Trial reportThe American journal of hospice & palliative care2021
Educational Interventions to Improve Advance Care Planning Discussions, Documentation and Billing.
Trial report in The American journal of hospice & palliative care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
8 citing papers in PubMed.
- Community-Based Interventions for Initiating Early End-of-Life Conversations in Nonterminally Ill Adults: A Systematic Review.Campbell systematic reviews · 2026Review
- Evaluation of a novel educational intervention for mental health staff on advance care planning with older people with mental illness.European geriatric medicine · 2026Article
- Palliative care impact on hospital utilization and trends among lung cancer admissions with a high risk of mortality in U.S. hospitals.Frontiers in health services · 2026Article
- Content and Comprehensiveness of Goals-of-Care Documentation in Pediatric Patients.Journal of pain and symptom management · 2025Article
- Empowering Health Care Providers: A Collaborative Approach to Enhance Financial Performance and Productivity in Clinical Practice.Neurology. Clinical practice · 2024Article
- The effectiveness of a virtual reality teaching module on advance care planning and advance decision for medical professionals.BMC medical education · 2024Article
- Providing clarity: communicating the benefits of palliative care beyond end-of-life support.Palliative care and social practice · 2024Article
- Actual vs Documented Advance Care Planning in a Primary Care Clinic.PRiMER (Leawood, Kan.) · 2022Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND/
objectivesTo determine the impact of educational interventions, clinic workflow redesign, and quality improvement coaching on the frequency of advance care planning (ACP) activities for patients over the age of 65.
designNonrandomized before-and-after study.
setting13 ambulatory care clinics with 81 primary care providers in eastern and central North Carolina.
participantsPatients across 13 primary care clinics staffed by 66 physicians, 8 physician assistants and 7 family nurse practitioners.
interventionsInterprofessional, interactive ACP training for the entire interprofessional team and quality improvement project management with an emphasis on workflow redesign. MEASUREMENTS: From July 2017 through June 2018-number of ACP discussions, number of written ACP documents incorporated into the electronic medical record (EMR), number of ACP encounters billed.
resultsFollowing the interventions, healthcare providers were more than twice as likely to conduct ACP discussions with their patients. Patients were 1.4 times more likely to have an ACP document included in their electronic medical record. Providers were significantly (
conclusionsImplementing ACP education for all clinic staff, planning for workflow changes to involve the entire interprofessional team and supporting ACP activities with quality improvement coaching leads to statistically significant improvements in the frequency of ACP discussions, the number of ACP documents included in the electronic medical record and number of ACP encounters billed.
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