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Research ArticleOriginal Research

A Group Visit Initiative Improves Advance Care Planning Documentation among Older Adults in Primary Care

Hillary D. Lum, Rebecca L. Sudore, Daniel D. Matlock, Elizabeth Juarez-Colunga, Jacqueline Jones, Molly Nowels, Robert S. Schwartz, Jean S. Kutner and Cari R. Levy
The Journal of the American Board of Family Medicine July 2017, 30 (4) 480-490; DOI: https://doi.org/10.3122/jabfm.2017.04.170036
Hillary D. Lum
the Divisions of Geriatric Medicine (HDL, DDM, RSS) and General Internal Medicine (JSK), Department of Medicine, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora; the Veterans Affairs Eastern Colorado Geriatric Research, Education and Clinical Center, Denver (HDL, DDM, RSS); the Division of Geriatrics, Department of Medicine, University of California, San Francisco (RLS); the San Francisco VA Medical Center, San Francisco (RLS); the Adult and Child Center for Health Outcomes Research and Delivery Science, University of Colorado, Anschutz Medical Campus, Aurora (DDM, EJC); the Colorado School of Public Health, Anschutz Medical Campus, Aurora (EJC, MN); the University of Colorado College of Nursing, Anschutz Medical Campus, Aurora (JJ); and the Denver-Seattle Center on Innovation for Veteran-Centered and Value-Driven Care, Denver VA Medical Center, Denver, CO (CRL).
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Rebecca L. Sudore
the Divisions of Geriatric Medicine (HDL, DDM, RSS) and General Internal Medicine (JSK), Department of Medicine, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora; the Veterans Affairs Eastern Colorado Geriatric Research, Education and Clinical Center, Denver (HDL, DDM, RSS); the Division of Geriatrics, Department of Medicine, University of California, San Francisco (RLS); the San Francisco VA Medical Center, San Francisco (RLS); the Adult and Child Center for Health Outcomes Research and Delivery Science, University of Colorado, Anschutz Medical Campus, Aurora (DDM, EJC); the Colorado School of Public Health, Anschutz Medical Campus, Aurora (EJC, MN); the University of Colorado College of Nursing, Anschutz Medical Campus, Aurora (JJ); and the Denver-Seattle Center on Innovation for Veteran-Centered and Value-Driven Care, Denver VA Medical Center, Denver, CO (CRL).
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Daniel D. Matlock
the Divisions of Geriatric Medicine (HDL, DDM, RSS) and General Internal Medicine (JSK), Department of Medicine, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora; the Veterans Affairs Eastern Colorado Geriatric Research, Education and Clinical Center, Denver (HDL, DDM, RSS); the Division of Geriatrics, Department of Medicine, University of California, San Francisco (RLS); the San Francisco VA Medical Center, San Francisco (RLS); the Adult and Child Center for Health Outcomes Research and Delivery Science, University of Colorado, Anschutz Medical Campus, Aurora (DDM, EJC); the Colorado School of Public Health, Anschutz Medical Campus, Aurora (EJC, MN); the University of Colorado College of Nursing, Anschutz Medical Campus, Aurora (JJ); and the Denver-Seattle Center on Innovation for Veteran-Centered and Value-Driven Care, Denver VA Medical Center, Denver, CO (CRL).
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Elizabeth Juarez-Colunga
the Divisions of Geriatric Medicine (HDL, DDM, RSS) and General Internal Medicine (JSK), Department of Medicine, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora; the Veterans Affairs Eastern Colorado Geriatric Research, Education and Clinical Center, Denver (HDL, DDM, RSS); the Division of Geriatrics, Department of Medicine, University of California, San Francisco (RLS); the San Francisco VA Medical Center, San Francisco (RLS); the Adult and Child Center for Health Outcomes Research and Delivery Science, University of Colorado, Anschutz Medical Campus, Aurora (DDM, EJC); the Colorado School of Public Health, Anschutz Medical Campus, Aurora (EJC, MN); the University of Colorado College of Nursing, Anschutz Medical Campus, Aurora (JJ); and the Denver-Seattle Center on Innovation for Veteran-Centered and Value-Driven Care, Denver VA Medical Center, Denver, CO (CRL).
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Jacqueline Jones
