University of Massachusetts Medical School Faculty Publications

Title

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

2017-04-01

Document Type

Editorial

Disciplines

Community Health and Preventive Medicine | Geriatrics | Health Services Administration

Abstract

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

10.1097/MLR.0000000000000705

Source

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

28296673

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