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Life-Sustaining Treatment Documentation in VA Home Based Primary Care Improves With Feedback Reports and Facilitation

delete2026-06-19
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C
Cari R. Levy *
K
Kate H. Magid
J
Jennifer Kononowech
P
Paula Langner
A
Anne Sales
DOI:10.1111/jgs.70344delete
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Abstract

Abstract

En 中文
The Veterans Health Administration (VHA) Life-Sustaining Treatment Decisions Initiative (LSTDI) aims to improve documentation of patient preferences for life-sustaining treatment (LST), particularly in high-risk populations such as those served by Home Based Primary Care (HBPC) programs. Despite this mandate, LST documentation in HBPC remains variable. Previous studies suggest audit and feedback may be insufficient when used alone. This study evaluated whether combining audit and feedback with tailored implementation facilitation can increase and sustain LST documentation rates in HBPC.
Keywords:
Home Based Primary Care
implementation
life sustaining treatment
serious illness
veteran
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Journal

Journal of the American Geriatrics Society cover
Journal of the American Geriatrics Society
IF:
4.5
Papers:
1.8W
Citations:
3.7W

Organization

R
rocky mountain regional va medical center
Scholars:
15
Papers: 7
Citations: 0
V
VA Ann Arbor Healthcare System
Scholars:
815
Papers: 631
Citations: 2.6K
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