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Related Concept Videos

Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
Models of Health Promotion and Illness Prevention II01:18

Models of Health Promotion and Illness Prevention II

The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results from...
Nursing Implementation01:15

Nursing Implementation

Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
Patient-centered Care01:13

Patient-centered Care

Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
Models of Health Promotion and Illness Prevention I01:25

Models of Health Promotion and Illness Prevention I

A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
Levels of Health Promotion and Illness Prevention01:26

Levels of Health Promotion and Illness Prevention

Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...

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Related Experiment Video

Updated: Jun 3, 2026

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
07:31

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack

Published on: May 15, 2020

Implementation of a Serious Illness Conversation Program in a Health System: A Retrospective Observational Study.

Glen Varns1, Abbey Sidebottom2, Katy Hentges1

  • 1Department of Palliative Care, Alina Health, Minneapolis, Minnesota, USA.

Journal of Palliative Medicine
|June 2, 2026
PubMed
Summary

Serious illness conversations (SICs) engaged half of eligible patients, with multiple documented talks before death. Further efforts are needed to reach more patients, particularly those with dementia, and enhance conversation quality.

Keywords:
care utilizationend of life careserious illness conversation

Related Experiment Videos

Last Updated: Jun 3, 2026

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
07:31

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack

Published on: May 15, 2020

Area of Science:

  • Healthcare Management
  • Palliative Care
  • Health Services Research

Background:

  • Serious illness conversations (SICs) are crucial for shared decision-making and goal-concordant care in patients nearing end-of-life.
  • Implementing a structured SIC Program (SICP) aims to standardize these vital discussions.

Purpose of the Study:

  • To evaluate the reach, timeliness, and quality of SIC implementation across a health system.
  • To identify factors influencing the completion of SICs for eligible patients.

Main Methods:

  • A retrospective observational cohort study analyzed data from decedents eligible for SIC between 2022 and 2024.
  • Key metrics included SIC documentation rates, conversation timing, number, and quality, alongside patient demographics and clinical factors.

Main Results:

  • Nearly half (49.5%) of 7424 eligible patients had documented SICs, averaging 3.6 sessions.
  • Initial SIC quality components were met in 31.1% of cases.
  • Palliative care visits, having a system PCP, and inpatient discharge to home care were associated with higher SIC completion; dementia was associated with lower completion.

Conclusions:

  • Systemwide SICP implementation reached half of eligible patients, with many receiving multiple conversations.
  • Significant opportunities remain to increase engagement, particularly for patients with dementia.
  • Improving the quality of serious illness conversations is essential.