The quality imperative for palliative care

Arif H. Kamal, Laura C. Hanson, David J. Casarett, Sydney M. Dy, Steven Z. Pantilat, Dale Lupu, Amy P. Abernethy

Research output: Contribution to journalArticlepeer-review

Abstract

Palliative medicine must prioritize the routine assessment of the quality of clinical care we provide. This includes regular assessment, analysis, and reporting of data on quality. Assessment of quality informs opportunities for improvement and demonstrates to our peers and ourselves the value of our efforts. In fact, continuous messaging of the value of palliative care services is needed to sustain our discipline; this requires regularly evaluating the quality of our care. As the reimbursement mechanisms for health care in the U.S. shift from fee-for-service to fee-for-value models, palliative care will be expected to report robust data on quality of care. We must move beyond demonstrating to our constituents (including patients and referrers), "here is what we do," and increase the focus on "this is how well we do it" and "let us see how we can do it better." It is incumbent on palliative care professionals to lead these efforts. This involves developing standardized methods to collect data without adding additional burden, comparing and sharing our experiences to promote discipline-wide quality assessment and improvement initiatives, and demonstrating our intentions for quality improvement on the clinical frontline.

Original languageEnglish (US)
Pages (from-to)243-253
Number of pages11
JournalJournal of Pain and Symptom Management
Volume49
Issue number2
DOIs
StatePublished - Feb 1 2015

Keywords

  • Quality
  • palliative care

ASJC Scopus subject areas

  • Nursing(all)
  • Clinical Neurology
  • Anesthesiology and Pain Medicine

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