Despite the example of the Detroit Receiving Hospital, for the most part, the costs and benefits of palliative care programs are not clear-cut; as with much in this field, few studies have been done, although many promising programs are under way. Here are some questions to consider:
Strategies for gathering this kind of information include:
Source: Zuckerman, 1998
Once this study has been completed, organizations must next consider how to present the proposed project to health care staff and how to anticipate and respond to their concerns. When organizations finally select an approach, they must develop a way to manage the program and provide day-to-day administrative support for tasks such as grant writing, funding, research and analysis, and outreach. Some programs are managed within geriatrics or pain service. Still others hire new staff for their units or consults.
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This online version of the book Improving Care for the End of Life: A Sourcebook for Health Care Managers and Clinicians is provided with permission of Americans for Better Care of the Dying [ www.abcd-caring.org ] and Oxford University Press. All rights reserved.
For further information on quality improvement in end-of-life care visit The Palliative Care Policy Center [ www.medicaring.org ].