Project to Improve Communication About Serious Illness - Pilot Study
| Status: | Recruiting |
|---|---|
| Conditions: | Peripheral Vascular Disease, Renal Impairment / Chronic Kidney Disease, Blood Cancer, Cardiology, Cardiology, Neurology, Gastrointestinal, Pulmonary |
| Therapuetic Areas: | Cardiology / Vascular Diseases, Gastroenterology, Nephrology / Urology, Neurology, Oncology, Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 11/21/2018 |
| Start Date: | July 1, 2018 |
| End Date: | June 30, 2020 |
| Contact: | J. Randall Curtis, MD, MPH |
| Email: | jrc@uw.edu |
| Phone: | 206-744-3356 |
Using the Electronic Health Record to Identify and Promote Goals-of-Care Communication
This two-year pilot study will test whether a one-page "Jumpstart Form" will affect
goals-of-care discussions in the hospital. This form will be provided to clinicians and will
include patient-specific information about preferences for goals-of-care communication and
for care, as well as tips to improve this communication. Jumpstart forms will also be
provided to patients or, if they are unable to communicate, their surrogates/family members.
The information on the form will be obtained from questionnaires. The form is tailored to
help patients and surrogates talk with clinicians about goals of care. This study is based on
a successful application of Jumpstart Form in the outpatient clinic setting.
goals-of-care discussions in the hospital. This form will be provided to clinicians and will
include patient-specific information about preferences for goals-of-care communication and
for care, as well as tips to improve this communication. Jumpstart forms will also be
provided to patients or, if they are unable to communicate, their surrogates/family members.
The information on the form will be obtained from questionnaires. The form is tailored to
help patients and surrogates talk with clinicians about goals of care. This study is based on
a successful application of Jumpstart Form in the outpatient clinic setting.
Inclusion Criteria, Patients: meeting criteria for serious illness (encompassing multiple
acute and chronic illnesses) including:
- those used by the Dartmouth Atlas to study end-of-life care in the US: malignant
cancer/leukemia, chronic pulmonary disease, coronary artery disease, congestive heart
failure, chronic liver disease, chronic renal disease, dementia, diabetes with
end-organ damage, and peripheral vascular disease.
- patients over age 65 with markers of frailty: albumin level <3.0 within 48 hours of
admission and weight loss of ≥10 pounds in the past year.
- hospitalized patients over age 80.
- English-speaking
Exclusion Criteria, Patients:
- unable to complete informed consent procedures and do not have a legal next of kin
- restricted information status (e.g. prisoners)
- pregnant
Inclusion Criteria, Surrogates:
- involved in the care of an eligible patient as the legal next-of-kin
- English-speaking
Exclusion Criteria, Surrogates:
- unable to complete informed consent procedures
We found this trial at
1
site
Harborview Medical Center Harborview Medical Center is the only designated Level 1 adult and pediatric...
Click here to add this to my saved trials
