Counseling and Care Coordination for Patients With Advanced Illness Lead to More Patients Completing Advance Directives and Less Use of Inpatient Care
Counseling and care coordination for patients with advanced illnesses improved patient–provider communication and the quality of medical care and decisionmaking support, leading to more patients completing advance directives and lower inpatient care requirements.
Community-Based Oncology Practice Redesigns Processes Based on Patient-Centered Medical Home Model To Enhance Access, Improve Quality, and Reduce Costs
A community-based oncology practice's patient-centered medical home model features oncology-specific information technology, a standardized assessment, multidisciplinary care plan, patient navigators, telephone triage line, patient education and engagement, and ongoing performance monitoring, leading to improvements in access, quality, and costs.
Intensivists Make Placement Decisions and Manage Critically Ill Patients Throughout Hospital, Leading to Lower Mortality and Better Management of Intensive Care Unit Capacity
Working as part of an “intensive care unit without walls,” critical care physicians (called intensivists) decide which patients require intensive care unit admission and oversee the care of all critically ill patients throughout the hospital, leading to declines in hospital and intensive care unit mortality, improved management of intensive care unit bed capacity, and low intensive care unit length of stay for terminally ill patients.
Palliative Care Nurses in Primary Care Clinics Reduce Hospital Admissions, Increase Use of Hospice and Home Care for Patients Nearing End of Life
A partnership between a hospice organization and an 11-location multispecialty group practice places palliative care nurses in primary care clinics to monitor dying patients' medical and social care needs, coordinate community services, and discuss end-of-life issues.
Staff Training and Support, Incentives, and Feedback Fails to Generate Sustainable Reductions in Pressure Ulcers at Nursing Home
Guided by a university research team, a 136-bed, not-for-profit nursing home in Pennsylvania implemented a quality improvement program to reduce pressure ulcer incidence. The program included three components: education and tools to increase workers’ ability to recognize and prevent pressure ulcers; financial incentives for improved performance; and ongoing performance feedback.
Show Innovation Attempts
Show Policy Profiles
Physician Orders for Life-Sustaining Treatment (POLST) Sample Forms
The Physician Orders for Life-Sustaining Treatment (POLST) Paradigm program, designed to improve the quality of care people receive at the end of life, promotes the use of a POLST form to document medical orders such as pain management, resuscitation orders, feeding procedures, and other medical interventions.
Caring Connections: Brochures
Caring Connections provides brochures to help people make informed decisions about end-of-life care and services.
Advance Care Planning: Preferences for Care at the End of Life
This report, which presents findings from research funded by the Agency for Healthcare Research and Quality, can help health care professionals offer end-of-life care based on preferences held by the majority of patients under similar circumstances.
Advanced Lung Cancer: Issues to Consider—Patient Education Guide
This patient education guide provides information for people diagnosed with advanced stage lung cancer.
Idiopathic Pulmonary Fibrosis and You: Patient Education Guide
This patient education guide provides information for people diagnosed with idiopathic pulmonary fibrosis (IPF).