Implementing Goals of Care Conversations: Lessons from High and Low Performing Sites from a VA National Initiative

The Veterans Health Administration (VA) National Center for Ethics in Healthcare (NCEHC) implemented the Life-Sustaining Treatment Decisions Initiative (LSTDI) including policy and practice standards, clinician communication training, a documentation template, and central implementation support to foster advance care planning (ACP) via goals of care conversations for seriously ill Veterans in 2014, spreading nationally to other Veterans Health Affairs (VA) sites in 2017.

Source: Journal of Pain and Symptom Management - August 7, 2020 Category: Palliative Care Authors: Cati Brown-Johnson, Marie C. Haverfield, Karleen F. Giannitrapani, Natalie Lo, Jill S. Lowery, Mary Beth Foglia, Anne M. Walling, David Bekelman, Scott T. Shreve, Lisa Soleymani Lehmann, Karl A. Lorenz Source Type: research