverfield, Ariadna Garcia, Karleen F. Giannitrapani, Anne Walling, Joseph Rigdon, David B. Bekelman, Natalie Lo, Lisa S. Lehmann, Josephine Jacobs, Natalia Festa, Karl A. Lorenz

Faculty Research, Scholarly, and Creative Activity

Context
The Life Sustaining Treatment Decision Initiative is a national effort by the Veterans Health Administration to ensure goals of care documentation occurs among all patients at high risk of life-threatening events.
Objectives
Examine likelihood to receive goals of care documentation and explore associations between documentation and perceived patient care experience at the individual and site level.
Methods
Retrospective, quality improvement analysis of initiative pilot data from four geographically diverse Veterans Affairs (VA) sites (Fall 2014-Winter 2016) before national roll-out. Goals of care documentation according to gender, marital status, urban/rural status, race/ethnicity, age, serious health condition, and Care Assessment Needs …