Improving Transitions: Efficacy of a Transfer Form to Communicate Patients' Wishes

William J. Zafirau, Sara S. Snyder, Susan E. Hazelett, Ankit Bansal, Susan McMahon

Research output: Contribution to journalReview article

Abstract

The objective of this study was to test the efficacy of a standardized form used during transfers between long-term care facilities (LTCFs) and the acute care setting. The intervention consisted of development and implementation of the transfer form and education about its use. Charts from 26 LTCFs and 1 acute care hospital were reviewed at 1 and 6 months prior to initiation of the transfer form (2007) and at 1 and 6 months after initiation of the transfer form (2008); 210 patient charts were reviewed in 2007 and 172 in 2008. There was 79% concordance between documented LTCF advance directives (ADs) and hospital ADs in 2008-an increase from 66.6% in 2007 (P = .038). Inpatient hospice/palliative care admissions rose from 1.5% in 2007 to 7.7% in 2009 (P = .015). The standardized transfer form improved communication of ADs between LTCFs and the hospital. Secondarily, it may have increased admissions to the acute palliative care unit.

Original languageEnglish (US)
Pages (from-to)291-296
Number of pages6
JournalAmerican Journal of Medical Quality
Volume27
Issue number4
DOIs
StatePublished - Jul 1 2012

Keywords

  • advance care
  • care transitions
  • transfer form

ASJC Scopus subject areas

  • Health Policy

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