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Related Experiment Videos

Hospice quality improvement programs: an initial examination.

C N D'Onofrio1,

  • 1School of Public Health, University of California at Berkeley, Berkeley, California, USA.

Journal of Nursing Care Quality
|July 17, 2001
PubMed
Summary

Quality improvement (QI) in end-of-life care is understudied. Hospices linking QI to strategic goals showed better programs and outcomes, despite challenges in benchmarking and technology adoption.

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Area of Science:

  • Palliative Care
  • Healthcare Management
  • Quality Improvement Science

Background:

  • Limited understanding exists regarding the application of quality improvement (QI) processes in end-of-life care.
  • There is a need to explore how hospices utilize QI to enhance the care of dying patients.

Purpose of the Study:

  • To investigate the current state of quality improvement (QI) programs in large hospice organizations.
  • To identify factors associated with successful QI implementation and performance enhancement in hospice care.

Main Methods:

  • A collaborative exchange of information on QI programs among 11 large hospice agencies.
  • Analysis of reported QI outcomes, indicators, methods, and organizational integration.

Main Results:

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  • Hospices monitored 3 to 50 outcomes using diverse indicators and methods.
  • Agencies aligning QI with organizational mission and strategic plans demonstrated more robust QI programs, dedicated staff, and greater performance enhancement.
  • Challenges were noted in establishing benchmarks, staff engagement, and utilizing technology for QI data management.

Conclusions:

  • Strategic integration of QI is associated with more effective hospice programs.
  • Hospice QI initiatives face common challenges in implementation, including benchmarking, staff involvement, and technological integration.
  • Further research is needed to optimize QI processes in end-of-life care settings.