the Divisions of Geriatric Medicine (HDL, DDM, RSS) and General Internal Medicine (JSK), Department of Medicine, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora; the Veterans Affairs Eastern Colorado Geriatric Research, Education and Clinical Center, Denver (HDL, DDM, RSS); the Division of Geriatrics, Department of Medicine, University of California, San Francisco (RLS); the San Francisco VA Medical Center, San Francisco (RLS); the Adult and Child Center for Health Outcomes Research and Delivery Science, University of Colorado, Anschutz Medical Campus, Aurora (DDM, EJC); the Colorado School of Public Health, Anschutz Medical Campus, Aurora (EJC, MN); the University of Colorado College of Nursing, Anschutz Medical Campus, Aurora (JJ); and the Denver-Seattle Center on Innovation for Veteran-Centered and Value-Driven Care, Denver VA Medical Center, Denver, CO (CRL).
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Molly Nowels
the Divisions of Geriatric Medicine (HDL, DDM, RSS) and General Internal Medicine (JSK), Department of Medicine, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora; the Veterans Affairs Eastern Colorado Geriatric Research, Education and Clinical Center, Denver (HDL, DDM, RSS); the Division of Geriatrics, Department of Medicine, University of California, San Francisco (RLS); the San Francisco VA Medical Center, San Francisco (RLS); the Adult and Child Center for Health Outcomes Research and Delivery Science, University of Colorado, Anschutz Medical Campus, Aurora (DDM, EJC); the Colorado School of Public Health, Anschutz Medical Campus, Aurora (EJC, MN); the University of Colorado College of Nursing, Anschutz Medical Campus, Aurora (JJ); and the Denver-Seattle Center on Innovation for Veteran-Centered and Value-Driven Care, Denver VA Medical Center, Denver, CO (CRL).
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Robert S. Schwartz
the Divisions of Geriatric Medicine (HDL, DDM, RSS) and General Internal Medicine (JSK), Department of Medicine, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora; the Veterans Affairs Eastern Colorado Geriatric Research, Education and Clinical Center, Denver (HDL, DDM, RSS); the Division of Geriatrics, Department of Medicine, University of California, San Francisco (RLS); the San Francisco VA Medical Center, San Francisco (RLS); the Adult and Child Center for Health Outcomes Research and Delivery Science, University of Colorado, Anschutz Medical Campus, Aurora (DDM, EJC); the Colorado School of Public Health, Anschutz Medical Campus, Aurora (EJC, MN); the University of Colorado College of Nursing, Anschutz Medical Campus, Aurora (JJ); and the Denver-Seattle Center on Innovation for Veteran-Centered and Value-Driven Care, Denver VA Medical Center, Denver, CO (CRL).
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Jean S. Kutner
the Divisions of Geriatric Medicine (HDL, DDM, RSS) and General Internal Medicine (JSK), Department of Medicine, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora; the Veterans Affairs Eastern Colorado Geriatric Research, Education and Clinical Center, Denver (HDL, DDM, RSS); the Division of Geriatrics, Department of Medicine, University of California, San Francisco (RLS); the San Francisco VA Medical Center, San Francisco (RLS); the Adult and Child Center for Health Outcomes Research and Delivery Science, University of Colorado, Anschutz Medical Campus, Aurora (DDM, EJC); the Colorado School of Public Health, Anschutz Medical Campus, Aurora (EJC, MN); the University of Colorado College of Nursing, Anschutz Medical Campus, Aurora (JJ); and the Denver-Seattle Center on Innovation for Veteran-Centered and Value-Driven Care, Denver VA Medical Center, Denver, CO (CRL).
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Cari R. Levy
the Divisions of Geriatric Medicine (HDL, DDM, RSS) and General Internal Medicine (JSK), Department of Medicine, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora; the Veterans Affairs Eastern Colorado Geriatric Research, Education and Clinical Center, Denver (HDL, DDM, RSS); the Division of Geriatrics, Department of Medicine, University of California, San Francisco (RLS); the San Francisco VA Medical Center, San Francisco (RLS); the Adult and Child Center for Health Outcomes Research and Delivery Science, University of Colorado, Anschutz Medical Campus, Aurora (DDM, EJC); the Colorado School of Public Health, Anschutz Medical Campus, Aurora (EJC, MN); the University of Colorado College of Nursing, Anschutz Medical Campus, Aurora (JJ); and the Denver-Seattle Center on Innovation for Veteran-Centered and Value-Driven Care, Denver VA Medical Center, Denver, CO (CRL).
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Article Information

