Engaging Community Health Workers in Advance Care Planning

Three organizations have developed an advance care planning training program in Illinois for community health workers that could potentially be adapted for other states. The seeds for the project were planted when the Illinois Public Health Association (IPHA) was awarded a grant by the Health Resources & Services Administration (HRSA). IPHA proceeded to engage the […]

Hospices Weigh AI Applicability in Advance Care Planning

Artificial intelligence (AI) technologies have increasingly come to the forefront in hospice care delivery. Among the trends gaining momentum is greater AI utilization in end-of-life decision making processes. While AI can help provide more education about end-of-life care options to patients and their families, this technology has its limitations, said Dr. Karl Steinberg, medical director […]

Informed Decision-Making Among Hospice Patients with Disabilities

End-of-life decision making can involve more complex considerations for hospice patients with intellectual and developmental disabilities (IDD) compared to others. Advance care and end-of-life planning among IDD patients populations are often under-addressed aspects of their treatments, according to an analysis recently published in the Journal of Pain and Symptom Management. Hospices supporting patients with IDD […]

Technology Helps Privia Health Achieve 75% ACP Completion Rate 

The physician services enablement company Privia Health has leveraged technology to substantially boost its advance care planning rates. Advance care planning (ACP) has been associated with higher likelihood of hospice enrollment and lower incidence of intensive therapies, even during hospital stays, a 2019 JAMA Network study found. Privia collaborated with the advance care planning technology […]

Bridging the Divide: Exploring Hospice-Advance Care Planning Partnerships

Many families are ill-equipped to handle the various physical, emotional, psychosocial and practical needs of a loved one nearing the end of life. Forging stronger collaborations with advance care planning service providers can help hospices ensure better goal-concordant care delivery. Decisions at the end of life reach beyond an individual’s medical condition and involve in-depth […]

Keys to Discussing ‘Hard Realities’ in Pediatric Advance Care Planning Conversations

Many clinicians across the health continuum lack the training and skill sets needed to have goals of care conversations for pediatric patients. Advance care planning discussions are an important, but oftentimes challenging key to supporting serious and terminally ill children and their families, according to Dr. Chris Adrian, a pediatric palliative care physician and writer […]

Done Right, Advance Care Planning Can Reduce High-Acuity Utilization

Advance care planning, done effectively, can reduce aggressive treatments as patients near the end of life, recent research has found. Researchers from the Regenstrief Institute and Indiana University School of Nursing recently conducted a meta-analysis of studies involving more than 33,000 cancer patients to evaluate the relationship between advance care planning and utilization of aggressive […]

Advance Care Planning Billing Rules Impede Equitable Access

Current advance care planning reimbursement structures are limiting utilization and access of these services, particularly among communities of color. The payment barriers blocking more equitable advance care planning are two-fold, existing on both the health care provider and patient sides. On the patient side, Medicare beneficiaries face out-of-pocket costs when advance care planning is performed […]