Promoting Excellence : Mount Sinai/Franklin Health Communication Instrument

Name:
Mt. Sinai School of Health/Franklin Health, Inc. Communication Instrument

Description:
A one-page questionnaire with yes/no response for patients to evaluate their interest in end-of-life care.

Category:
Evaluation Tool - Satisfaction/Perception of Care

Source:
Mount Sinai School of Medicine/ Franklin Health, Inc.
Mount Sinai Medical Center
Box 1070
One Gustav L. Levy Place
New York, New York 10029-6574
www.mountsinai.org

Contact:
Suzy Goldhirsch
[email protected]

How the grantee used this instrument:
Used to assess the patient's interest in discussing end-of-life care with their family and physicians, and in appointing a health care agent.

Keywords:
patient experience

To use this tool:
You may print and copy this tool for your own use from the website. Please credit source.

References:
Developed specifically for this project by the Franklin Health 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 PDF 14 KB / 1 page (Viewing PDF files requires downloading and installation of the free Adobe Acrobat Reader.)

Posted September 2004

Mount Sinai overview page


# MS12, type:satisfaction/perception_of_care


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.

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