Anne M. Walling
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View article: End-of-Life Care and Health Care Spending for Medicare Beneficiaries With Dementia in Accountable Care Organizations
End-of-Life Care and Health Care Spending for Medicare Beneficiaries With Dementia in Accountable Care Organizations Open
Importance Individuals with dementia may receive high-intensity care at the end of life (EOL) that does not align with their preferences and is costly. Medicare Accountable Care Organizations (ACOs) are an alternative payment model that ai…
View article: Implementation and evaluation of the 3 Wishes Project in safety-net hospitals: Protocol for a hybrid effectiveness-implementation study
Implementation and evaluation of the 3 Wishes Project in safety-net hospitals: Protocol for a hybrid effectiveness-implementation study Open
Background Palliative care interventions in the intensive care unit have been shown to improve communication and the quality of death and dying. However, few interventions have been implemented in safety-net hospitals (SNHs), which provide…
View article: Correction: A pragmatic parallel arm randomized-controlled trial of a multi-pronged electronic health record-based clinical decision support tool protocol to reduce low-value antipsychotic prescriptions among older adults with Alzheimer’s and related dementias
Correction: A pragmatic parallel arm randomized-controlled trial of a multi-pronged electronic health record-based clinical decision support tool protocol to reduce low-value antipsychotic prescriptions among older adults with Alzheimer’s and related dementias Open
[This corrects the article DOI: 10.1371/journal.pone.0277409.].
View article: Patient characteristics and health system encounters of decedents not marked deceased in the electronic health record
Patient characteristics and health system encounters of decedents not marked deceased in the electronic health record Open
Objectives Health systems are increasingly accountable for patients and require accurate electronic health record (EHR) vital status. We recently demonstrated that 19% of seriously ill primary care patients in one system were not marked de…
View article: Implementing Patient-Centered Outcomes Research Institute Stakeholder Engagement Principles in Models of Palliative Care Delivery and Advance Care Planning Research
Implementing Patient-Centered Outcomes Research Institute Stakeholder Engagement Principles in Models of Palliative Care Delivery and Advance Care Planning Research Open
Background: Given the many challenges of conducting research that addresses the palliative and end-of-life care needs of patients with serious illnesses, stakeholder engagement starting from the moment of study conceptualization and design…
View article: Investigating Data Diversity and Model Robustness of AI Applications in Palliative Care and Hospice: Protocol for Scoping Review
Investigating Data Diversity and Model Robustness of AI Applications in Palliative Care and Hospice: Protocol for Scoping Review Open
Background Artificial intelligence (AI) has become a pivotal element in health care, leading to significant advancements across various medical domains, including palliative care and hospice services. These services focus on improving the …
View article: Association between physician age and patterns of end‐of‐life care among older Americans
Association between physician age and patterns of end‐of‐life care among older Americans Open
Background End‐of‐life (EOL) care patterns may differ by physician age given differences in how physicians are trained or changes associated with aging. We sought to compare patterns of EOL care delivered to older Americans according to ph…
View article: A Qualitative Analysis of Nurse and Social Worker-led Goals of Care Discussions (GP102)
A Qualitative Analysis of Nurse and Social Worker-led Goals of Care Discussions (GP102) Open
View article: Comparing Survey and Chart Review Measures for Goal-Concordant Care in a UC System Pragmatic Trial (RP121)
Comparing Survey and Chart Review Measures for Goal-Concordant Care in a UC System Pragmatic Trial (RP121) Open
View article: Barriers Facing Primary Care Leaders in Implementing Goals of Care Conversations with Seriously Ill Veterans
Barriers Facing Primary Care Leaders in Implementing Goals of Care Conversations with Seriously Ill Veterans Open
View article: Transforming Written and Spoken Words into Quantitative Data for Palliative Care Research Using Natural Language Processing (ME301)
Transforming Written and Spoken Words into Quantitative Data for Palliative Care Research Using Natural Language Processing (ME301) Open
View article: A New Look at Goals-of-Care Discussions in Patients with Cirrhosis and Acute Kidney Injury
A New Look at Goals-of-Care Discussions in Patients with Cirrhosis and Acute Kidney Injury Open
View article: Role matters in understanding ‘quality’ in palliative care: a qualitative analysis of patient, caregiver and practitioner perspectives
Role matters in understanding ‘quality’ in palliative care: a qualitative analysis of patient, caregiver and practitioner perspectives Open
Objectives To compare the discussions from two panels on the concept of palliative care quality for patients with advanced cancer, exploring the priorities reflected in each group’s perspectives. Design We convened two RAND-UCLA appropriat…
View article: Increasing Goals of Care Conversations in Primary Care: Study Protocol for a Cluster Randomized, Pragmatic, Sequential Multiple Assignment Randomized Trial
Increasing Goals of Care Conversations in Primary Care: Study Protocol for a Cluster Randomized, Pragmatic, Sequential Multiple Assignment Randomized Trial Open
View article: Consequences of a Health System Not Knowing Which Patients Are Deceased
Consequences of a Health System Not Knowing Which Patients Are Deceased Open
This quality improvement study in a California health system investigates the proportion of active patients who were deceased but not noted as such in the electronic health record (EHR), as well as encounters after death.
