Developing a Roadmap for Goals of Care Conversations at Duke Health (2023-2024)

Goals of care (GOC) conversations are crucial in aligning a patient’s values and ideals with their treatment. It is especially important to have these conversations earlier in a patient’s care to best navigate treatment decisions.

However, the occurrence of GOC conversations within the Duke Health system is limited, with barriers existing such as a lack of time and resources, misconceptions of what these conversations are about and a lack of rapport necessary for vulnerable conversations to occur.

This team’s mission was to design messaging strategies or interventions that could be implemented into the Duke Health system to increase the frequency of GOC conversations.

Partnering with Duke Health, team members split into subteams to identify four subpopulations with unique needs and characteristics to target with messaging strategies.

Learn more about this team’s work by reading their team profile.

Timing

Summer 2023 – Spring 2024

Team Outputs

Aligning a Patient’s Values and Ideals With Their Treatment Goals (Team profile; 2024 Fortin Foundation Bass Connections Virtual Showcase)

Improving Goals of Care Conversations for Inpatient Dialysis Patients at DUHS (Poster presented at the Fortin Foundation Bass Connections Virtual Showcase, April 17, 2024)

An Interactive Guide to Facilitate Goals of Care Conversations (Poster)

Improving Goals of Care Conversations between Clinicians and Cancer Survivors (Poster)

Redefining C.A.R.E for Pediatric Hematology-Oncology Patients at DUHS (Poster)

This Team in the News

Duke Reaches Halfway Mark for Goals-of-Care Conversations with Seriously Ill Patients

 

See related teams, Developing a Roadmap for Goals of Care Conversations at Duke (2024-2025) and REGAIN: Roadmap for Evaluating Goals in Advanced Illness Navigation (2022-2023).

Image: Goals of Care, by Duke School of Medicine, Department of Medicine

Diagram of goal-concordant care, showing that documentation, education and reporting all lead into it.

Team Leaders

  • Natalie Ashley, Palliative Care, Duke University Health System
  • David Casarett, School of Medicine-Medicine: General Internal Medicine

/graduate Team Members

  • Kayla Thompson, Business Administration-MBA, Medicine MD Third Year
  • Juliet Dalton, Biomedical Sciences
  • Dakota Douglas, Bioethics and Sci Policy - AM

/undergraduate Team Members

  • Julia Gambino, Biology (BS)
  • Matthew Nuzzolo, Biology (BS)
  • Nikhita Nanduri, Neuroscience (BS)
  • Sai Rachakonda, Program II (AB)
  • Daniel Lee, Biology (BS)
  • Astha Ray, Biology (BS)
  • Dorian Ho, Robertson Scholarship - UNC
  • Jaden Sacks
  • Saisha Dhar, Neuroscience (BS)
  • Samantha Cohen
  • Breanna Barrett, Psychology (AB)

/yfaculty/staff Team Members

  • Thomas Leblanc, School of Medicine-Medicine: Hematology
  • Sharla Rent, School of Medicine-Pediatrics: Neonatology
  • Katherine Ramos, School of Medicine-Psychiatry: Behavioral Medicine
  • Laura Porter, School of Medicine-Psychiatry and Behavioral Sciences
  • Judith Vick, School of Medicine-Medicine: General Internal Medicine
  • Jessica Ma, School of Medicine-Medicine: General Internal Medicine
  • Monica Lemmon, School of Medicine-Pediatrics: Neurology
  • Deepshikha Ashana, School of Medicine-Medicine: Pulmonary, Allergy and Critical Care Medicine
  • Brystana Kaufman, Fuqua School of Business-Health Sector Management Program
  • Margaret Johnson, School of Medicine-Neurosurgery
  • Sharron Docherty, School of Nursing
  • Simran Bansal, School of Medicine-Pediatrics: Neurology

/zcommunity Team Members

  • Duke University Health System

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