Table 1 Description of Three Alerts Within Support-ED Tool
Alert Name | Triggering Criteria | Target provider | Response options |
|---|---|---|---|
Advance Care Planning Document Present | Active advanced care planning document + ESI 1 or 2 | Nurse | Inform and acknowledge |
Active advance care planning document | Provider | Initiate a goals of care conversation. Consider ordering a social work or palliative care consult. | |
Hospice | Previous discharge disposition to hospice | Social Worker/Care Manager | Inform and acknowledge |
Provider | Consider ordering a social work or palliative care consult. | ||
Serious Life-limiting Illness without Advance Care Planning Documentation | Surrogates for “serious life limiting illness” including historical data points (previous order for palliative care consult, previous order for “Do Not Resuscitate”) and data points from current ED counter (e.g. albumin< 2 g/dL, GFR < 15 ml/min/m2) | Provider | Initiate a goals of care conversation. Consider ordering a social work or palliative care consult. |