New to MyHealth?
Manage Your Care From Anywhere.
Access your health information from any device with MyHealth. You can message your clinic, view lab results, schedule an appointment, and pay your bill.
ALREADY HAVE AN ACCESS CODE?
DON'T HAVE AN ACCESS CODE?
NEED MORE DETAILS?
MyHealth for Mobile
Automated patient selection and care coaches to increase advance care planning for cancer patients.
Automated patient selection and care coaches to increase advance care planning for cancer patients. Journal of the National Cancer Institute Gensheimer, M. F., Teuteberg, W., Patel, M. I., Gupta, D., Noroozi, M., Ling, X., Fardeen, T., Seevaratnam, B., Lu, Y., Alves, N., Rogers, B., Asuncion, M. K., Denofrio, J., Hansen, J., Shah, N. H., Chen, T., Cabebe, E., Blayney, D. W., Colevas, A. D., Ramchandran, K. 2024Abstract
Advance care planning/serious illness conversations can help clinicians understand patients' values and preferences. There are limited data on how to increase these conversations, and their effect on care patterns. We hypothesized that using a machine learning survival model to select patients for serious illness conversations, along with trained care coaches to conduct the conversations, would increase uptake in cancer patients at high risk of short-term mortality.We conducted a cluster-randomized stepped wedge study on the physician level. Oncologists entered the intervention condition in a random order over six months. Adult patients with metastatic cancer were included. Patients with <2?year computer-predicted survival and no prognosis documentation were classified as high-priority for serious illness conversations. In the intervention condition, providers received automated weekly emails highlighting high-priority patients and were asked to document prognosis for them. Care coaches reached out to these patients to conduct the remainder of the conversation. The primary endpoint was proportion of visits with prognosis documentation within 14?days.6,372 visits in 1,825 patients were included in the primary analysis. The proportion of visits with prognosis documentation within 14?days was higher in the intervention condition than control condition: 2.9% vs 1.1% (adjusted odds ratio 4.3, p?
View details for DOI 10.1093/jnci/djae243
View details for PubMedID 39348179