Brigham and Women’s Hospital
An advance care planning intervention in the emergency department
ED GOAL is a 6-minute motivational interview conducted in the emergency department (ED), which engages seriously ill yet clinically stable older adults to address advance care planning (ACP) with their outpatient clinician(s) and avoids a time-consuming, sensitive conversation in the time-pressured ED environment. My prior research established that ED GOAL may increase patients’ engagement in ACP yet identified opportunities for refinement: These include broadening the reach by adapting its use by specialized nurses and adding care coordination components (hand-off document, etc.) to the outpatient clinicians. This study will allow me to refine ED GOAL to maximize its potential efficacy and scalability.