{"id":"https://openalex.org/W4382543040","doi":"https://doi.org/10.1016/j.jcjq.2023.06.013","title":"Lessons Learned About System-Level Improvement in Serious Illness Communication: A Qualitative Study of Serious Illness Care Program Implementation in Five Health Systems","display_name":"Lessons Learned About System-Level Improvement in Serious Illness Communication: A Qualitative Study of Serious Illness Care Program Implementation in Five Health Systems","publication_year":2023,"publication_date":"2023-06-29","ids":{"openalex":"https://openalex.org/W4382543040","doi":"https://doi.org/10.1016/j.jcjq.2023.06.013","pmid":"https://pubmed.ncbi.nlm.nih.gov/37537096"},"language":"en","primary_location":{"id":"doi:10.1016/j.jcjq.2023.06.013","doi":"https://doi.org/10.1016/j.jcjq.2023.06.013","is_oa":false,"landing_page_url":"https://doi.org/10.1016/j.jcjq.2023.06.013","pdf_url":null,"source":{"id":"https://openalex.org/S4210168284","display_name":"The Joint Commission Journal on Quality and Patient Safety","issn_l":"1553-7250","issn":["1553-7250","1938-131X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","jufo-1","medline","norway-1","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Joint Commission Journal on Quality and Patient Safety","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":"https://openalex.org/A5053746436","display_name":"Joanna Paladino","orcid":"https://orcid.org/0000-0001-9324-1943","observed_orcids":["https://orcid.org/0000-0001-9324-1943"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Joanna Paladino","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0001-9324-1943","affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5046773892","display_name":"Erik K. Fromme","orcid":"https://orcid.org/0000-0002-6731-2338","observed_orcids":["https://orcid.org/0000-0002-6731-2338"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Erik K. Fromme","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5031001098","display_name":"Laurel Kilpatrick","orcid":"https://orcid.org/0009-0006-3240-3981","observed_orcids":["https://orcid.org/0009-0006-3240-3981"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Laurel Kilpatrick","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5091525063","display_name":"Laura E. Dingfield","orcid":"https://orcid.org/0000-0002-3126-5410","observed_orcids":["https://orcid.org/0000-0002-3126-5410"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Laura Dingfield","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0002-3126-5410","affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5077890399","display_name":"Winifred Teuteberg","orcid":"https://orcid.org/0000-0002-8338-1675","observed_orcids":["https://orcid.org/0000-0002-8338-1675"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Winifred Teuteberg","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0002-8338-1675","affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5073949186","display_name":"Rachelle Bernacki","orcid":"https://orcid.org/0000-0003-0873-7931","observed_orcids":["https://orcid.org/0000-0003-0873-7931"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Rachelle Bernacki","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5112416690","display_name":"Vicki Ann Jackson","orcid":"https://orcid.org/0000-0003-3144-7035","observed_orcids":["https://orcid.org/0000-0003-3144-7035"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Vicki Jackson","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5063712330","display_name":"Justin J. Sanders","orcid":"https://orcid.org/0000-0001-8928-4051","observed_orcids":["https://orcid.org/0000-0001-8928-4051"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Justin J. Sanders","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0001-8928-4051","affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5067316980","display_name":"Juliet C. Jacobsen","orcid":"https://orcid.org/0000-0003-2416-8759","observed_orcids":["https://orcid.org/0000-0003-2416-8759"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Juliet Jacobsen","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5054147677","display_name":"Christine Seel Ritchie","orcid":"https://orcid.org/0000-0002-4881-9416","observed_orcids":["https://orcid.org/0000-0002-4881-9416"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Christine Ritchie","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5084047946","display_name":"Suzanne E. Mitchell","orcid":"https://orcid.org/0000-0002-5618-7383","observed_orcids":["https://orcid.org/0000-0002-5618-7383"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Suzanne Mitchell","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5053746436"],"corresponding_institution_ids":[],"apc_list":{"value":3000,"currency":"USD","value_usd":3000},"apc_paid":null,"fwci":3.567,"has_fulltext":false,"cited_by_count":14,"citation_normalized_percentile":{"value":0.93020488,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":99},"biblio":{"volume":"49","issue":"11","first_page":"620","last_page":"633"},"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":0.9404000043869019,"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":0.9404000043869019,"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/T10629","display_name":"Health Policy Implementation Science","score":0.056699998676776886,"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/T10827","display_name":"Patient-Provider Communication in Healthcare","score":0.00039999998989515007,"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/serious-illness-communication","display_name":"serious illness communication","score":0.9980000257492065},{"id":"https://openalex.org/keywords/implementation-barriers-and-facilitators","display_name":"implementation barriers and facilitators","score":0.7070000171661377},{"id":"https://openalex.org/keywords/organizational-leadership","display_name":"organizational leadership","score":0.578000009059906},{"id":"https://openalex.org/keywords/electronic-health-record-documentation","display_name":"electronic health record documentation","score":0.8209999799728394},{"id":"https://openalex.org/keywords/quality-improvement","display_name":"quality improvement","score":0.43700000643730164},{"id":"https://openalex.org/keywords/health-system-implementation","display_name":"health system implementation","score":0.652999997138977},{"id":"https://openalex.org/keywords/end-of-life-care","display_name":"end-of-life