June 2, 2026 · Journal of palliative medicine · DOI: 10.1177/10966218261451668

Implementation of a Serious Illness Conversation Program in a Health System: A Retrospective Observational Study

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The authors aimed to evaluate the reach, timeliness, and quality of a Serious Illness Conversation Program (SICP) implemented in a health system, assessing factors influencing the completion of these conversations among eligible patients. Their findings revealed that nearly half of the eligible patients had documented serious illness conversations, with multiple sessions occurring for many, but highlighted a need for improved engagement, particularly for patients with dementia, and enhancements in conversation quality.

Glen Varns, Abbey Sidebottom, Katy Hentges, Sandra Castro-Pearson, Jan Richardson, Emily Downing

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