A machine learning algorithm will be used to accurately identify patients in certain primary care units who may benefit from palliative care consults.
A machine learning algorithm will be used to accurately identify patients in certain primary care units who may benefit from palliative care consults. These patients will be presented weekly to a palliative care specialist in a custom user interface. The palliative care specialist will reach out to primary care teams if she determines that the patient would benefit from palliative care. If the primary care provider agrees, he/she would write a palliative care consult order for the patient. The goal is to reduce the time to palliative care for these patients, who may not have been identified as quickly without the algorithm.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SCREENING
Masking
NONE
Enrollment
127,070
Palliative care specialist reaches out to primary care to recommend a palliative care consult. If the primary care provider agrees, he/she will write an order for a palliative care consult.
Mayo Clinic in Rochester
Rochester, Minnesota, United States
Timely identification for need of palliative care
Time to electronic record of consult by the palliative care team in the outpatient setting
Time frame: Through study completion, an average of 1 year
Number of palliative care consults
Number of palliative care consults that occurred on intervention and standard of care arms
Time frame: Through study completion, an average of 1 year
Number of advanced care planning notes documented in the EHR
Number of advanced care planning notes documented in the EHR on both arms
Time frame: Through study completion, an average of 1 year
Number of billing codes for palliative care
Number of ICD-10 billing codes for palliative care on both arms
Time frame: Through study completion, an average of 1 year
Positive predictive value of screened patients
Percentage of screened patients that received palliative care consults
Time frame: Through study completion, an average of 1 year
Percent of patients who are eligible for ECH based palliative care
Percent of patients who are eligible for employee/community health (ECH) based palliative care compared to the Palliative Care Clinic.
Time frame: Through study completion, an average of 1 year
Percent agreement between Palliative Care and Primary Care and average time between Primary Care Contact and Response
Agreement statistics (percent agreement and Kappa statistics) between Palliative Care and Primary Care and descriptive statistics (mean, etc.) on time between primary care contact and response.
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Time frame: Through study completion, an average of 1 year