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

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).

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).

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).

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).

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).

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).

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).

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).

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).