{"id":"https://openalex.org/W2018557652","doi":"https://doi.org/10.3810/hp.2011.02.378","title":"Advance Care Planning in the Skilled Nursing Facility: What Do We Need for Success?","display_name":"Advance Care Planning in the Skilled Nursing Facility: What Do We Need for Success?","publication_year":2011,"publication_date":"2011-02-01","ids":{"openalex":"https://openalex.org/W2018557652","doi":"https://doi.org/10.3810/hp.2011.02.378","mag":"2018557652","pmid":"https://pubmed.ncbi.nlm.nih.gov/21441763"},"language":"en","primary_location":{"id":"doi:10.3810/hp.2011.02.378","doi":"https://doi.org/10.3810/hp.2011.02.378","is_oa":false,"landing_page_url":"https://doi.org/10.3810/hp.2011.02.378","pdf_url":null,"source":{"id":"https://openalex.org/S4210173941","display_name":"Hospital Practice","issn_l":"0018-5809","issn":["0018-5809","2154-8331","2377-1003"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","ki-jl-1","medline","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320547","host_organization_name":"Taylor & Francis","host_organization_lineage":["https://openalex.org/P4310320547","https://openalex.org/P4310320449"],"host_organization_lineage_names":["Taylor & Francis","Informa"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Hospital Practice","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"Mary Burgess","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Mary Burgess","raw_affiliation_strings":["Mayo Clinic, Internal Medicine Residency Program, Rochester, MN 55902, USA. burgess.mary@mayo.edu","Mayo Clinic, Internal Medicine Residency Program, Rochester, MN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mayo Clinic, Internal Medicine Residency Program, Rochester, MN 55902, USA. burgess.mary@mayo.edu","institution_ids":["https://openalex.org/I1330342723"]},{"raw_affiliation_string":"Mayo Clinic, Internal Medicine Residency Program, Rochester, MN","institution_ids":["https://openalex.org/I1330342723"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5009422158","display_name":"Stephen Cha","orcid":"https://orcid.org/0000-0001-8204-9294","observed_orcids":["https://orcid.org/0000-0001-8204-9294"]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Stephen Cha","raw_affiliation_strings":["Mayo Clinic, Division of Biomedical Statistics and Informatics, Rochester, MN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mayo Clinic, Division of Biomedical Statistics and Informatics, Rochester, MN","institution_ids":["https://openalex.org/I1330342723"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5072848298","display_name":"Ericka E. Tung","orcid":"https://orcid.org/0000-0002-2628-6305","observed_orcids":["https://orcid.org/0000-0002-2628-6305"]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ericka E. Tung","raw_affiliation_strings":["Mayo Clinic, Division of Primary Care Internal Medicine, Rochester, MN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mayo Clinic, Division of Primary Care Internal Medicine, Rochester, MN","institution_ids":["https://openalex.org/I1330342723"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I1330342723"],"apc_list":null,"apc_paid":null,"fwci":0.6273,"has_fulltext":false,"cited_by_count":12,"citation_normalized_percentile":{"value":0.73032509,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":97},"biblio":{"volume":"39","issue":"1","first_page":"85","last_page":"90"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11376","display_name":"Geriatric Care and Nursing Homes","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11537","display_name":"Ethics in medical practice","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/advance-care-planning","display_name":"advance care planning","score":1.0},{"id":"https://openalex.org/keywords/skilled-nursing-facilities","display_name":"skilled nursing facilities","score":0.9959999918937683},{"id":"https://openalex.org/keywords/barriers-to-documentation","display_name":"barriers to documentation","score":0.7519999742507935},{"id":"https://openalex.org/keywords/mid-level-providers","display_name":"mid-level providers","score":0.8849999904632568},{"id":"https://openalex.org/keywords/physicians","display_name":"physicians","score":0.6039999723434448},{"id":"https://openalex.org/keywords/elderly-care","display_name":"elderly