# ED GOAL: An Advance Care Planning Intervention for Seriously Ill Older Adults in the Emergency Department

> **NIH NIH K76** · BRIGHAM AND WOMEN'S HOSPITAL · 2022 · $54,000

## Abstract

K76 Administrative Supplement Application
Project Summary/Abstract
This is an administrative supplement to the parent award (K76AG064434) of Kei Ouchi, MD,
MPH, MS, which will ensure continued productivity during his family medical emergency
and will not change the scope of the parent award. Dr. Ouchi is committed to lead the field of
emergency medicine to integrate the principles of geriatrics and palliative medicine. Dr. Ouchi is
an emergency physician and home hospital physician (provides inpatient-level care at patient's
home1) in the Department of Emergency Medicine, Brigham and Women's Hospital/Harvard
Medical School. Dr. Ouchi's research focuses on the development of ED GOAL, a 6-minute
motivational interview conducted in the emergency department (ED), which engages patients to
address advance care planning (ACP) conversations with their outpatient clinicians and avoids a
time-consuming, sensitive conversation in the time-pressured ED environment. With funding from
the NIA GEMSSTAR R03 and Emergency Medicine Foundation, Dr. Ouchi developed ED GOAL
and demonstrated its acceptability and feasibility in seriously ill older adults in the ED. ED GOAL
may also increase patients' self-reported ACP engagement and ACP documentation after leaving
the ED. The GEMSSTAR project identified that, in this setting where resources are limited, ED
GOAL requires refinements to maximize its potential efficacy. This study will refine ED GOAL to
maximize its potential efficacy and scalability, and determine the preliminary efficacy of the refined
ED GOAL to increase ACP engagement one month after leaving the ED. The proposed 5-year
training plan accelerates Dr. Ouchi's career development as an independent physician-scientist
through training in: 1) cognitive impairment assessment and engagement of caregivers in ACP
research (ED GOALCG); 2) adaptation of ED GOAL/ ED GOALCG by specially-trained nurses; 3)
conducting a clinical trial of ED GOAL/ ED GOALCG administered by specially-trained nurses; and
4) implementation science in preparation for a future pragmatic clinical trial of ED GOAL/ ED
GOALCG. James Tulsky, MD, an internationally recognized leader in palliative medicine, will serve
as the primary mentor. Dr. Ouchi is co-mentored by: 1) Mara Schonberg, MD, MPH, a leader in
health services research among older adults; and 2) Edward Boyer, MD, PhD, a K24-funded
emergency medicine researcher with expertise in behavioral interventions. The ultimate goal is to
establish ED GOAL as a national standard of care to help all seriously ill older adults to receive
ACP conversations at the most critical times of their lives. Dr. Ouchi aims to expand the scope of
ED-based care from acute, disease-oriented care (e.g., gunshot wounds) to include patient-
centered care (e.g., value-based, end-of-life care) for seriously ill older adults by integrating
geriatrics and palliative medicine principles.

## Key facts

- **NIH application ID:** 10444068
- **Project number:** 3K76AG064434-02S1
- **Recipient organization:** BRIGHAM AND WOMEN'S HOSPITAL
- **Principal Investigator:** Kei Ouchi
- **Activity code:** K76 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2022
- **Award amount:** $54,000
- **Award type:** 3
- **Project period:** 2020-09-15 → 2025-05-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10444068

## Citation

> US National Institutes of Health, RePORTER application 10444068, ED GOAL: An Advance Care Planning Intervention for Seriously Ill Older Adults in the Emergency Department (3K76AG064434-02S1). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/10444068. Licensed CC0.

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