Center to Advance Palliative Care

For Patients and Families
Partner
Sponsor
 
  Print this page
Views

CAPC Palliative Care Discussion Forum
Data Collection and Measurement

Next Reply: Re:Tools for palliative care performance measurement
Previous Message: Assessment Tool to asses nurses in Palliative Care
Next Message: trigger tools

Post Tools for palliative care performance measurement
Author: MarkORourke
Date: Nov 11, 2010 7:28 pm
My question is what is the national standard or benchmark for measuring how a hospital (or a part of the hospital, such as the ICU) is doing with provision of palliative care? Our state has a coalition of organizations interested in establishing uniform processes statewide to improve care for seriously ill inpatients and then measuring the efficacy of those processes. We are looking at the palliative care “bundle” described by Nelson JE, et al. Improving Comfort and Communication in the ICU: a practical tool for palliative care performance measurement and feedback. Qual Safe Health Care 2006;15:264-271. Does anyone have experience using this bundle to measure and compare multiple hospitals over time? Are there other bundles or tested measurement tools? Thank you in advance for your thoughts.
Replies: order by [Date] [Author] [Subject]
Re:Tools for palliative care performance measurement (by lynceronsky on 11/26/2010)
Hi Mark,
This is an excellent question, and I suspect the lack of responses to date reflects the complexity of the issue. The ICU bundle by Judith Nelson and colleagues is a practical and setting specific (ICU) approach. Your experience of using the bundle across multiple settings would be of interest to many hospital systems. One of the biggest challenges would be implementation across varied clinical sites.
It's likely you are familiar with the recommended operational, customer, and clincal metrics as described in a series of articles in the Journal of Palliative Medicine and available as links on the capc website.
Other systems/states are focusing efforts on implementation of a standardized approach to advanced care planning and POLST for appropriate patients. In MN, we have worked to focus community efforts around the NQF 38 Preferred Processes, such as pain assessment and family conferences.
Another resource is the recent CAPC audioconference by Lynn Hill Spraegens and R. Sean Morrison MD ( November 9, 2010) that highlights the challenges for the field of palliative care and importance of working toward IOM goals.
Lyn Ceronsky
Director, Palliative Care
Fairview Health System
A Palliative Care Leadership Center
Minneapolis, MN

IMPORTANT: In order to post a new message or reply to an existing post in the discussion you must login. If you are not a registered member you may join here.
The statements posted in the forum section of capc.org are opinions expressed by website visitors and do not necessarily represent the viewpoints or positions of the Center to Advance Palliative Care(CAPC). CAPC is not responsible for the factual or legal accuracy of any of the statements posted.


General questions about using the CAPCconnect™ palliative care discussion forum?
Email: Jennifer.Raiten@mssm.edu

Lost login username/password questions? Email: Margaret.Schutz@mssm.edu