Center to Advance Palliative Care

For Patients and Families

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Measurement Tools

Using Metrics to Grow Your Program

Using Metrics to Grow Your Palliative Care Program

CAPC Consensus Metrics-Self Assessment Tools

Clinical Metrics

The CAPC Clinical Rounding Tool

Palliative Care Service Intervention Form

Symptom Control Tools

Clinical Care and Customer Satisfaction Metrics

Customer Metrics

Palliative Outcome Scale

Family Evaluation of Palliative Care (NHPCO)

Clinician Satisfaction Survey (Ann Arbor VA)

UCSF SMS Patient Follow-Up Satisfaction Survey

Clinician Satisfaction Survey (Froedtert Hospital)

Clinician Satisfaction Survey (Fairview)

Family Satisfaction Survey - Billings et.Al (Journal of Palliative Medicine

Physician Satisfaction with Palliative Care Services (DFCI)

UCSF SMS PHYSICIAN Clinical Data Form

Housestaff Satisfaction with Palliative Care Services

Bereavement/After-Death Tools

Clinical Care and Customer Satisfaction Metrics

UCSF Palliative Care Service Patient and Family Satisfaction Survey (phone)

Pediatric Satisfaction Survey--Current Patient (Children's Hospitals & Clinics of Minnesota)

Pediatric Satisfaction Survey--Discharged Patient (Children's Hospitals & Clinics of Minnesota)

Pediatric Satisfaction Survey--Bereaved Patient (Children's Hospitals & Clinics of Minnesota)

Operational Metrics

The CAPC Clinical Rounding Tool

Center to Advance Palliative Care Palliative Care Consultation Service Metrics: Consensus Recommendations

Center to Advance Palliative Care Inpatient Unit Operational Metrics: Consensus Recommendations

Operational Features for Hospital Palliative Care Programs: Consensus Recommendations

Quality Monitoring

VHA, Inc. Care and Communication Bundle of ICU Palliative Quality Measures

Data Collection Tool for Use with the VHA Care and Communication Bundle

ICU Palliative Care Quality Assessment - Nurse Survey

ICU Palliative Care Quality Assessment - Physician Survey