Table 3 Standards Assessed at Initial REACH Visit, n = 159
From: Evaluating the care provision of a community-based serious-illness care program via chart measures
Domain | Standards Assessed | N (%) |
|---|---|---|
Medical Assessments | IADLs/ADLs assessment | 157 (97) |
Communication barriers assessment | 79 (50) | |
Formal cognitive assessment (VA-SLUMS) | 55 (35) | |
Spiritual needs assessment | 35 (22) | |
Care Coordination | Communication with PCP | 77 (48) |
Communication with specialist | 39 (25) | |
Communication with REACH social worker or pharmacist | 71 (45) | |
Safety | Falls assessment | 155 (98) |
Medication safety review | 153 (96) | |
Behavioral issue assessment | 34 (21) | |
Quality-of-life | Pain assessment | 112 (70) |
Dyspnea assessment | 91 (57) | |
Constipation assessment | 91 (57) | |
Psychosocial distress assessment | 85 (53) | |
Poor appetite assessment | 61 (38) | |
Depressive symptoms assessment | 61 (38) | |
Fatigue assessment | 59 (37) | |
Anxiety assessment | 51 (32) | |
Nausea assessment | 42 (26) | |
Clinician competency | Influenza vaccination up-to-date | 92 (59) |
Depression treatment, n = 61 | 33 (54) | |
Opiate prescribed at initial visit | 17 (11) | |
Bowel regimen prescribed if indicated, n = 65a | 44 (68) | |
Antipsychotic prescribed at initial visit | 6 (4) | |
Benzodiazepine prescribed at initial visitb | 4 (3) | |
Goal attainment | Surrogate discussed | 116 (73) |
Advance directives discussed | 103 (65) | |
Access | Home health referral placed at initial visit | 32 (20) |
Durable medical equipment ordered | 24 (15) | |
Hospice referral placed at initial visit | 5 (3) |