Accountable and Transparent Palliative Quality Measures Will Improve Care

Vyjeyanthi S. Periyakoil, Charles F.Von Gunten, Devon Check, Brystana Kaufman, Terri L. Maxwell, Joan M. Teno

Research output: Contribution to journalArticlepeer-review

Abstract

How do we build on the proven successes of hospice and palliative care and build clinical programs to serve those who need it in the context of real-world health care? Experiences with glide pathways have clearly shown that changes in financial incentives must always be implemented with counterbalancing measures that ensure that seriously ill patients are getting high-quality care consistent with their goals and values. There are quality measures for quality improvement and there are quality measures for accountability or transparency. We must balance any financial incentives with concrete quality measures that act as a check and balance to the care that is being provided. This area of investigation is rich in opportunity. Much research is needed to advance the craft of hospice and palliative care if the field is to move forward at scale in a timely manner. We need to democratize research and engage both "small r"and a "big R"researchers in the manner of other subspecialties such as oncology and cardiology. Future research should focus on building innovative systems and models of care to uncover needs of seriously ill patients and their caregivers and effectively cater to those needs.

Original languageEnglish (US)
Pages (from-to)542-548
Number of pages7
JournalJournal of palliative medicine
Volume25
Issue number4
DOIs
StatePublished - Apr 2022
Externally publishedYes

Keywords

  • goal-Aligned care
  • palliative medicine
  • population health
  • quality outcomes
  • service design

ASJC Scopus subject areas

  • Nursing(all)
  • Anesthesiology and Pain Medicine

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