Heart and Blood Diseases

All Conditions

Nutritional and Metabolic Diseases

Gland and Hormone Related Diseases

Respiratory Tract (Lung and Bronchial) Diseases

Neoplasms

Blood and Lymph Conditions

Urinary Tract, Sexual Organs, and Pregnancy Conditions

Symptoms and General Pathology

Nervous System Diseases

Behaviors and Mental Disorders

Immune System Diseases

Digestive System Diseases

Rare Diseases

Heart Failure

Peripheral Arterial Disease

Peripheral Vascular Diseases

Vascular Diseases

Diabetes Mellitus

Lung Diseases

Leukemia

Renal Insufficiency, Chronic

Renal Insufficiency

Dementia

Leukemia, Lymphocytic, Chronic, B-Cell

Diabetes Complications

Hepatic Insufficiency

Liver Failure

Leukemia, Lymphoid

Liver Diseases

End Stage Liver Disease

Heart Diseases

Respiratory Tract Diseases

Kidney Diseases

Urologic Diseases

Urogenital Diseases

Female Urogenital Diseases

Pregnancy Complications

Female Urogenital Diseases and Pregnancy Complications

Male Urogenital Diseases

Gastrointestinal Diseases

Atherosclerosis

Arteriosclerosis

Arterial Occlusive Diseases

Chronic Disease

Disease Attributes

Endocrine System Diseases

Neoplasms by Histologic Type

Hematologic Diseases

Lymphoproliferative Disorders

Lymphatic Diseases

Immunoproliferative Disorders

Leukemia, B-Cell

Chronic Graft Versus Host Disease

Chronic Lymphocytic Leukemia

The intervention has 4 steps: use electronic medical record (EHR) to identify seriously ill, hospitalized patients with no documentation of a goals-of-care (GOC) discussion during their current admission; the enrolled patient or his/her surrogate completes a survey assessing preferences for discussions about GOC, barriers to having such discussions, and current GOC which is used to create a "Jumpstart" form designed to prompt and guide a GOC discussion between the patient or surrogate and the clinicians caring for the patient; use natural language processing/machine learning (NLP/ML) approach to identify GOC discussions or advance directives in the EHR that occurred prior to admission and include this information on the Jumpstart form; and, deliver the Jumpstart form to the primary clinician team. The patient or surrogate is also provided with a version of the form.

Jumpstart Intervention

J. Randall Curtis, MD, MPH

This two-year pilot study will test whether a one-page "Jumpstart Form" will affect goals-of-care discussions in the hospital. This form will be provided to clinicians and will include patient-specific information about preferences for goals-of-care communication and for care, as well as tips to improve this communication. Jumpstart forms will also be provided to patients or, if they are unable to communicate, their surrogates/family members. The information on the form will be obtained from questionnaires. The form is tailored to help patients and surrogates talk with clinicians about goals of care. This study is based on a successful application of Jumpstart Form in the outpatient clinic setting.

Project to Improve Communication About Serious Illness - Pilot Study

Using the Electronic Health Record to Identify and Promote Goals-of-Care Communication

Presence or absence of documentation of goals of care discussions in the patient's electronic health record during the current hospitalization

University of Washington

Professor, Department of Medicine, SOM: Department of Medicine: Pulmonary, Critical Care and Sleep Medicine

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization	Link
Project to Improve Communication About Serious Illness - Pilot Study	NCT03746392	Malignant Neopl... Leukemia, Lymph... Lung Disease Ch... Congestive Hear... Liver Failures,... Renal Insuffici... Dementia Diabetes Compli... Peripheral Vasc... Frail Elderly	Jumpstart Inter...	18 Years -	University of Washington
Project to Improve Communication About Serious Illness - Pilot Study	NCT03746392	Malignant Neopl... Leukemia, Lymph... Lung Disease Ch... Congestive Hear... Liver Failures,... Renal Insuffici... Dementia Diabetes Compli... Peripheral Vasc... Frail Elderly	Jumpstart Inter...	18 Years -	University of Washington

Spots Global Cancer Trial Database for lung disease chronic