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A multi-stage process to develop quality indicators for community-based palliative care using interRAI data.

Dawn M Guthrie1,2, Nicole Williams1, Cheryl Beach3

  • 1Department of Kinesiology and Physical Education, Wilfrid Laurier University, Waterloo, Ontario, Canada.

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Summary
This summary is machine-generated.

This study created 22 quality indicators (QIs) for home-based palliative care (PC) using existing interRAI assessment data. These QIs help improve care quality for patients and families.

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Area of Science:

  • Palliative Care Research
  • Health Services Research
  • Gerontology

Background:

  • Palliative care (PC) is often preferred at home, but quality assessment for home-based services is limited.
  • Existing interRAI assessments, used for home care clients, provide a data source for quality measurement.
  • This project addresses the need for evaluating the quality of community-based palliative care.

Purpose of the Study:

  • To develop valid and reliable quality indicators (QIs) for home- and community-based palliative care.
  • To utilize data from interRAI assessments for QI generation.
  • To support providers and policymakers in optimizing palliative care delivery.

Main Methods:

  • Multi-stage development (2017-2021) involving a clinician workshop, qualitative interviews, and a modified Delphi panel.
  • Candidate QIs were identified from workshop and interview data.
  • A RAND/UCLA appropriateness method guided the Delphi panel for QI evaluation.

Main Results:

  • An initial set of 27 candidate QIs were defined, addressing issues like pain, breathlessness, and caregiver burden.
  • Through expert evaluation, five QIs were removed, resulting in a final set of 22 QIs.
  • The developed QIs are generated from data already collected via interRAI assessments.

Conclusions:

  • A feasible set of QIs for palliative care quality benchmarking has been developed.
  • These QIs can be generated using readily available interRAI assessment data.
  • The indicators offer a foundation for quality improvement systems in community-based palliative care.