University of Chicago: PEACE Program - Baseline Enrollment Sheets and Follow-up
Contains patient/proxy general information, case tracking data, and enrollment data.
Organizational Tools - Enrollment Criteria/Patient Identification
Palliative Excellence in Alzheimer's Care Efforts (PEACE)
University of Chicago Medical Center
Section of Geriatrics (MC 6098)
5841 South Maryland Ave.
Chicago, IL 60637
Gavin W. Hougham, Research Director
Greg A. Sachs, Chief, Section of Geriatrics
How the grantee used this instrument:
A general information sheet filled out by the interviewer and patient or proxy before the enrollment interview.
identifying patients, patient enrollment, patient screening, dementia, Alzeheimer's
To use this tool:
You may print and copy this tool for your own use from this site. Please credit source.
Developed specifically for this project by the project team.
To view this tool:
Left click on the download link to view the PDF document in your Web browser. Right-click on the download link to save the document to your computer.
PDF 82 KB / 5 pages (Viewing PDF files requires downloading and installation of the free Adobe Acrobat Reader.)
Posted September 2004
University of Chicago: PEACE overview page
Promoting Excellence in End-of-Life Care was a national program of the Robert Wood Johnson Foundation dedicated to long-term changes in health care institutions to substantially improve care for dying people and their families. Visit PromotingExcellence.org for more resources.