care","score":0.6909999847412109},{"id":"https://openalex.org/keywords/electronic-health-records","display_name":"electronic health records","score":0.6539999842643738},{"id":"https://openalex.org/keywords/cognitive-impairment","display_name":"cognitive impairment","score":0.609000027179718},{"id":"https://openalex.org/keywords/family-involvement","display_name":"family involvement","score":0.9959999918937683},{"id":"https://openalex.org/keywords/workflow-standardization","display_name":"workflow standardization","score":0.7559999823570251},{"id":"https://openalex.org/keywords/quality-improvement","display_name":"quality improvement","score":0.6840000152587891}],"concepts":[{"id":"https://openalex.org/C56666940","wikidata":"https://www.wikidata.org/wiki/Q788790","display_name":"Documentation","level":2,"score":0.866129994392395},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7426908016204834},{"id":"https://openalex.org/C177212765","wikidata":"https://www.wikidata.org/wiki/Q627335","display_name":"Workflow","level":2,"score":0.5683699250221252},{"id":"https://openalex.org/C2777995714","wikidata":"https://www.wikidata.org/wiki/Q18209059","display_name":"Advance care planning","level":3,"score":0.5464928150177002},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.5283135771751404},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.38535502552986145},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.3292739689350128},{"id":"https://openalex.org/C2994186709","wikidata":"https://www.wikidata.org/wiki/Q29483","display_name":"Palliative care","level":2,"score":0.2507348656654358},{"id":"https://openalex.org/C187736073","wikidata":"https://www.wikidata.org/wiki/Q2920921","display_name":"Management","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C199360897","wikidata":"https://www.wikidata.org/wiki/Q9143","display_name":"Programming language","level":1,"score":0.0},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004282","descriptor_name":"Documentation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006301","descriptor_name":"Health Services Needs and Demand","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008910","descriptor_name":"Minnesota","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011795","descriptor_name":"Surveys and Questionnaires","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012866","descriptor_name":"Skilled Nursing Facilities","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D032722","descriptor_name":"Advance Care Planning","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D058996","descriptor_name":"Quality Improvement","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.3810/hp.2011.02.378","doi":"https://doi.org/10.3810/hp.2011.02.378","is_oa":false,"landing_page_url":"https://doi.org/10.3810/hp.2011.02.378","pdf_url":null,"source":{"id":"https://openalex.org/S4210173941","display_name":"Hospital Practice","issn_l":"0018-5809","issn":["0018-5809","2154-8331","2377-1003"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","ki-jl-1","medline","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320547","host_organization_name":"Taylor & Francis","host_organization_lineage":["https://openalex.org/P4310320547","https://openalex.org/P4310320449"],"host_organization_lineage_names":["Taylor & Francis","Informa"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Hospital Practice","raw_type":"journal-article"},{"id":"pmid:21441763","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/21441763","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Hospital practice (1995)","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9537000060081482,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320306143","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03"},{"id":"https://openalex.org/F4320307758","display_name":"Eli Lilly and