Clinical Surveillance Tool to Screen for Unmet Palliative Needs Among Patients in the Final Year of Life

Launched by OTTAWA HOSPITAL RESEARCH INSTITUTE · Nov 20, 2019

Keywords

ClinConnect Summary

Recently, van Walraven et al described the Hospital One-year Mortality Risk (HOMR) score for predicting 1-year mortality for patients admitted to hospital. HOMR is based on 12 administrative data points routinely coded by hospitals at the time of discharge and available in the CIHI Discharge Abstract Database. The model has been externally validated with excellent discrimination and calibration. Among HOMR's 12 data fields, nine are routinely available in the Electronic Health Record (EHR) at the time of admission in Ontario. Using a method similar to that used to derive HOMR, the investiga...

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Eligibility criteria

• Inclusion Criteria:
• • All newly admitted patients to selected medical units in participating sites during the 6-9-month intervention implementation period
• • \[To be assessed for unmet palliative needs\] the patient must be competent and have the ability to participate in assessments (i.e. answer assessment questions and understand and speak sufficient English to participate).
• Exclusion Criteria:
• • N/A for mHOMR/HOMR-Now! intervention
• • For palliative needs assessments: incapability of completing the ESAS and 4-Item ACP tools, either because of capacity/cognitive impairment or English-language ability.