Can a One-Page guide spark better End-of-Life talks for dementia patients?

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

PATIENTS Inclusion Criteria: * Be cared for as an outpatient at a UW Medicine clinic * 55 years of age or older * Have an ICD-10 code for ADRD documented in the EHR within the prior two years If patients are cared for in a primary care setting within UW Medicine or by a geriatrician or neurologist, only a diagnosis of ADRD is required for eligibility. If patients have ADRD and are not followed by a primary care clinician at UW Medicine but are followed by a subspecialist, eligible patients must also have an ICD-10 code for one or more of seven chronic conditions used by the Dartmouth Atlas, relevant for the specialist they see, to ensure that goals-of care discussions are applicable for these specialists in the care of the enrolled patient. These conditions by specialist are: malignant cancer/leukemia (oncologist), chronic pulmonary disease (pulmonologist), coronary artery disease or heart failure (cardiologist), chronic liver disease (hepatologist), chronic renal disease (nephrologist), and diabetes with end-organ damage (endocrinologist). Exclusion Criteria: * restricted status, legal or risk management concerns * without capacity to complete informed consent procedures and without a legal surrogate to enroll them (for the survey component or qualitative interviews) * non-English speaking (for the survey component or qualitative interviews) * patients of a clinician who has opted-out of the study will not be eligible for the study under the care of that clinician but may be eligible if they also receive care from another clinician in a participating clinic FAMILY MEMBERS Inclusion Criteria: * Identified (via the patient or the EHR) as the person most involved in care for an eligible patient in the trial * 18 years of age or older * English language proficiency Exclusion Criteria: * legal or risk management concerns * psychological illness or morbidity preventing completion of study materials * physical or mental limitations preventing completion of study materials * non-English speaking Not all patients will have an eligible family member to enroll. CLINICIANS Inclusion Criteria: * Physician or advance practice provider caring for older adults within UW Medicine clinics * 18 years of age or older * English language proficiency * (Interviews) Identified as clinician of record for an enrolled patient in the trial and received a Jumpstart guide Exclusion Criteria: * legal or risk management concerns