Author
- Mardie MacDonald1
- St. Vincent's Hospital Melbourne1
2015
Excerpt
Background
When analysing Caritas Christi Hospice Kew PCOC data, we realised that we had a problem. This became apparent after attending the national PCOC benchmarking workshop in 2014. We knew we provided sound clinical care, however our PCOC Patient Outcomes Report did not reflect this. We attempted to identify solutions. We were unsuccessful. We contacted our PCOC OIF and requested support.
Action
The PCOC QIF worked with us initially, and then spent a day with us. This changed everything! Areas of particular concern were:
• Phase
• PCPSS
• SAS.
Audits were conducted with the team. At the conclusion of the day we held an open forum for team reflection, and to plan the 'way forward'. Results as of 27/04/15:
• We observe a far more collegiate and inclusive team culture
• A culture of quality improvement is becoming more firmly embedded in the service
• Increased staff confidence with PCOC assessments
• Improved data (as evidenced by interim PCOC Data Summaries and Quality Data Reports)
• Correct phasing
• Expected improvement in meeting national benchmarks
• Cultural change beyond PCOC.
Reference
1 David C Currow, Samuel Allingham, Patsy Yates, Claire Johnston, Katherine Clark & Kathy Eagar. Supportive Care in Cancer. ISSN 0911-4355 Support Care Cancer DOI 10- 007/s00520-01423ci8-2014
2 To TH, 0ng WY, Rawlings D, Greene A, Currow DC. 2012 The Disparity between patient and Nurse Symptom rating in a Hospice Population. J Paliative Med. March
When analysing Caritas Christi Hospice Kew PCOC data, we realised that we had a problem. This became apparent after attending the national PCOC benchmarking workshop in 2014. We knew we provided sound clinical care, however our PCOC Patient Outcomes Report did not reflect this. We attempted to identify solutions. We were unsuccessful. We contacted our PCOC OIF and requested support.
Action
The PCOC QIF worked with us initially, and then spent a day with us. This changed everything! Areas of particular concern were:
• Phase
• PCPSS
• SAS.
Audits were conducted with the team. At the conclusion of the day we held an open forum for team reflection, and to plan the 'way forward'. Results as of 27/04/15:
• We observe a far more collegiate and inclusive team culture
• A culture of quality improvement is becoming more firmly embedded in the service
• Increased staff confidence with PCOC assessments
• Improved data (as evidenced by interim PCOC Data Summaries and Quality Data Reports)
• Correct phasing
• Expected improvement in meeting national benchmarks
• Cultural change beyond PCOC.
Reference
1 David C Currow, Samuel Allingham, Patsy Yates, Claire Johnston, Katherine Clark & Kathy Eagar. Supportive Care in Cancer. ISSN 0911-4355 Support Care Cancer DOI 10- 007/s00520-01423ci8-2014
2 To TH, 0ng WY, Rawlings D, Greene A, Currow DC. 2012 The Disparity between patient and Nurse Symptom rating in a Hospice Population. J Paliative Med. March