PCOC is a national palliative care project funded

PCOC is a national palliative care project funded by the Australian Government Department of Health pcoc. org. au Measuring Palliative Care Outcomes Standardised assessment & outcome measurement

WHY PCOC EXISTS § PCOC aims to embed nationally standardised clinical assessments and point-of-care data collection into daily practice • Assessments are ‘vital signs’ for palliative care • In real time , for use in planning and delivering patient care pcoc. org. au

WHY PCOC EXISTS § To drive quality and outcome improvement • With a feedback loop to individual services • Identifying individual improvement opportunities • Facilitate service to service benchmarking pcoc. org. au

FIVE CORE CLINICAL ASSESSMENT TOOLS Phase Eagar et al, 2004 Functional status RUG-ADL Fries et al, 1994 AKPS Abernethy et al, 2005 Pain and other symptoms PCPSS Eagar et al, 2004 SAS Aoun et al, 2004 pcoc. org. au

ASSESSMENT PROTOCOL On Admission On A minimum of daily in the inpatient setting Patient contact in the hospital consultative setting g Patient contact in the community setting, by phone or in -person At change in plan of care (new phase) At discharge pcoc. org. au

PATIENT INFORMATION RECORDED Demographics Setting care Setting of care Episode Demographics Assessments pcoc. org. au

WHAT HAPPENS TO THE INFORMATION YOU COLLECT ABOUT YOUR PATIENTS? pcoc. org. au

FROM ASSESSMENTS TO OUTCOMES Patient care benchmarked Outcome Report based on assessment scores Track symptoms & problems Plan & review care Daily, at contact, routinely Assess patient and family/carer pcoc. org. au

MEASURING OUTCOMES Focus is on individual patient’s outcomes regardless of the setting of care. There are 20 benchmarks: 1 1 6 9 3 benchmark on timeliness of care benchmark on responsiveness to urgent needs benchmarks on pain management benchmarks on symptom management benchmarks on family/carer problems pcoc. org. au

PCOC raises the profile of palliative care and gives public recognition of services meeting every benchmark § Academic publications § Letters and media releases congratulating high performing services § Conferences – helping clinicians to prepare papers on their own service results pcoc. org. au

BENEFITS FOR CLINICIANS Standard assessment & communication ‘Vital Signs’ Baseline assessment & a snapshot of patient needs Track and respond to symptoms and problems Better patient experience & Improved outcomes of care pcoc. org. au

BENEFITS FOR PATIENTS AND FAMILIES Routine assessment of the unique needs of the patient, family and carers Patient, family & carers are part of decision making & care is driven by need The palliative care service measures and improves the care it provides Better patient experience & Improved outcomes of care pcoc. org. au

KEY MESSAGE Clinical assessments are used to Prove Patient Outcomes Improve Patient Outcomes pcoc. org. au

KEY MESSAGE Implementation of the PCOC model has led to statistically and clinically significant improvements in patient and carer outcomes pcoc. org. au

www. pcoc. org. au

KEY RESOURCES www. PCOC. org. au Implementing, embedding and sustaining PCOC Guide for services and Organisations Assessment and Response Protocol Guide for use of the assessment framework Self-Directed Education Package Aid local implementation, embedding and sustaining Essentials course for clinicians and managers Education on the use of assessments and outcome reports

PCOC is a national palliative care project funded by the Australian Government Department of Health pcoc. org. au Thank You For further information please view the resources contained in the PCOC Clinical Manual, go to www. pcoc. org. au, or contact your PCOC Facilitator