What question did this study set out to answer?

Evaluate the four-year sustainability and growth of a hospital-based advance care planning program designed to improve care plan documentation at discharge.

August 14, 2026American Journal of Hospice and Palliative Medicine®

Advance Care Planning in an Urban Hospital: Sustainability and Growth in Documenting Care Plans over Four-Years

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Authors

KKKhadeja KausarMaimonides Medical Center ECEdward CoffieldHofstra University SGSampath GopalanMaimonides Medical Center

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Implication

Longitudinal cohort study demonstrates sustained growth in advance care plan documentation among hospitalized older adults, indicating hospital-wide training overcomes implementation barriers.

Key Points

Evaluate the four-year sustainability and growth of a hospital-based advance care planning program designed to improve care plan documentation at discharge.
Implemented a hospital-wide intervention combining primary palliative care, simulation-based staff training, and advance care planning education at a 711-bed hospital.
Analyzed N=25,189 patients aged 65 and older admitted without documented advance care plans between November 1, 2021, and October 31, 2025.
Assessed yearly documentation trends at discharge using Kendall's tau and tested temporal associations using logistic regression.
Advance care plan documentation at discharge increased from 4.4% in Year 1 to 19.1% in Year 4.
The odds of having an advance care plan at discharge were significantly higher in Year 2 (OR 3.44, P < 0.001), Year 3 (OR 5.87, P < 0.001), and Year 4 (OR 8.97, P < 0.001) compared with Year 1.

Cite This Study

Kausar et al. (2026) studied this question.

synapsesocial.com/papers/6a7ec754b70b84ec8b91398f https://doi.org/10.1177/10499091261476534

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Implication

Longitudinal cohort study demonstrates sustained growth in advance care plan documentation among hospitalized older adults, indicating hospital-wide training overcomes implementation barriers.

Advance Care Planning in an Urban Hospital: Sustainability and Growth in Documenting Care Plans over Four-Years

Discussion

Member takes

Implication

Key Points

Cite This Study

Advance Care Planning in an Urban Hospital: Sustainability and Growth in Documenting Care Plans over Four-Years

Discussion

Member takes

Implication

Key Points

Cite This Study

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