TABLE. Key Program Elements.

Our intervention included 3 aspects: 1) a discharge summary template, 2), a financial incentive, and 3) staged performance feedback to residents.

Element	Implementation Month
1. Discharge Summary Template in the Electronic Medical Record	July (Month 1 of Program)
We incentivized two template fields: 1) whether the patient expressed wishes for care during the hospitalization, and 2) whether the patient identified a surrogate decision maker. Additional fields allowed residents to enter detailed information
2. Financial Incentive Program	July (Month 1 of Program)
For residents to receive the $400 financial incentive, documentation of the two incentivized fields was required within 48 hours of discharge for 75% of patients in at least 3 of 4 quarters of the year
3. Audit and Feedback	Varied (See below)
General information about the program, including targets and requirements, in monthly reminder emails and at education sessions	July (Month 1 of Program)
Feedback at the team level in bi-weekly emails	August (Month 2 of Program)
Standardized graphical and tabular data comparing overall, team, and individual residents’ documentation rates in bi-weekly emails	November (Month 5 of Program)