HSM organized focus groups to discuss end-of-life care with care providers and residents' families. It also engaged in a survey of facility policies and practices regarding end-of-life care and conducted interviews with experts in the field.
The HSM study explored a number of questions, including:
- Why do so few nursing home residents have effective advance health care directives?
- Why are nursing home residents often transferred to hospitals during the end-of-life period and how many of these transfers are necessary?
- What aspects of the nursing home context constrain the delivery of palliative care at the end of residents' lives?