Quality of palliative care for patients with advanced cancer in a community consortium.


Journal Article

BACKGROUND: Measuring quality of care delivery is essential to palliative care program growth and sustainability. We formed the Carolinas Consortium for Palliative Care and collected a quality data registry to monitor our practice and inform quality improvement efforts. MEASURES: We analyzed all palliative care consultations in patients with cancer in our quality registry from March 2008 through October 2011 using 18 palliative care quality measures. Descriptive metric adherence was calculated after analyzing the relevant population for measurement. INTERVENTION: We used a paper-based, prospective method to monitor adherence for quality measures in a community-based palliative care consortium. OUTCOMES: We demonstrate that measures evaluating process assessment (range 63%-100%), as opposed to interventions (range 3%-17%), are better documented. CONCLUSIONS/LESSONS LEARNED: Analyzing data on quality is feasible and valuable in community-based palliative care. Overall, processes to collect data on quality using nontechnology methods may underestimate true adherence to quality measures.

Full Text

Duke Authors

Cited Authors

  • Kamal, AH; Nipp, RD; Bull, JH; Stinson, CS; Lowery, AW; Nicolla, JM; Abernethy, AP

Published Date

  • February 2015

Published In

Volume / Issue

  • 49 / 2

Start / End Page

  • 289 - 292

PubMed ID

  • 25220048

Pubmed Central ID

  • 25220048

Electronic International Standard Serial Number (EISSN)

  • 1873-6513

Digital Object Identifier (DOI)

  • 10.1016/j.jpainsymman.2014.05.024


  • eng

Conference Location

  • United States