Evidence map›Paper›PMID 37489322›Full record

ArticleGeriatrics (Basel, Switzerland)2023

Guiding Post-Hospital Recovery by 'What Matters:' Implementation of Patient Priorities Identification in a VA Community Living Center.

Katherine C Ritchey, Laurence M Solberg, Sandra Wolfe Citty, Lea Kiefer, Erica Martinez, Caroline Gray, Aanand D Naik

Registry-linked trialAbstract read
In one paragraph

Article in Geriatrics (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04922320 (Effect of Patient Priorities Care Implementation in Older Veterans With Multiple Chronic Conditions), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT04922320 nacompletednot on this map

Effect of Patient Priorities Care Implementation in Older Veterans With Multiple Chronic Conditions

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2022 to 2025Enrolled420ConditionsMultiple Chronic Conditions, Decision Making, SharedArmsPatient Priorities Care, Usual Care
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Katherine C RitcheyPuget Sound Veterans Health Care System, Geriatric Research and Education Clinical Center (GRECC), Tacoma, WA 98498, USA.ORCID 0000-0002-3490-3027
Laurence M SolbergNorth Florida/South Georgia Veterans Health System, Geriatric Research and Education Clinical Center (GRECC), Gainesville, FL 32608, USA.
Sandra Wolfe CittyNorth Florida/South Georgia Veterans Health System, Geriatric Research and Education Clinical Center (GRECC), Gainesville, FL 32608, USA.
Lea KieferMichael E. DeBakey Veterans Health Care System, Houston, TX 77030, USA.ORCID 0000-0003-1374-7835
Erica MartinezPuget Sound Veterans Health Care System, Geriatric Research and Education Clinical Center (GRECC), Tacoma, WA 98498, USA.ORCID 0009-0008-6816-6310
Caroline GrayPalo Alto Veterans Health Care System, Palo Alto, CA 94304, USA.
Aanand D NaikMichael E. DeBakey Veterans Health Care System, Houston, TX 77030, USA.ORCID 0000-0001-6936-7984

Funding

Point-of-care health literacy and activation information to improve diabetes careI01HX001103 · VA · MICHAEL E DEBAKEY VA MEDICAL CENTER · PI WOODARD, LECHAUNCY D · 2014 to 2014
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HSRD VA I01 HX001103
6 · The paper itself

Abstract

backgroundPatient priorities care (PPC) is an effective age-friendly health systems (AFHS) approach to aligning care with goals derived from 'what matters'. The purpose of this quality improvement program was to evaluate the fidelity and feasibility of the health priorities identification (HPI) process in VA Community Living Centers (CLC).

methodsPPC experts worked with local CLC staff to guide the integration of HPI into the CLC and utilized a Plan-Do-Study-Act (PDSA) model for this quality improvement project. PPC experts reviewed health priorities identification (HPI) encounters and interdisciplinary team (IDT) meetings for fidelity to the HPI process of PPC. Qualitative interviews with local CLC staff determined the appropriateness of the health priorities identification process in the CLC.

resultsOver 8 months, nine facilitators completed twenty HPI encounters. Development of a Patient Health Priorities note template, staff education and PPC facilitator training improved fidelity and documentation of HPI encounters in the electronic health record. Facilitator interviews suggested that PPC is appropriate in this setting, not burdensome to staff and fostered a person-centered approach to AFHS.

conclusionsThe HPI process is an acceptable and feasible approach to ask the 'what matters' component of AFHS in a CLC setting.

Indexed as

age-friendly health systemgeriatricsmedical decision makingquality improvementVA health system

Identifiers

PMID37489322
PMCPMC10366719

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.