{"id":"https://openalex.org/W4200609486","doi":"https://doi.org/10.1177/08258597211049136","title":"Trained Clinician's Documentation of Serious Illness Conversations and Use of Billing CPT 99497","display_name":"Trained Clinician's Documentation of Serious Illness Conversations and Use of Billing CPT 99497","publication_year":2021,"publication_date":"2021-12-17","ids":{"openalex":"https://openalex.org/W4200609486","doi":"https://doi.org/10.1177/08258597211049136","pmid":"https://pubmed.ncbi.nlm.nih.gov/34918568"},"language":"en","primary_location":{"id":"doi:10.1177/08258597211049136","doi":"https://doi.org/10.1177/08258597211049136","is_oa":false,"landing_page_url":"https://doi.org/10.1177/08258597211049136","pdf_url":null,"source":{"id":"https://openalex.org/S54203203","display_name":"Journal of Palliative Care","issn_l":"0825-8597","issn":["0825-8597","2369-5293"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Palliative Care","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"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":"https://openalex.org/A5033483377","display_name":"Jeanette M. Daly","orcid":"https://orcid.org/0000-0001-7130-4552","observed_orcids":["https://orcid.org/0000-0001-7130-4552"]},"institutions":[{"id":"https://openalex.org/I126307644","display_name":"University of Iowa","ror":"https://ror.org/036jqmy94","country_code":"US","type":"education","lineage":["https://openalex.org/I126307644"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Jeanette M. Daly","raw_affiliation_strings":["University of Iowa Carver College of Medicine, Iowa City, IA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Iowa Carver College of Medicine, Iowa City, IA, USA","institution_ids":["https://openalex.org/I126307644"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5056240449","display_name":"Megan E. Schmidt","orcid":"https://orcid.org/0000-0002-9122-1241","observed_orcids":["https://orcid.org/0000-0002-9122-1241"]},"institutions":[{"id":"https://openalex.org/I126307644","display_name":"University of Iowa","ror":"https://ror.org/036jqmy94","country_code":"US","type":"education","lineage":["https://openalex.org/I126307644"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Megan E. Schmidt","raw_affiliation_strings":["University of Iowa Carver College of Medicine, Iowa City, IA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Iowa Carver College of Medicine, Iowa City, IA, USA","institution_ids":["https://openalex.org/I126307644"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5069721182","display_name":"Kate DuChene Thoma","orcid":"https://orcid.org/0000-0002-2963-8839","observed_orcids":["https://orcid.org/0000-0002-2963-8839"]},"institutions":[{"id":"https://openalex.org/I126307644","display_name":"University of Iowa","ror":"https://ror.org/036jqmy94","country_code":"US","type":"education","lineage":["https://openalex.org/I126307644"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kate DuChene Thoma","raw_affiliation_strings":["University of Iowa Carver College of Medicine, Iowa City, IA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Iowa Carver College of Medicine, Iowa City, IA, USA","institution_ids":["https://openalex.org/I126307644"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5014818790","display_name":"Barcey T. Levy","orcid":"https://orcid.org/0000-0002-3315-4116","observed_orcids":["https://orcid.org/0000-0002-3315-4116"]},"institutions":[{"id":"https://openalex.org/I126307644","display_name":"University of Iowa","ror":"https://ror.org/036jqmy94","country_code":"US","type":"education","lineage":["https://openalex.org/I126307644"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Barcey T. Levy","raw_affiliation_strings":["University of Iowa Carver College of Medicine, Iowa City, IA, USA","University of Iowa, College of Public Health, Iowa City, IA, USA","University of Iowa, Iowa City, IA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Iowa Carver College of Medicine, Iowa City, IA, USA","institution_ids":["https://openalex.org/I126307644"]},{"raw_affiliation_string":"University of Iowa, College of Public Health, Iowa City, IA, USA","institution_ids":["https://openalex.org/I126307644"]},{"raw_affiliation_string":"University of Iowa, Iowa City, IA, USA","institution_ids":["https://openalex.org/I126307644"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5033483377"],"corresponding_institution_ids":["https://openalex.org/I126307644"],"apc_list":{"value":3000,"currency":"USD","value_usd":3000},"apc_paid":null,"fwci":0.6164,"has_fulltext":false,"cited_by_count":3,"citation_normalized_percentile":{"value":0.65627305,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":95},"biblio":{"volume":"37","issue":"3","first_page":"323","last_page":"331"},"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":1.0,"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":1.0,"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/T13147","display_name":"Ethics and bioethics in healthcare","score":0.0,"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/T10827","display_name":"Patient-Provider Communication in Healthcare","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":0.8960000276565552},{"id":"https://openalex.org/keywords/serious-illness-conversations","display_name":"serious illness conversations","score":0.7929999828338623},{"id":"https://openalex.org/keywords/electronic-health-record-documentation","display_name":"electronic health record documentation","score":0.8790000081062317},{"id":"https://openalex.org/keywords/clinician-training","display_name":"clinician training","score":0.7329999804496765},{"id":"https://openalex.org/keywords/mortality-risk-score","display_name":"mortality risk score","score":0.9190000295639038},{"id":"https://openalex.org/keywords/general-practice","display_name":"general practice","score":0.4830000102519989},{"id":"https://openalex.org/keywords/end-of-life-care","display_name":"end-of-life