What question did this study set out to answer?

The aim is to examine the reach, timeliness, and quality of implementation of the Serious Illness Conversation Program across a health system.

Implementation of a Serious Illness Conversation Program in a Health System: A Retrospective Observational Study

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Retrospective observational study examines Serious Illness Conversation outcomes in a health system, suggesting areas for improvement.

The aim is to examine the reach, timeliness, and quality of implementation of the Serious Illness Conversation Program across a health system.
Retrospective observational cohort study of 7424 decedents eligible for Serious Illness Conversation from 2022 to 2024.
Analysis of demographic and clinical characteristics, timing, and quality of Serious Illness Conversations.
Factors associated with completion of Serious Illness Conversations were identified.
49.5% of eligible patients had documented Serious Illness Conversations.
Mean number of Serious Illness Conversations per patient was 3.6 with 31.1% including defined quality components.
Factors positively associated with completion included palliative care visits (OR 2.26), primary care provider (OR 1.77), and inpatient admission with home care discharge (OR 2.36); while having dementia was negatively associated (OR 0.58).

Varns et al. (2026) studied this question.

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