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Process mapping: enhancing the implementation of the Liverpool Care Pathway
Amanda J Taylor1, Clare Randall
1Arohanui Hospice, Palmerston North, New Zealand. amanda.j.taylor@btinternet.com
International Journal of Palliative Nursing
|June 7, 2007
Summary
Process mapping improved the implementation of the Liverpool Care Pathway (LCP) in aged care facilities. This quality improvement tool supports sustained use of the LCP for end-of-life care.
Area of Science:
- Palliative Care
- Healthcare Quality Improvement
- Process Management
Background:
- Arohanui Hospice, a palliative care service in New Zealand, serves a large, geographically diverse population.
- The Liverpool Care Pathway (LCP) was implemented in the hospice inpatient unit in 2005.
- An LCP Pilot Project extended its use to aged residential care and hospital wards.
Purpose of the Study:
- To demonstrate process mapping as a quality improvement tool.
- To enhance the effective implementation and sustained use of the LCP in aged residential care.
- To identify organizational-level measures supporting LCP implementation.
Main Methods:
- Utilized process mapping (Buckman, 2003) as a quality improvement methodology.
- Evaluated the effectiveness of the LCP across different care settings (hospice, aged care, hospital).
- Focused on organizational rather than purely clinical implementation strategies.
Main Results:
- Process mapping was effective in enhancing LCP implementation in aged residential care.
- Identified key organizational measures crucial for successful LCP adoption and sustainability.
- The study provides a framework applicable to international settings.
Conclusions:
- Process mapping is a valuable tool for improving the implementation of end-of-life care pathways.
- Organizational support is critical for the sustained use of the Liverpool Care Pathway.
- The principles demonstrated are transferable to similar international healthcare contexts.
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