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CAPC Palliative Care Discussion Forum
Data Collection and Measurement
evaluation measuresDate: Jun 25, 2007 12:29 pm
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| Re:evaluation measures (by Weissman on 09/11/2007)
Hi--before you begin designing a measurement system, it is good to answer a couple of questions:
a) who cares that you measure program success? In other words, who are the stakeholders for your success: hospital administrators, medical staff, board of directors. etc.
b) what data would be most useful to your particular stakeholders? for administrators this is typically cost and patient satisfaction data, for the medical staff it may be patient satisfaction; for the QI department, it may be pain scores.
Once you have answered these questions, you can think about the best measurement tools. The most commonly used tools are listed below:
Cost impact: measure before and after direct patient cost (not charge) to demonstrate impact of consultations on utilization of services. Your finance department can help set up a cost reporting system--see CAPC/TOOLS/Tools to conduct financial analysis.
Referring physician satisfaction--see CAPC/TOOLS/MarketingTools/Physician Survey for an example of a survey to your referring physicians
Symptom control: some of this may already be done as part of hospital patient satisfaction programs. For patients seen by the Palliative Care team, the ESAS is the most commonly used symptom scoring tool. See: CAPC/TOOLS/Clinical and Quality Mamanagement Tools/Edomonton Symptom ...
You can find additional measure tools at www.npcrc.org/resources
Finally--if you have not participated in a Palliative Care Leadership Center program, I would strongly recommend this--one of the core goals of this is to help programs develop a measurement system to document success. See http://www.capc.org/palliative-care-leadership-initiative/.
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