UMass Chan Medical School Faculty Publications


Moving the Advance Care Planning Needle With Community Health Workers

UMMS Affiliation

Department of Family Medicine and Community Health; Department of Quantitative Health Sciences

Publication Date


Document Type



Community Health and Preventive Medicine | Geriatrics | Health Services Administration


This issue of Medical Care presents a study by Litzelman et al,1“Impact of community health workers on elderly patients’ advance care planning and health care utilization:moving the dial,” that reports the results of an innovative model at the Indiana University Center for Aging Research’s Aging Brain Care (ABC) Program in which community health workers (CHWs) are trained to initiate and conduct advance care planning (ACP) conversations with elderly patients and their caregivers during home health visits.Investigators found that they were able to increase ACP documentation from <5% to almost 50% and that ACP documentation was associated with a significantly lower risk for hospitalization and emergency department visits. These impressive results should provide hope to health care systems nationwide who are actively working to engage their patient populations in the important act of discussing and documenting ACPs.

DOI of Published Version



Med Care. 2017 Apr;55(4):315-318. doi: 10.1097/MLR.0000000000000705. Link to article on publisher's site

Related Resources

Link to Article in PubMed

Journal/Book/Conference Title

Medical care

PubMed ID