@article{193483466a304aa6bdbd60992b2d313d,
title = "The Palliative Care—Promoting Access and Improvement of the Cancer Experience (PC-PAICE) Project in India: A Multisite International Quality Improvement Collaborative",
abstract = "Mentors at seven U.S. and Australian academic institutions initially partnered with seven leading Indian academic palliative care and cancer centers in 2017 to undertake a program combining remote and in-person mentorship, didactic instruction, and project-based learning in quality improvement (QI). From its inception in 2017 to 2020, the Palliative Care—Promoting Accesst and Improvement of the Cancer Experience Program conducted three cohorts for capacity building of 22 Indian palliative care and cancer programs. Indian leadership established a Mumbai QI training hub in 2019 with philanthropic support. In 2020, the project which is now named Enable Quality, Improve Patient care - India (EQuIP-India) focuses on both palliative care and cancer teams. EQuIP-India now leads ongoing Indian national collaboratives and training in QI and is integrated into India's National Cancer Grid. Palliative Care—Promoting Accesst and Improvement of the Cancer Experience demonstrates a feasible model of international collaboration and capacity building in palliative care and cancer QI. It is one of the several networked and blended learning approaches with potential for rapid scaling of evidence-based practices.",
keywords = "Australia, India, Quality improvement, U.S., cancer, palliative care",
author = "Lorenz, {Karl A.} and Jake Mickelsen and Nandini Vallath and Sushma Bhatnagar and Odette Spruyt and Michael Rabow and Meera Agar and Dy, {Sydney M.} and Karen Anderson and Jayita Deodhar and Leela Digamurti and Gayatri Palat and Spandana Rayala and Sunilkumar, {M. M.} and Vidya Viswanath and Warrier, {Jyothi Jayan} and Sarbani Gosh-Laskar and Harman, {Stephanie M.} and Giannitrapani, {Karleen F.} and Anchal Satija and Pramesh, {C. S.} and Michelle DeNatale",
note = "Funding Information: The methods of PC-PAICE were limited by resources available to support it, as well as the nascent status of palliative care and QI in India. PC-PAICE was initially supported by volunteer coaches and donated project and leadership time. A 2018 systematic review evaluated publications of several hundred QI collaboratives conducted during the prior 20 years, highlighting gaps in the methods of collaboratives and the resulting limitations in the evidence for their effectiveness. 25 Because of resource constraints, challenges that limited the rigor of PC-PAICE include each cohort's short duration. PC-PAICE QI projects were also uncontrolled. More rigorous studies of QI will be difficult in India until shared measures are established and routinely collected by palliative care and oncology programs. Funding Information: EQuIP, India is supported by a grant from the Tata Trusts . The Tata Trusts had no role in the writing or submission of this publication. Funding Information: EQuIP, India is supported by a grant from the Tata Trusts. The Tata Trusts had no role in the writing or submission of this publication. The PC-PAICE Project was supported by kind contributions from Stanford Healthcare and Stanford University (for electronic resources, administrative support); with the volunteer time and effort of team members in India, the U.S. and Australia; the Tata Trusts funded Year 3 of the collaborative (renamed EQuIP-India) and its integration within the Indian NCG. The authors declare no conflicts of interest. Ethical approval: PC-PAICE was exempted from human subjects review as a QI activity. Publisher Copyright: {\textcopyright} 2020",
year = "2021",
month = jan,
doi = "10.1016/j.jpainsymman.2020.08.025",
language = "English (US)",
volume = "61",
pages = "190--197",
journal = "Journal of Pain and Symptom Management",
issn = "0885-3924",
publisher = "Elsevier Inc.",
number = "1",
}