vol. 30 no. 4 480-490
DOI 
https://doi.org/10.3122/jabfm.2017.04.170036
PubMed 
28720629

Published By 
The Journal of the American Board of Family Medicine
Print ISSN 
1557-2625
Online ISSN 
1558-7118
History 
  • Received for publication February 8, 2017
  • Revision received February 8, 2017
  • Accepted for publication February 13, 2017
  • Published online July 18, 2017.

Copyright & Usage 
© Copyright 2017 by the American Board of Family Medicine.

Author Information

  1. Hillary D. Lum, MD, PhD,
  2. Rebecca L. Sudore, MD,
  3. Daniel D. Matlock, MD, MPH,
  4. Elizabeth Juarez-Colunga, PhD,
  5. Jacqueline Jones, PhD, RN,
  6. Molly Nowels, MA,
  7. Robert S. Schwartz, MD,
  8. Jean S. Kutner, MD, MSPH and
  9. Cari R. Levy, MD, PhD
  1. From the Divisions of Geriatric Medicine (HDL, DDM, RSS) and General Internal Medicine (JSK), Department of Medicine, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora; the Veterans Affairs Eastern Colorado Geriatric Research, Education and Clinical Center, Denver (HDL, DDM, RSS); the Division of Geriatrics, Department of Medicine, University of California, San Francisco (RLS); the San Francisco VA Medical Center, San Francisco (RLS); the Adult and Child Center for Health Outcomes Research and Delivery Science, University of Colorado, Anschutz Medical Campus, Aurora (DDM, EJC); the Colorado School of Public Health, Anschutz Medical Campus, Aurora (EJC, MN); the University of Colorado College of Nursing, Anschutz Medical Campus, Aurora (JJ); and the Denver-Seattle Center on Innovation for Veteran-Centered and Value-Driven Care, Denver VA Medical Center, Denver, CO (CRL).
  1. Corresponding author: Hillary D. Lum, MD, PhD, 12631 E. 17th Ave, Campus Mail Stop B179, Aurora, CO 80045 (E-mail: hillary.lum{at}ucdenver.edu).
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The Journal of the American Board of Family     Medicine: 30 (4)
The Journal of the American Board of Family Medicine
Vol. 30, Issue 4
July-August 2017
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A Group Visit Initiative Improves Advance Care Planning Documentation among Older Adults in Primary Care
Hillary D. Lum, Rebecca L. Sudore, Daniel D. Matlock, Elizabeth Juarez-Colunga, Jacqueline Jones, Molly Nowels, Robert S. Schwartz, Jean S. Kutner, Cari R. Levy
The Journal of the American Board of Family Medicine Jul 2017, 30 (4) 480-490; DOI: 10.3122/jabfm.2017.04.170036

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A Group Visit Initiative Improves Advance Care Planning Documentation among Older Adults in Primary Care
Hillary D. Lum, Rebecca L. Sudore, Daniel D. Matlock, Elizabeth Juarez-Colunga, Jacqueline Jones, Molly Nowels, Robert S. Schwartz, Jean S. Kutner, Cari R. Levy
The Journal of the American Board of Family Medicine Jul 2017, 30 (4) 480-490; DOI: 10.3122/jabfm.2017.04.170036
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Keywords

  • Advance Care Planning
  • Advance Directives
  • Decision Making
  • Documentation
  • Palliative Care
  • Patient Appointments
  • Primary Health Care

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