care","score":0.5189999938011169}],"concepts":[{"id":"https://openalex.org/C29122968","wikidata":"https://www.wikidata.org/wiki/Q1414816","display_name":"Incentive","level":2,"score":0.6324151754379272},{"id":"https://openalex.org/C56666940","wikidata":"https://www.wikidata.org/wiki/Q788790","display_name":"Documentation","level":2,"score":0.5643465518951416},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.546185314655304},{"id":"https://openalex.org/C2777200299","wikidata":"https://www.wikidata.org/wiki/Q52943","display_name":"Conversation","level":2,"score":0.543845534324646},{"id":"https://openalex.org/C71405471","wikidata":"https://www.wikidata.org/wiki/Q757012","display_name":"Quality management","level":3,"score":0.5344207882881165},{"id":"https://openalex.org/C2776007630","wikidata":"https://www.wikidata.org/wiki/Q2798912","display_name":"Accountability","level":2,"score":0.48481622338294983},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.471193790435791},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.46610674262046814},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.44805407524108887},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.44594115018844604},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.3855540454387665},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.36304640769958496},{"id":"https://openalex.org/C21547014","wikidata":"https://www.wikidata.org/wiki/Q1423657","display_name":"Operations management","level":1,"score":0.1110089123249054},{"id":"https://openalex.org/C198783460","wikidata":"https://www.wikidata.org/wiki/Q629173","display_name":"Management system","level":2,"score":0.10811039805412292},{"id":"https://openalex.org/C46312422","wikidata":"https://www.wikidata.org/wiki/Q11024","display_name":"Communication","level":1,"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/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","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/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.0},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C175444787","wikidata":"https://www.wikidata.org/wiki/Q39072","display_name":"Microeconomics","level":1,"score":0.0},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D003142","descriptor_name":"Communication","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003422","descriptor_name":"Critical Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006282","descriptor_name":"Health Personnel","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":"D016638","descriptor_name":"Critical Illness","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1016/j.jcjq.2023.06.013","doi":"https://doi.org/10.1016/j.jcjq.2023.06.013","is_oa":false,"landing_page_url":"https://doi.org/10.1016/j.jcjq.2023.06.013","pdf_url":null,"source":{"id":"https://openalex.org/S4210168284","display_name":"The Joint Commission Journal on Quality and Patient Safety","issn_l":"1553-7250","issn":["1553-7250","1938-131X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","jufo-1","medline","norway-1","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Joint Commission Journal on Quality and Patient Safety","raw_type":"journal-article"},{"id":"pmid:37537096","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/37537096","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":"Joint Commission journal on quality and patient safety","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9922999739646912},{"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities","score":0.4000000059604645}],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320315738","display_name":"Cambia Health Foundation","ror":"https://ror.org/05pwsnp59"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":59,"referenced_works":["https://openalex.org/W1924618820","https://openalex.org/W1969776198","https://openalex.org/W1971765404","https://openalex.org/W1979290264","https://openalex.org/W1985853998","https://openalex.org/W2024512786","https://openalex.org/W2028440176","https://openalex.org/W2095880617","https://openalex.org/W2097885227","https://openalex.org/W2105501846","https://openalex.org/W2139524347","https://openalex.org/W2162737171","https://openalex.org/W2181757050","https://openalex.org/W2190204589","https://openalex.org/W2192397113","https://openalex.org/W2302801691","https://openalex.org/W2305278139","https://openalex.org/W2306592406","https://openalex.org/W2319844256","https://openalex.org/W2331393505","https://openalex.org/W2344718142","https://openalex.org/W2399971137","https://openalex.org/W2435985544","https://openalex.org/W2524597629","https://openalex.org/W2593489961","https://openalex.org/W2727815733","https://openalex.org/W2767862495","https://openalex.org/W2799487814","https://openalex.org/W2800035960","https://openalex.org/W2801636708","https://openalex.org/W2912446050","https://openalex.org/W2922231236","https://openalex.org/W2922350703","https://openalex.org/W2922471793","https://openalex.org/W2927062636","https://openalex.org/W2953157338","https://openalex.org/W2965640203","https://openalex.org/W2968511531","https://openalex.org/W2970540710","https://openalex.org/W2972826362","https://openalex.org/W2981427782","https://openalex.org/W3004892847","https://openalex.org/W3011521045","https://openalex.org/W3021861038","https://openalex.org/W3022760546","https://openalex.org/W3036727184","https://openalex.org/W3047801675","https://openalex.org/W3049236779","https://openalex.org/W3092799097","https://openalex.org/W3128704079","https://openalex.org/W3169489734","https://openalex.org/W3196273358","https://openalex.org/W4210883768","https://openalex.org/W4213157749","https://openalex.org/W4224215531","https://openalex.org/W4283732373","https://openalex.org/W4312801415","https://openalex.org/W4317213715","https://openalex.org/W4385147388"],"related_works":["https://openalex.org/W4213157749","https://openalex.org/W4224215531","https://openalex.org/W4312801415","https://openalex.org/W4312758307","https://openalex.org/W3196273358","https://openalex.org/W4414153080","https://openalex.org/W7154581027","https://openalex.org/W3021538412","https://openalex.org/W3036727184","https://openalex.org/W4399068737"],"abstract_inverted_index":null,"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":6},{"year":2024,"cited_by_count":5},{"year":2023,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2023-06-30T00:00:00"}
