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Evaluation of Hospital-Based Palliative Care Programs.

Karen Lynn Hall¹, Lisa Rafalson², Kathleen Mariano³

¹Department of Health Services Administration, D'Youville College, Buffalo, NY, USA fischk10@dyc.edu.

The American Journal of Hospice & Palliative Care

|October 9, 2014

Summary

This study assessed hospital palliative care programs in Buffalo, NY, against Center to Advance Palliative Care (CAPC) guidelines. Findings reveal service availability but highlight opportunities for improvement to meet national standards.

Keywords:

barriers in quality best practices gap analysis hospital-based palliative care qualitative analyses quality care

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Area of Science:

Palliative Care Medicine
Healthcare Management
Quality Improvement

Background:

Hospital-based palliative care programs are increasingly recognized for improving patient outcomes and reducing healthcare costs.
Standardized frameworks are essential for evaluating and enhancing the quality of these programs.

Purpose of the Study:

To evaluate current hospital-based palliative care programs in Buffalo, NY.
To assess these programs using the Center to Advance Palliative Care (CAPC) recommendations as a framework.
To identify challenges and opportunities for improving palliative care services.

Main Methods:

A gap analysis was performed on seven hospitals in Buffalo, NY, with existing palliative care programs.
Data collection involved key informant interviews with nine staff members.
An interview guide based on CAPC recommendations was utilized.

Main Results:

The study identified challenges in current palliative care programs, both established and developing.
A gap analysis revealed areas where hospital programs align with and deviate from CAPC quality definitions.
Findings suggest opportunities exist to enhance the scope of services offered.

Conclusions:

Hospital-based palliative care services are becoming more prevalent in the studied region.
Strategic implementation of best practices is needed to align services with national recommendations.
Further efforts are required to optimize palliative care program scope and quality.