Experience is the Teacher of All Things: Educational Outcomes of Home Hospice Visits (S787)

Abstract

We also completed chart reviews on those patients where the tool was not completed or did not lead to a palliative referral. These reviews included direct interviews with admitting physicians. Results. n¼320 in 6 months. 106 completed trigger tools (33%). Of those, 34 PC consults requested and 72 not requested. 214 bypassed the trigger tool. Of those 214, 39% had a palliative consult requested. Chart reviews and interviews demonstrate time, knowledge deficiency, and physician EHR ''pop-up'' fatigue as contributing factors to not completing or not referring. Conclusions. Initial implementation of an admission trigger tool for patients with cancer did not lead to a significant increase in referrals to Palliative Care. Data collection continues after ongoing education regarding the use of trigger tools and need for timely palliative care involvement on appropriate patients along with improvement of implementation process.