Despite advances in palliative care, patients are increasingly receiving more aggressive treatment in the last 6 months of life, and are enrolling in hospice later. To date, existing approaches to more rational end-of-life care such as palliative care consultations combined with patient and provider education have shown only modest impact. Therefore, new and different strategies are needed.

This project aims to combine Medicare claims data with national death data and Duke clinical information to create a dashboard that will show DUHS oncologists how their patients’ treatment patterns near the end of life compare to those of their peers at Duke and nationally. This dashboard will provide the foundation for subsequent projects to define how feedback can be most effective in changing physician behavior.