Volume 53 | Number 3 | June 2018

Abstract List

Sangeeta C. Ahluwalia Ph.D., M.P.H., Benjamin J. Harris Ph.D., Valerie A. Lewis Ph.D., Carrie H. Colla Ph.D.


To measure the extent to which accountable care organizations (s) have adopted end‐of‐life () care planning processes and characterize those s that have established processes related to .

Data Sources

This study uses data from three waves (2012–2015) of the National Survey of s. Respondents were 397 s participating in Medicare, Medicaid, and commercial contracts.

Study Design

This is a cross‐sectional survey study using multivariate ordered logit regression models. We measured the extent to which the had adopted care planning processes as well as organizational characteristics, including care management, utilization management, health informatics, and shared decision‐making capabilities, palliative care, and patient‐centered medical home experience.

Principal Findings

Twenty‐one percent of s had few or no care planning processes, 60 percent had some processes, and 19.6 percent had advanced processes. s with a hospital in their system (: 3.07; =.01), and s with advanced care management (: 1.43; =.02), utilization management (: 1.58, =.00), and shared decision‐making capabilities (: 16.3, =.000) were more likely to have care planning processes than those with no hospital or few to no capabilities.


There remains considerable room for today's s to increase uptake of care planning, possibly by leveraging existing care management, utilization management, and shared decision‐making processes.