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The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
Development, implementation, and process evaluation of a regional palliative care quality improvement project.
Deborah J Dudgeon1, Christine Knott, Cheryl Chapman
1Queen's University Palliative Care Medicine Program, Kingston, Ontario, Canada. gosser@kgh.kari.net
Journal of Pain and Symptom Management
|August 25, 2009
Summary
The Palliative Care Integration Project (PCIP) improved cancer patient care by enhancing coordination among providers. This collaborative network demonstrated value, especially in community settings, by fostering shared ownership without compromising autonomy.
Area of Science:
- Oncology
- Palliative Care
- Health Services Research
Background:
- Optimal palliative care necessitates integrated, coordinated efforts from diverse healthcare providers across the care continuum.
- Identified regional gaps in palliative care delivery prompted the development of the Palliative Care Integration Project (PCIP).
Purpose of the Study:
- To enhance continuity and reduce care variability for cancer patients receiving palliative care through the PCIP.
- To evaluate the development, implementation, and perceived usefulness of the PCIP resources among frontline health professionals.
Main Methods:
- Established a multi-institutional and multisectoral Steering Committee and Working Groups for project development, implementation, and evaluation.
- Developed five Collaborative Care Plans and Symptom Management Guidelines, integrating validated assessment tools (Edmonton Symptom Assessment System, Palliative Performance Scale).
- Implemented resources across community, palliative care unit, and cancer center settings, followed by surveys and focus groups with frontline health professionals.
Main Results:
- Over 90 individuals from more than 30 organizations contributed to the PCIP's development, implementation, and evaluation.
- Approximately 600 regulated and allied health professionals, plus over 200 physicians and residents, received PCIP training.
- Frontline health professionals reported that the PCIP added value to their practice, particularly within the community sector, despite challenges.
Conclusions:
- The Palliative Care Integration Project (PCIP) successfully improved the integration and coordination of palliative care delivery.
- A collaborative network model, emphasizing shared ownership and organizational autonomy, proved effective in enhancing care continuity and reducing variability for cancer patients.
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