care","score":0.5479999780654907}],"concepts":[{"id":"https://openalex.org/C56666940","wikidata":"https://www.wikidata.org/wiki/Q788790","display_name":"Documentation","level":2,"score":0.8822089433670044},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.4680131673812866},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4247607886791229},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.3499574065208435},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.33486491441726685},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.11686891317367554},{"id":"https://openalex.org/C199360897","wikidata":"https://www.wikidata.org/wiki/Q9143","display_name":"Programming language","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003142","descriptor_name":"Communication","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":"D005260","descriptor_name":"Female","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":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D032722","descriptor_name":"Advance Care Planning","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D039702","descriptor_name":"Current Procedural Terminology","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1177/08258597211049136","doi":"https://doi.org/10.1177/08258597211049136","is_oa":false,"landing_page_url":"https://doi.org/10.1177/08258597211049136","pdf_url":null,"source":{"id":"https://openalex.org/S54203203","display_name":"Journal of Palliative Care","issn_l":"0825-8597","issn":["0825-8597","2369-5293"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Palliative Care","raw_type":"journal-article"},{"id":"pmid:34918568","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/34918568","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":"Journal of palliative care","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"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":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":18,"referenced_works":["https://openalex.org/W1857610898","https://openalex.org/W2028440176","https://openalex.org/W2046965360","https://openalex.org/W2087018232","https://openalex.org/W2095880617","https://openalex.org/W2114147871","https://openalex.org/W2571458453","https://openalex.org/W2727815733","https://openalex.org/W2760091068","https://openalex.org/W2784712981","https://openalex.org/W2890157215","https://openalex.org/W2900740342","https://openalex.org/W2922471793","https://openalex.org/W2945880530","https://openalex.org/W2971885434","https://openalex.org/W3021861038","https://openalex.org/W3036994039","https://openalex.org/W3153876903"],"related_works":["https://openalex.org/W4406624080","https://openalex.org/W4221123269","https://openalex.org/W3120945499","https://openalex.org/W7128951069","https://openalex.org/W3036727184","https://openalex.org/W7213314847","https://openalex.org/W3036994039","https://openalex.org/W3090334516","https://openalex.org/W3173084944","https://openalex.org/W4313448165"],"abstract_inverted_index":{"Background:":[0],"Advance":[1],"care":[2],"planning":[3],"(ACP)":[4],"involves":[5],"patients":[6,131,186,193,203,219,247],"and":[7,18,40,107,152,174,199,223,259],"family":[8,96],"members":[9],"in":[10,78,101,112,127,189,290],"discussions":[11],"with":[12,165,265],"clinicians":[13,54,93,160],"about":[14],"their":[15,166],"values,":[16],"goals,":[17],"preferences":[19],"regarding":[20],"future":[21],"medical":[22,115],"care.":[23],"Objectives:":[24],"To":[25],"(1)":[26],"assess":[27,43],"whether":[28,72],"an":[29,200,299],"ACP":[30,62,135,150,163,197,209],"conversation":[31],"using":[32,145,204],"the":[33,58,66,89,102,113,128,139,146,205,215,249,282,291,304],"Serious":[34,103],"Illness":[35,104],"Conversation":[36],"(SIC)":[37],"was":[38,74,125,220,240,257,288,294],"initiated":[39,137],"documented;":[41,49],"(2)":[42],"which":[44],"components":[45,124,235,268],"of":[46,85,88,122,130,184,208,218,281,298,310],"SIC":[47,59,123,234,267,283,305],"were":[48,99,143,179,187,225,262],"(3)":[50],"determine":[51,71],"how":[52],"frequently":[53,243],"trained":[55,100,140,286],"to":[56,83,109,161],"use":[57,280],"guide":[60,284],"used":[61],"billing":[63,147,206],"codes":[64,148,207],"during":[65],"study":[67,157,198],"time":[68],"period,":[69],"(4)":[70],"there":[73],"a":[75],"significant":[76],"difference":[77],"mortality":[79,254],"risk":[80,255],"score":[81,256],"according":[82],"documentation":[84,309],"each":[86],"component":[87],"SIC.":[90],"Methods;":[91],"Thirteen":[92],"at":[94],"three":[95],"medicine":[97],"offices":[98],"Care":[105],"Program":[106],"asked":[108],"document":[110],"SICs":[111],"electronic":[114],"record":[116],"(EMR).":[117],"A":[118,182],"retrospective":[119,212],"chart":[120,213],"review":[121],"conducted":[126],"EMRs":[129],"who":[132],"presumably":[133],"had":[134,230],"conversations":[136,151,164],"by":[138,248],"clinicians.":[141,252],"Patients":[142],"identified":[144],"for":[149,171,176,244,302],"through":[153],"referrals":[154],"from":[155,195],"another":[156,196],"that":[158,296],"requires":[159],"have":[162,307],"patients.":[167],"Pearson":[168],"chi-square":[169],"test":[170],"categorical":[172],"variables":[173,178],"t-tests":[175],"continuous":[177],"conducted.":[180],"Results:":[181],"total":[183],"157":[185],"included":[188],"this":[190],"study;":[191],"131":[192],"referred":[194],"additional":[201],"26":[202],"conversations.":[210],"Through":[211],"review,":[214],"mean":[216],"age":[217],"72":[221],"years":[222],"54":[224],"male.":[226],"Sixty-two":[227],"(40%)":[228],"charts":[229],"one":[231],"or":[232],"more":[233,266],"documented.":[236],"\u201cExplore":[237],"key":[238],"topics\u201d":[239],"documented":[241,269],"most":[242],"58":[245],"(38%)":[246],"13":[250],"participating":[251],"Mean":[253],"10.7":[258],"higher":[260],"scores":[261],"significantly":[263],"correlated":[264],"(":[270],"r":[271],"p":[272],"=":[273,276],"0.217,":[274],"P":[275],"0.007).":[277],"Conclusion:":[278],"Little":[279],"among":[285],"physicians":[287],"found":[289],"EMR.":[292],"It":[293],"expected":[295],"provision":[297],"EMR":[300],"template":[301],"documenting":[303],"would":[306],"facilitated":[308],"SICs.":[311]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":2}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2021-12-31T00:00:00"}