Pivoting to serious illness conversations to meet advance care planning quality measures in academic primary care clinics

Q: What does this research mean for the field?

Implementing serious illness conversations in academic primary care clinics is feasible when supported by incentives, leadership, and champions. Novelty: ClaimNovelty.CONFIRMATORY. Consensus alignment: ConsensusAlignment.NEUTRAL.

Grant Smith; Anuradha Phadke; Briththa Seevaratnam; Rebecca Fong; Ana Calugar; Winifred Teuteberg; Rachelle E. Bernacki

doi:10.1016/j.hjdsi.2026.100777

February 15, 2026HealthcareOpen Access

Pivoting to serious illness conversations to meet advance care planning quality measures in academic primary care clinics

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Key Points

The research aims to assess the feasibility of implementing serious illness conversations in academic primary care clinics to improve advance care planning.
Implemented serious illness conversation protocols in academic primary care clinics.
Provided leadership support and trained champions to promote the protocol's use.
Identified incentives to encourage primary care providers in the implementation process.
Increased rates of serious illness conversations completed by primary care providers.
Demonstrated feasibility of implementing these conversations within a supportive clinic environment.
Highlighted the importance of leadership and incentives in enhancing care planning efforts.

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Implication

Implementation of Serious Illness Conversations improves advance care planning in primary care, suggesting enhanced patient engagement.

Abstract

While additional work is needed to increase rates of PCPs completing SICs, we found that implementing SICP in academic primary care clinics is feasible when incentives, leadership support, and champions are in place.

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Cite This Study

Smith et al. (2026) studied this question.

synapsesocial.com/papers/6996a768ecb39a600b3ecfe8 https://doi.org/10.1016/j.hjdsi.2026.100777

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Pivoting to serious illness conversations to meet advance care planning quality measures in academic primary care clinics

Key Points

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Implication

Abstract

Discussion

Cite This Study

Pivoting to serious illness conversations to meet advance care planning quality measures in academic primary care clinics

Key Points

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

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