View article: Rates, patterns, and predictors of specialty palliative care consultation among patients with acute-on-chronic liver failure
Rates, patterns, and predictors of specialty palliative care consultation among patients with acute-on-chronic liver failure Open
View article: Association between physicians' geriatric training and patterns of end‐of‐life care delivered to persons with dementia
Association between physicians' geriatric training and patterns of end‐of‐life care delivered to persons with dementia Open
Background Geriatric training is designed to prepare physicians to meet the complex needs of older adults, including persons with dementia at the end‐of‐life (EOL) stage. We sought to compare patterns of EOL care delivered to persons with …
View article: What Patients Facing Cancer and Caregivers Want From Communication in Times of Crisis: A Qualitative Study in the Early Months of the COVID-19 Pandemic
What Patients Facing Cancer and Caregivers Want From Communication in Times of Crisis: A Qualitative Study in the Early Months of the COVID-19 Pandemic Open
Background Interpersonal communication is a cornerstone of patient-centered care. We aimed to identify what patients with cancer and caregivers may want from communication during a public health crisis. Methods We interviewed 15 patients (…
View article: Timing and setting of billed advance care planning among Medicare decedents in 2017–2019
Timing and setting of billed advance care planning among Medicare decedents in 2017–2019 Open
Background The Centers for Medicare & Medicaid Services (CMS) began to reimburse clinicians for advance care planning (ACP) discussions, effective January 1, 2016. We sought to characterize the timing and setting of first‐billed ACP discus…
View article: Dementia and electronic health record phenotypes: a scoping review of available phenotypes and opportunities for future research
Dementia and electronic health record phenotypes: a scoping review of available phenotypes and opportunities for future research Open
Objective We performed a scoping review of algorithms using electronic health record (EHR) data to identify patients with Alzheimer’s disease and related dementias (ADRD), to advance their use in research and clinical care. Materials and M…
View article: Support for Use of Consumer Assessment of Healthcare Providers and Systems Communication Items Among Seriously Ill Patients
Support for Use of Consumer Assessment of Healthcare Providers and Systems Communication Items Among Seriously Ill Patients Open
Background: High-quality doctor-patient communication is essential for patients with serious illnesses. The reliability and validity of Consumer Assessment of Healthcare Providers and Systems (CAHPS®) communication…
View article: Implementation Challenges for a Multisite Advance Care Planning Pragmatic Trial: Lessons Learned
Implementation Challenges for a Multisite Advance Care Planning Pragmatic Trial: Lessons Learned Open
View article: Assessing Representativeness of Seriously Ill Patient Survey Responders in a Pragmatic Clinical Trial
Assessing Representativeness of Seriously Ill Patient Survey Responders in a Pragmatic Clinical Trial Open
Objective Pragmatic trials often implement an intervention across a population of patients but require information unavailable at the population level that must be reported by a subset of patients. In this pragmatic clinical trial, we comp…
View article: The care planning umbrella: The evolution of advance care planning
The care planning umbrella: The evolution of advance care planning Open
Advance care planning (ACP) was initially narrowly defined as documentation of life-sustaining treatment (LST). One initial goal was to curb unwanted LSTs and costs.1 Yet, a focus solely on legal documentation of LST preferences has result…
View article: Telephone Outreach Enhances Recruitment of Underrepresented Seriously Ill Patients for an Advance Care Planning Pragmatic Trial
Telephone Outreach Enhances Recruitment of Underrepresented Seriously Ill Patients for an Advance Care Planning Pragmatic Trial Open
Background Patients experiencing systemic patterns of disadvantage, such as racial/ethnic minorities and those with limited English proficiency, are underrepresented in research. This is particularly true for large pragmatic trials of pote…
View article: Table of Contents
Table of Contents Open
View article: Integrating Patient and Expert Perspectives to Conceptualize High-Quality Palliative Cancer Care for Symptoms in the US Veterans Health Administration: A Qualitative Study
Integrating Patient and Expert Perspectives to Conceptualize High-Quality Palliative Cancer Care for Symptoms in the US Veterans Health Administration: A Qualitative Study Open
Quality measurement is typically the domain of clinical experts and health system leaders; patient/caregiver perspectives are rarely solicited. We aimed to describe and integrate clinician and patient/caregiver conceptualizations of high-q…
View article: A pragmatic parallel arm randomized-controlled trial of a multi-pronged electronic health record-based clinical decision support tool protocol to reduce low-value antipsychotic prescriptions among older adults with Alzheimer’s and related dementias
A pragmatic parallel arm randomized-controlled trial of a multi-pronged electronic health record-based clinical decision support tool protocol to reduce low-value antipsychotic prescriptions among older adults with Alzheimer’s and related dementias Open
Among patients with Alzheimer’s disease and its related dementias (ADRD) with behavioral disturbances, antipsychotic prescriptions have limited efficacy and increase the risk of death. Yet, physicians continue to routinely prescribe low-va…
View article: Two mental models of integrated care for advanced liver disease: qualitative study of multidisciplinary health professionals
Two mental models of integrated care for advanced liver disease: qualitative study of multidisciplinary health professionals Open
Objectives The purpose of this paper is to present two divergent mental models of integrated advanced liver disease (AdvLD) care among 26 providers who treat patients with AdvLD. Setting 3 geographically dispersed United States Veterans He…
View article: Getting patients ready for “in the moment” decisions
Getting patients ready for “in the moment” decisions Open
This Editorial comments on the article by Wong et al . in this issue.