1 40 1 Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. URL Address <a href="http://doi.org/10.1089/pop.2013.0017" target="_blank" rel="noreferrer noopener">http://doi.org/10.1089/pop.2013.0017</a> Pages 106–111 Issue 2 Volume 17 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Results of the promoting effective advance care planning for elders (PEACE) randomized pilot study. Publisher An entity responsible for making the resource available Population Health Management Date A point or period of time associated with an event in the lifecycle of the resource 2014 2014-04 Subject The topic of the resource *Quality of Life; 80 and over; Activities of Daily Living; Advance Care Planning; Advance Care Planning/*organization & administration; Aged; Case Management – Methods; Chi Square Test; Community-Institutional Relations; Comparative Studies; Decision Making; Descriptive Statistics; Disease Management; Family; Female; Frail Elderly; Geriatric Assessment/methods; Health Promotion; Health Resource Utilization; Health Services for the Aged/organization & administration; Home Care Services/*organization & administration; Human; Humans; Interdisciplinary Communication; Long Term Care; Long-Term Care/*organization & administration; Male; Medicaid – Ohio; Multidisciplinary Care Team; Ohio; Outcomes (Health Care); Palliative Care; Palliative Care/organization & administration; Patient; Physicians; Pilot Projects; Pilot Studies – Ohio; Program Evaluation; Psychological Tests; Quality of Life; Random Assignment; Reference Values; Repeated Measures; Scales; Spiritual Care; T-Tests; Treatment Outcome Creator An entity primarily responsible for making the resource Radwany Steven M; Hazelett Susan E; Allen Kyle R; Kropp Denise J; Ertle Denise; Albanese Teresa H; Fosnight Susan M; Moore Pamela S Description An account of the resource The specific aim of the PEACE pilot study was to determine the feasibility of a fully powered study to test the effectiveness of an in-home geriatrics/palliative care interdisciplinary care management intervention for improving measures of utilization, quality of care, and quality of life in enrollees of Ohio's community-based long-term care Medicaid waiver program, PASSPORT. This was a randomized pilot study (n=40 intervention [IG], n=40 usual care) involving new enrollees into PASSPORT who were \textgreater60 years old. This was an in-home interdisciplinary chronic illness care management intervention by PASSPORT care managers collaborating with a hospital-based geriatrics/palliative care specialist team and the consumer's primary care physician. This pilot was not powered to test hypotheses; instead, it was hypothesis generating. Primary outcomes measured symptom control, mood, decision making, spirituality, and quality of life. Little difference was seen in primary outcomes; however, utilization favored the IG. At 12 months, the IG had fewer hospital visits (50% vs. 55%, P=0.65) and fewer nursing facility admissions (22.5% vs. 32.5%, P=0.32). Using hospital-based specialists interfacing with a community agency to provide a team-based approach to care of consumers with chronic illnesses was found to be feasible. Lack of change in symptom control or quality of life outcome measures may be related to the tools used, as these were validated in populations closer to the end of life. Data from this pilot study will be used to calculate the sample size needed for a fully powered trial. Identifier An unambiguous reference to the resource within a given context <a href="http://doi.org/10.1089/pop.2013.0017" target="_blank" rel="noreferrer noopener">10.1089/pop.2013.0017</a> Rights Information about rights held in and over the resource Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s). *Quality of Life 2014 80 and over Activities of Daily Living advance care planning Advance Care Planning/*organization & administration Aged Albanese Teresa H Allen Kyle R Case Management – Methods Chi Square Test College of Medicine Community-Institutional Relations Comparative Studies Decision Making Department of Family & Community Medicine Department of Pharmaceutical Sciences Department of Pharmacy Practice Descriptive Statistics Disease Management Ertle Denise Family Female Fosnight Susan M Frail Elderly Geriatric Assessment/methods Hazelett Susan E Health Promotion Health Resource Utilization Health Services for the Aged/organization & administration Home Care Services/*organization & administration Human Humans Interdisciplinary Communication Kropp Denise J Long Term Care Long-Term Care/*organization & administration Male Medicaid – Ohio Moore Pamela S Multidisciplinary Care Team NEOMED College of Medicine NEOMED College of Pharmacy Ohio Outcomes (Health Care) Palliative Care Palliative Care/organization & administration Patient Physicians Pilot Projects Pilot Studies – Ohio Population health management Program Evaluation Psychological Tests Quality of Life Radwany Steven M Random Assignment Reference Values Repeated Measures Scales Spiritual Care T-Tests Treatment Outcome