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CAPC Palliative Care Discussion Forum
Data Collection and Measurement

Next Reply: Re:Pt Sat Surveys
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Author: Deb
Date: Oct 4, 2007 11:17 am
I am looking for templates for pt satisfaction surveys. My institutuion does not want to do Press-Gainey, so I have to do my own and mail them out (or get a light-duty person to make phone calls...).
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+ Re:Pt Sat Surveys (by JMorris on 10/04/2007)
This is the one we use. it did not cut and paste well in this format. I could email it as an attachment if that would help.

John Morris

PALLIATIVE CARE SATISFACTION SURVEY

The Palliative Care Team provides care to patients and families dealing with illness. Your honest feedback to this survey will help assess and improve our program.

Please answer the questions below about the care we provided to you or your family member. A self addressed, stamped envelope has been provided for your response.

Strongly Agree Agree Disagree Strongly Disagree N/A

1.A clear explanation of Palliative Care services was given.
2.We addressed pain and other symptoms causing discomfort.
3.We showed respect for your wishes and goals of care.
4.We helped ease stress or fears caused by the illness.
5.I would recommend Palliative Care services to others.
Please add any comments that may improve our care.
_________________________

Name (Optional)______________
If you would like to speak with someone about our program or care received, I welcome your call. Thank you for taking the time to complete our survey.

Sincerely,


Dr. John Morris
Medical Director of Palliative Care Services
Re:Pt Sat Surveys (by CarolSieger on 10/04/2007)

Please reference the Tools/Clinical and Quality Measurement Tools section on the CAPC website. The following link will connect you directly to the section on patient and family satisfaction

http://www.capc.org/tools-for-palliative-care-programs/clinical-tools/patient-family-needs-assessment
Re:Pt Sat Surveys (by jbcassel on 10/04/2007)
I agree with Carol's response and would add that if your institution does currently use any type of patient / family satisfaction survey at this time, you should try to include key questions and same format from that survey in yours. That will give you at least the potential of comparing your PC patients' / families' satisfaction to others in the hospital. Also, open-ended questions regarding what you could have done better, will give you fodder for making future program improvements (and seeking resources necessary for implementing them). It doesn't all have to be good news to be useful news.

- Brian Cassel
VCU Massey Cancer Center
Thomas Palliative Care Program
A Palliative Care Leadership Center

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