Dartmouth Project Seeks to Determine Best Timing for Serious Illness Talks

New-Hampshire-based Dartmouth Cancer Center has launched a quality improvement project aimed at ensuring timely goals of care conversations.  Through the project, the center seeks to design an interdisciplinary serious illness conversation care model.The Dartmouth Cancer Center, The Dartmouth Institute for Health Policy & Clinical Practice and Dartmouth Health are collaborating on the initiative through a […]

New Studies Guide When to Have End-of-Life Care Conversations

Researchers recently found that “trigger systems” signaling when a patient may need palliative care can boost utilization of those services, as well as advance care planning and hospice admissions. The American Journal of Managed Care recently examined the impacts of two studies published in the Journal of Clinical Oncology that explored ways to help providers […]

Discrimination Fears Deter LGBTQ+ Patients From Advance Care Planning

Members of LGBTQ+ communities are foregoing advance care planning conversations due to fears of discrimination, recent research has found. A little more than 57% of roughly 200 sexual and gender minority adults indicated in a survey that a fear of disclosing their sexual orientation or gender identity was a barricade to advance care planning, according […]

Koda Health to Expand Nationwide by Year’s End

Advance care planning tech firm Koda Health is expanding nationwide, with completion expected by the first quarter of 2023. The company’s platform is designed to digitize patients’ decision-making around their care preferences and goals. Koda in February secured $3.5 million in growth capital to spur the expansion of its platform and hire additional staff. Ecliptic […]

Advance Care Planning Gaining Recognition, But Not Utilization

More people are recognizing the value of advance care planning, but less are apt to follow through with those discussions. More than two-thirds (68%) of Americans indicated that discussing end-of-life preparations with their loved ones is important in a recent nationwide survey from life insurance provider and global technology company Ethos. However, among these individuals, […]

Project Talk Seeks Best Advance Care Planning Practices for Dementia Patients in Underserved Groups

A new extension of Project Talk, an ongoing effort to test advance care planning interventions in underserved communities, is zeroing in on the needs of dementia patients. Penn State Milton S. Hershey Medical Center, Hospice Foundation of America (HFA), and the University of Kentucky launched Project Talk last year. The five-year project aims to boost […]

Terminally Ill Pediatric Patients Need Greater Access to Advance Care Planning

As awareness and acceptance of advance care planning gains ground among health care providers and the general public, children with life-limiting illnesses are sometimes left behind. Some stakeholders have sought to improve access to advance care planning for pediatric patients. Among them is the American Academy of Pediatrics (AAP), which recently released a set of […]

Physician, Legislator Morhaim: Hospices Should Be Vocal About Advance Care Plans

Advance care planning by necessity occurs upstream of hospice, but those providers nevertheless have a role to play in helping patients and families understand the importance of making their end-of-life wishes known. Effective documentation of end-of-life choices has been associated with higher likelihood of hospice enrollment and lower incidence of intensive therapies, even during hospital […]

Early Goals-of-Care Talks Could Improve Hospice Access for Dementia Patients

Terminally ill patients suffering from dementia are more likely to receive life-sustaining treatments when children versus spouses were involved as decision-makers, according to recent research. The difference in end-of-life treatment choices suggests that more work needs to be done to ensure that surrogate decision makers and care teams are aware of patient preferences as early […]

Societal Factors, Poor Coordination Impede Advance Care Planning Outcomes

Fragmentation and variation in advance care planning processes are undermining the effectiveness of those services, according to recent research. A range of societal factors, regulatory hurdles and a lack of care coordination between health care settings have erected barriers between patients and services that are aligned with their priorities. Prior studies have shown that advance […]