New York University
This is an NIH Stage IB single-arm feasibility study will adapt and test the Inpatient Hospice Transitions Checklist (I-HTC), an Epic-embedded intervention supporting hospice eligibility assessment and clinician-surrogate communication for hospitalized persons living with dementia.
This NIH Stage IB study will develop, adapt, and pilot test the Inpatient Hospice Transitions Checklist (I-HTC), an Epic-embedded intervention supporting hospice eligibility assessment and clinician-surrogate communication for hospitalized persons living with dementia aged 60 years and older at NYU Langone Health. The intervention includes a hospice eligibility guide, a structured communication checklist, and a clinician frequently asked questions guide. Three sequential components include surveys with approximately 30 interdisciplinary acute care clinicians to refine intervention content; tra…
Inclusion Criteria: Clinicians: Physicians, nurse practitioners, physician assistants, nurses, or social workers practicing in acute care; participate in goals-of-care, advance care planning (ACP), hospice, or care transition discussions for hospitalized adults with dementia; and can complete study activities in English; and use the electronic health record for clinical documentation and patience care (EPIC) Surrogates: Adults aged =18 years identified as the legally authorized representative, healthcare proxy, or next of kin who participate in goals-of-care, ACP, or hospice-related discussi…
The I-HTC intervention will include 1) hospice eligibility guide, 2) the I-HTC checklist for hospice communication, and 3) a frequently asked questions (FAQ) guide for clinicians.
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