Fig. 1

A A patient with dementia is hospitalized, at which point a risk of 1-year mortality is automatically calculated by the computer. B If the risk of mortality is below a user-defined threshold, then the admitting team is not alerted. The threshold is based on the capacity of medical and specialist palliative care teams to act on the alert. C If the risk of mortality is above the threshold, then the admitting team is alerted. D The alert could prompt the admitting team to initiate advance care planning (primary palliative care). E The alert could prompt the admitting team to refer to specialist palliative care if needs are complex