Elder patients typically spend many weeks or months of their final years in hospitals. Seldom, however, do hospital providers have bedside discussions with them about their personal goals of care. Goals of Care (GOC) was founded to address these problems, setting new standards for elder care and treatment.
New Jersey ranks the highest in the nation for health care dollars spent on Medicare beneficiaries. Seniors in New Jersey can expect to see more doctors and undergo more tests during their final years of life than those in any other state. While this high level of service may sound beneficial, the data show health outcomes for New Jerseyans are actually no better, and perhaps worse, when compared to other states. Unnecessary, burdensome care involving aggressive treatments or inadequate treatment is frequently out of sync with patients’ wishes. Burdensome care, nevertheless, remains a compelling issue across the nation.
Our Goal: Goals of Care (GOC) seeks to achieve a much-needed culture change throughout health care for the elderly, making it standard procedure to ask each patient about his/her personal goals of care at the bedside and in the doctor’s office.
Our Mission: Our mission is to educate and support physicians, health care teams, and patients (and their families) at all levels to ensure that a patient’s treatment decisions stem from the patient’s goals of care, thus empowering the patient and improving both the quality and coordination of care.
Our Vision: We envision a revolution in geriatric medicine as it is instructed in the classroom and practiced at the bedside. Through our programs, we create an environment for the frail elders that is safe and protects their rights and their choices for care, while enriching geriatric education to provide better prognostication and communication skills. We are in the process of expanding from New Jersey to a regional and national level, and later to the international arena.