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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

Team Leaders

  • David Casarett, School of Medicine: General Internal Medicine, School of Medicine: Geriatrics
  • Erin Eckert, School of Medicine: Geriatrics
  • Kiira Lyons, School of Medicine: Geriatrics
  • Kiira Lyons, Duke University Health System - Palliative Care-Medicine - Geriatrics

Graduate Team Members

  • Juliet Dalton, Biomedical Sciences; Medical Student
  • Dakota Douglas, Bioethics and Sci Policy - AM
  • Jillian Ryan, Masters of Public Policy
  • Kayla Thompson, Business Administration-MBA; Medical Student

Undergraduate Team Members

  • Bre Barrett, Psychology (AB); Global Health (AB2)
  • Samantha Cohen, Cultural Anthropology (AB)
  • Saisha Dhar, Neuroscience (BS); Global Health (AB2)
  • Julia Gambino, Biology (BS)
  • Dorian Ho
  • Daniel Lee, Biology (BS)
  • Nikhita Nanduri, Neuroscience (BS)
  • Sai Rachakonda, Program II (AB)
  • Astha Ray, Biology (BS)
  • Jaden Sacks, Neuroscience (BS)

Community Organizations

  • Duke University Health System

Team Contributors

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