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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)
  1. a n=65, 65 patients had a history of opiate use prior to the initial visit, of whom 13 received an opiate prescription at the initial visit. Four patients, who had not received an opiate prescription previously, received one at the initial visit. Of the 17 prescribed opiates at the initial visit, 12 received a bowel regimen and 1 had a contraindication for a bowel regimen
  2. b Of the 37 patients who had a history of benzodiazepine use prior to the initial visit, 3 received a prescription at the initial visit. One patient who had not received a benzodiazepine prescription previously, received one at the initial visit