Table 1.

Outcome measures and data collection.

Major outcome measures	concept	Data collection: source & time
Aims 1 and 2 outcomes
EHR documentation of goals-of-care discussion (Primary outcome for both Trials)	Goals-of-care discussion	EHR: 30 days post randomization
ICU use, ICU and hospital free days	Intensity of care	EHR: 30 days post randomization
7- and 30-day ICU and hospital readmissions	Intensity of care	EHR: 7 and 30 days following hospital discharge
Costs of care	Intensity of care/ intervention costs	EHR: During hospital stay, 30 and 90 days post-randomization.
All-cause mortality at 90 days and 1 year	All-cause mortality	Washington State death certificates
Aim 2 outcomes (not used in Aim 1 since the Trial 1 is a pragmatic trial without contact with patients or family members)
Patient/family-reported discussion of goals [2,28]	Goals-of-care discussion occurrence	Survey: 3–5 days & 4–6 weeks post-randomization
Quality of Communication (QOC) [54,55,57]	Quality of communication	Survey: 3–5 days post randomization
SUPPORT question [60]	Goal-concordant care	Survey: 3–5 days & 4–6 weeks post-randomization
HADS – anxiety and depression [65,66]	Symptoms of anxiety & depression	Survey: 4–6 weeks post-randomization
EQ-5D-5L	Health-related QOL	Survey: 4–6 weeks post-randomization
Patient/family reported ED, hospitalization and outpatient utilization	Healthcare utilization	Survey: 4–6 weeks post-randomization
CollaboRATE [95]	Shared decision-making	Survey: 3–5 days post randomization