National Institutes on Aging

Randomized Evaluation of Default Access to Palliative Services (REDAPS)

Principal Investigator: Scott Halpern, MD, PhD

Inpatient palliative care consultative services (IPCS) hold great promise to improve care and reduce costs for patients with life-limiting illnesses. However, there is limited experimental evidence available to quantify the effects of IPCS in generalizable, real-world settings, and even less evidence about which types of services work best for which types of patients or how to insure timely IPCS delivery. This study consists of a large, pragmatic trial to assess the effects of default palliative care consultation for seriously ill patients on clinical, patient-centered, and economic outcomes. The trial will use a stepped-wedge, cluster randomized design to be conducted among 10 geographically dispersed hospitals within Ascension Health, the largest non-profit health system in the country.