Effect of an Advance Care Planning Intervention on Documentation of Advance Directives and Goals of Care in Assisted Living Centers
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Dementia
- Sponsor
- Brown University
- Enrollment
- 2364
- Locations
- 1
- Primary Endpoint
- Do-Not-Resuscitate
- Status
- Completed
- Last Updated
- 5 months ago
Overview
Brief Summary
The intervention being studied is an advance care planning intervention. The trial has two arms: usual care and information arm.
Detailed Description
Eligible patients whose assisted living centers are randomized to the information arm will receive a letter from their clinician with links to informational video. Eligible patients whose assisted living centers are randomized to the usual care arm have advance care planning discussions with a clinician at admission, annually, and sometimes with a hospitalization or other change in condition.
Investigators
Vincent Mor
Florence Pirce Grant University Professor, Professor of Health
Brown University
Eligibility Criteria
Inclusion Criteria
- •Partnering assisted living center with at least 20 patients with a dementia diagnosis (based on International Classification of Diseases, version 10 codes)
- •Patients not on hospice
- •Patients who do not have comfort care or do-not-hospitalize orders at baseline
Exclusion Criteria
- •Partnering assisted living center with less than 20 patients with a dementia diagnosis (based on International Classification of Diseases, version 10 codes)
- •Patients on hospice
- •Patients with comfort care or do-not-hospitalize orders at baseline
Outcomes
Primary Outcomes
Do-Not-Resuscitate
Time Frame: 4 months
Percentage of residents with do-not-resuscitate orders documented in the electronic health record at end of follow-up, comparison between usual care and experimental arm
Secondary Outcomes
- Do-Not-Hospitalize(4 months)
- Advance Care Planning Billing(4 months)
- Hospitalization(4 months)