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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Using Quality Improvement to Increase Access to Palliative Care.

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Integrating palliative care into oncology is crucial. A collaborative clinical provider of the day (CPOD) model successfully increased palliative care access for breast and gynecologic cancer patients.

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Area of Science:

  • Oncology
  • Palliative Care
  • Healthcare Management

Background:

  • Palliative care integration aims to improve cancer patient outcomes.
  • Barriers to palliative care referral in breast and gynecologic oncology were identified.

Purpose of the Study:

  • To identify barriers to palliative care referral for breast and gynecologic cancer patients.
  • To develop and pilot a program to enhance access to palliative care services.

Main Methods:

  • A multidisciplinary steering committee was formed to identify barriers.
  • A pilot program, the Warm Handoff, was developed and refined.
  • A clinical provider of the day (CPOD) care model was implemented.

Main Results:

  • Initial pilot program (Warm Handoff) had limited utilization.
  • Identified barriers included lack of urgent visit access and clinician availability.
  • The CPOD model increased urgent consult capacity (19 patients/month) and showed a trend of increased referrals.

Conclusions:

  • Close collaboration between oncology and palliative care teams is key.
  • The CPOD model effectively increased palliative care service utilization.