September 16, 2024
IMPACT members, Natalie Ernecoff, PhD, MPH, Ellen McCreedy, PhD, MPH, Laura Hanson, MD, MPH, and Susan Mitchell, MD, MPH, among authors of recent publication describing the use of a retrospective analysis of nursing home (NH) electronic health records (EHR). The research team tested the feasibility of a pragmatic approach to identify NH residents with moderate to advanced ADRD who received goal-concordant care. The study included long-stay NH residents living in 222 NHs owned by a large, not-for-profit chain. Results indicated that 87% of residents received goal-concordant care but goal-discordant care was not rare. Results support the feasibility of the pragmatic approach with limitations.