Collecting Data on Quality Is Feasible in Community-Based Palliative Care

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• 作者：Arif H. Kamal MD^a ;   ; ^b ; Janet Bull MD^c ; Charles Stinson MD^d ; Debra Blue MD^e ; Robert Smith MD ; MBA^f ; Rikki Hooper MSN ; FNP^c ; Melanie Kelly RN ; MSN^d ; Judith Kinsella RN ; MSN^f ; Mark Philbrick RN ; MSN ; FNP^e ; Agbessi Gblokpor BS^b ; Jane L. Wheeler MSPH^a ;   ; ^b ; William Downey MSW^b ; Amy P. Abernethy MD^a ;   ; ^b ;   ; ^{amy.abernethy@duke.edu}
• 关键词：Quality monitoring ; community palliative care
• 刊名：Journal of Pain and Symptom Management
• 出版年：2011
• 出版时间：November 2011
• 年：2011
• 卷：42
• 期：5
• 页码：663-667
• 全文大小：101 K

文摘

Background

Quality measurement in palliative care requires robust data from standardized data collection processes. We developed and tested the feasibility of the Quality Data Collection Tool version 1.0 (QDACTv1.0) for use in community-based palliative care.

Measures

To evaluate for implementation barriers, we tested feasibility, acceptability, and utility of the QDACTv1.0 by reviewing use patterns, surveying clinician users, and reporting conformance with quality metrics.

Intervention

Comprising 37 questions within five domains, QDACTv1.0 was launched in May 2008 for data collection at point of care.

Outcomes

Through March 2011, data on 5959 patients in 19,734 visits have been collected. We observed steady quarterly growth in data collection, positive clinician feedback, and successful mapping of data to quality metrics. Information gathered characterized practice variations and suggested quality improvement initiatives. Clinician feedback has driven updating to Quality Data Collection Tool version 2.0.

Conclusions/Lessons Learned

Standardized data collection is feasible in routine community-based palliative care and is valuable for quality monitoring.