Evaluation national quality program palliative care

In mid-2012, the National Quality Improvement Program Palliative Care started. Within this program care providers work on quality improvement in five main areas:
(1) patients die in the place of their choice,
(2) patients and families experience control over the care,
(3) patients and families experience coordination of care,
(4) patients and relatives experience that the care provided meets their specific wishes, needs and values,
(5) patients and relatives get attention to their physical, psychosocial and spiritual problems and needs.

Does the improvement program lead to a higher quality of care in the five main areas of the program?

Effect evaluation
In an earlier project NIVEL has developed a set of Quality Indicators Palliative Care. This set of indicators is used to gain insight into the effect of the program. The set contains some indicators that are measured by Numerical Rating Scales as well as indicators that are measured by the CQ-index PZ. There are two measurement periods of one month each: just before the start of the improvement and nine months later.

Process evaluation
To gain insight into the extent to which quality projects are implemented according to plan and to obtain explanations for any quality changes also a process evaluation will be performed. For this purpose, individual interviews and group interviews with project managers and other parties involved will be conducted. In addition, project plans and reports on individual improvement projects analyzed.

This project provides feedback reports for providers, interim reports for ZonMW, a nationwide public final report and presentation of results in journals and congresses. Also a helpdesk will be organized to give advice to healthcare providers who work with the quality indicators.
In this project we work together with