Validation of a Novel Electronic Health Record Patient Portal Advance Care Planning Delivery System.

Background: Advance care planning allows patients to articulate their future care preferences should they no longer be able to make decisions on their own. Early advance care planning in outpatient settings provides benefits such as less aggressive care and fewer hospitalizations, yet it is underutilized due to barriers such as provider time constraints and communication complexity. Novel methods, such as patient portals, provide a unique opportunity to conduct advance care planning previsit planning for outpatient care.

IT'S ABOUT THE PEOPLE, NOT BEING THE BOSS.

The best leaders are those who share ideas and credit, ultimately fostering work cultures that allow powerful teams to thrive. In the end, the organizations benefit from engaged, enthusiastic employees.

Testing of a tethered personal health record framework for early end-of-life discussions.

Objectives: The process of planning for end-of life decisions, also known as advance care planning (ACP), is associated with numerous positive outcomes, including improved patient satisfaction with care and improved patient quality of life in terminal illness. In this study, we sought to test a novel personal health record (PHR)-delivered ACP framework through a small-scale randomized trial of usual care practices versus PHR-delivered ACP.

Study Design: Randomized controlled pilot intervention.

Development of a tethered personal health record framework for early end-of-life discussions.

Objectives: End-of-life planning, known as advance care planning (ACP), is associated with numerous positive outcomes, such as improved patient satisfaction with care and improved patient quality of life in terminal illness. However, patient-provider ACP conversations are rarely performed or documented due to a number of barriers, including time required, perceived lack of skill, and a limited number of resources. Use of tethered personal health records (PHRs) may help streamline ACP conversations and documentations for outpatient workflows.

MDMA ('ecstasy') and other 'club drugs'. The new epidemic.

Unfortunately, perceptions that the club drugs can be safe endure. Some groups, such as the Multidisciplinary Association for Psychedelic Study, continue to lobby for the legalization of MDMA for research purposes [76]. DanceSafe is an organization that seeks to educate the "nonaddicted" user to decrease the risks [82].