Company","ror":"https://ror.org/01qat3289"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":27,"referenced_works":["https://openalex.org/W1529040447","https://openalex.org/W1584798222","https://openalex.org/W1586305828","https://openalex.org/W1966312141","https://openalex.org/W1981263946","https://openalex.org/W2005012716","https://openalex.org/W2005188111","https://openalex.org/W2019833421","https://openalex.org/W2035529075","https://openalex.org/W2046165691","https://openalex.org/W2059212936","https://openalex.org/W2073967743","https://openalex.org/W2080178921","https://openalex.org/W2084643863","https://openalex.org/W2086237491","https://openalex.org/W2088687910","https://openalex.org/W2091893168","https://openalex.org/W2101962070","https://openalex.org/W2137325786","https://openalex.org/W2137401089","https://openalex.org/W2151600166","https://openalex.org/W2153617265","https://openalex.org/W2166924552","https://openalex.org/W2171504505","https://openalex.org/W2394532530","https://openalex.org/W2760119894","https://openalex.org/W4251279442"],"related_works":["https://openalex.org/W3006072582","https://openalex.org/W3130124291","https://openalex.org/W2948771488","https://openalex.org/W2101962070","https://openalex.org/W4396497588","https://openalex.org/W2749989054","https://openalex.org/W2268568656","https://openalex.org/W4399279797","https://openalex.org/W2906900886","https://openalex.org/W2412703059"],"abstract_inverted_index":{"INTRODUCTION:":[0],"Despite":[1],"the":[2,11,19,72,164,169,190,205,213],"established":[3],"benefits":[4],"of":[5,15,30,62,116,125,128,132,158,171,182,186,215],"advance":[6],"care":[7],"planning":[8],"(ACP)":[9],"in":[10,18,204,210,249],"geriatric":[12],"population,":[13],"documentation":[14,122,174,203,238],"ACP":[16,39,50,100,142,173,202,216,237,246],"counseling":[17,101],"skilled":[20],"nursing":[21],"facility":[22],"(SNF)":[23],"setting":[24],"remains":[25],"poor.":[26],"The":[27,85,193],"primary":[28],"aim":[29,46],"this":[31],"study":[32],"was":[33,47,87],"to":[34,38,48,78,89,141,148,200],"identify":[35,49],"key":[36,139],"barriers":[37,140,198],"completion":[40,109,151,247],"among":[41],"SNF":[42,54,69,93,206],"providers.":[43,58],"A":[44],"secondary":[45],"practice-based":[51],"differences":[52,162,209],"between":[53,163,222],"physicians":[55],"and":[56,91,95,102,130,156,184,239],"midlevel":[57,96],"METHODS:":[59],"As":[60],"part":[61],"a":[63,107,117,149,234],"divisional":[64],"quality":[65],"improvement":[66],"project,":[67],"43":[68],"providers":[70],"from":[71],"area's":[73],"9":[74],"facilities":[75],"were":[76,136,220],"asked":[77],"complete":[79],"an":[80],"optional":[81],"14-item":[82],"electronic":[83],"survey.":[84],"survey":[86,194],"designed":[88],"explore":[90],"contrast":[92],"physicians'":[94],"providers'":[97],"experiences":[98],"with":[99],"documentation.":[103,143],"RESULTS:":[104],"We":[105],"obtained":[106],"91%":[108],"rate.":[110],"Systems-based":[111],"factors,":[112],"such":[113,231],"as":[114,138,232],"lack":[115,127,157],"centralized":[118],"document":[119],"location,":[120],"inconsistent":[121],"habits,":[123],"dispersion":[124],"responsibility,":[126],"time,":[129],"under-recognition":[131],"team":[133],"members'":[134],"efforts,":[135],"cited":[137],"Perceived":[144],"patient":[145],"characteristics":[146],"contributing":[147],"low":[150],"rate":[152],"included":[153,168],"cognitive":[154],"impairment":[155],"family":[159],"involvement.":[160],"Key":[161,208],"2":[165],"provider":[166,223],"groups":[167],"location":[170,235],"their":[172],"(electronic":[175],"medical":[176],"record":[177],"vs":[178],"paper":[179],"chart),":[180],"frequency":[181],"documentation,":[183],"recognition":[185],"who":[187],"is":[188],"documenting":[189],"ACP.":[191],"CONCLUSION:":[192],"demonstrated":[195],"that":[196],"systems-based":[197],"contribute":[199],"poor":[201],"setting.":[207],"attitudes":[211],"about":[212],"impact":[214],"on":[217],"loved":[218],"ones":[219],"identified":[221],"groups.":[224],"Strategies":[225],"aimed":[226],"at":[227],"mitigating":[228],"practice-level":[229],"barriers,":[230],"standardizing":[233],"for":[236,244],"formalizing":[240],"workflow,":[241],"are":[242],"needed":[243],"increased":[245],"rates":[248],"SNFs.":[250]},"counts_by_year":[{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":1},{"year":2019,"cited_by_count":2},{"year":2018,"cited_by_count":3},{"year":2016,"cited_by_count":2},{"year":2013,"cited_by_count":2}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
