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Center for Health Services and Outcomes Research

End of Life Care

Evaluation of Implementation of Point-of-Care Palliative Care Quality Measures

The goal of this project was to evaluate the implementation of quality measure initiatives into quality improvement projects from the palliative care team, administrator and patient/family perspectives. The specific aims were: (1) To evaluate barriers, facilitators, and key strategies for implementing quality measurement in palliative care into quality improvement with a convergent mixed-method approach combining qualitative interviews with a variety of key stakeholders across palliative care sites, quantitative evaluation of key barriers and facilitators, and evaluation of differences among sites; and (2) To develop a patient- and family-centered approach to palliative care quality improvement through qualitative interviews about serious illness care.

The project resulted in development of a survey for and better understanding of the barriers and facilitators of implementation of palliative care quality measurement for implementation and changing practice, with the ultimate goals of improving quality and outcomes in palliative care for patients and their caregivers. 

To read more about the “Measuring and Improving Quality of Palliative Care Survey” developed under this project, follow here. The Webinar presented by Sydney Dy on this survey is here

Publications:

Dy SM, Al Hamayel NA, Hannum SM, Sharma R, Isenberg SR, Kuchinad K, Zhu J, Smith K, Lorenz KA, Kamal AH, Walling AM, Weaver SJ. A Survey to Evaluate Facilitators and Barriers to Quality Measurement and Improvement: Adapting Tools for Implementation Research in Palliative Care Programs. J Pain Symptom Manage. 2017 Dec;54(6):806-814. doi: 10.1016/j.jpainsymman.2017.06.008. Epub 2017 Aug 9.

Abu Al Hamayel N, Isenberg SR, Hannum SM, Sixon J, Smith KC, Dy SM. Older Patients’ Perspectives on Quality of Serious Illness Care in Primary Care. Epub, AJHPM. 2018 Jan 1:1049909118771675. doi: 10.1177/1049909118771675.