The New York City Palliative Care Quality Improvement Collaborative
Abstract:Background: Care for persons living with fatal chronic conditions is expensive and challenging, and can be unreliable. A quality improvement collaborative was conducted to develop capacity among health care providers in a single geographic area—New York City—to apply quality improvement methodology to palliative care services.
Methods: The Palliative Care Quality Improvement Collaborative (PC-QuIC) modified the Institute for Healthcare Improvement's Breakthrough Series model by delivering four year-long implementation cycles, with 18–24 teams in each wave and 82 teams overall.
Results: Substantial improvements were noted in most of the team projects (advance care planning, pain, family support, coordination of care), and substantial gains were made in familiarity with continuous quality improvement (CQI) techniques and in building palliative care programs and networks.
Discussion: Collaborative rapid-cycle QI projects in a limited geographic area can be efficient in building and sustaining improved care for persons nearing the end of their lives, especially when the work involves the broad range of organizations that care for this patient population. PC-QuIC's experience illustrates the growing strength of palliative care services, but also demonstrates the challenges that confront further refinement and expansion of high-quality palliative care.
Document Type: Research Article
Publication date: 2007-06-01
More about this publication?
- The Joint Commission Journal on Quality and Patient Safety will be published by Elsevier beginning in 2017! For readers who receive access to the journal through their institutions, the journal can now be found on ScienceDirect (http://www.sciencedirect.com/science/journal/15537250). For librarians looking to subscribe to the journal for their institutions please contact your Elsevier Account Manager or visit www.myelsevier.com for more information. All other readers, please visit http://www.jointcommissionjournal.com/ to subscribe to the journal or to claim your access for an existing subscription.
- Editorial Board
- Information for Authors
- Subscribe to this Title
- Information for Advertisers
- Reprints and Permissions
- Ingenta Connect is not responsible for the content or availability of external websites