Epilogue: Reflections from International Mentors of the Quality Improvement Training Programme in India

Lorenz, Karl; Dy, Sydney; DeNatale, Michelle; Rabow, Michael W.; Spruijt, Odette; Anderson, Karen; Agar, Meera; Mickelsen, Jake; Vallath, Nandini

doi:10.25259/ijpc_415_20

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“…with a balanced focus on oncology and PC. 13,[19][20][21] This is a promising area for research which may be explored in the future QI projects. Implementing common process and outcome measures is critical to evaluating change and improvement in PC across diverse settings 22,23 and could be a focus of strengthening India's maturing QI network.…”

Section: Discussionmentioning

confidence: 99%

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Quality Improvement in Itself Changes Your Thinking: Lessons From Disseminating Quality Improvement Methods Through a Multisite International Collaborative Palliative Care Project in India

Satija

Lorenz

Spruijt

et al. 2022

JCO Global Oncology

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PURPOSE Seven major palliative care (PC) centers in India were mentored through the Palliative Care—Promoting Assessment and Improvement of the Cancer Experience (PC-PAICE) by US and Australian academic institutions to implement a quality improvement (QI) project to improve the accessibility and quality of PC at their respective centers. The objective was to evaluate the experiences of teams in implementing QI methods across diverse geographical settings in India. METHODS A quota sampling approach was used to elicit perspectives of local stakeholders at each site. The Consolidated Framework for Implementation Research informed development of a semistructured interview guide. Analysis leveraged deductive and inductive approaches. RESULTS We interviewed 44 participants (eight organizational leaders, 12 clinical leaders, and 24 team members) at seven sites and identified five themes. (1) Implementing QI methods enabled QI teams to think analytically to solve a complex problem and to identify resources. (2) Developing a problem statement by identifying specific gaps in patient care fostered team collaboration toward a common goal. (3) Making use of QI tools (eg, A3 process) systematically provided a new, straightforward QI toolkit and improved QI teams' conceptual understanding. (4) Enhancing stakeholder engagement allowed shared understanding of QI team members' roles and processes and shaped interventions tailored to the local context. (5) Designing less subjective processes for patient care such as assessment scales to identify patient's symptomatic needs positively changed work practices and culture. CONCLUSION Engaging and empowering multiple stakeholders to use QI methods facilitated the expansion and improvement of PC and cancer services in India. PC-PAICE demonstrated an efficient, effective way to apply QI methods in an international context. The impact of PC-PAICE is being magnified by developing a cadre of Indian QI leaders.

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Section: Discussionmentioning

confidence: 99%

“…Annual cohorts have continued during each year since 2017 and since 2019-2020 have included a total of 22 teams with a balanced focus on oncology and PC. 13 , 19 - 21…”

Section: Discussionmentioning

confidence: 99%

Quality Improvement in Itself Changes Your Thinking: Lessons From Disseminating Quality Improvement Methods Through a Multisite International Collaborative Palliative Care Project in India

Satija

Lorenz

Spruijt

et al. 2022

JCO Global Oncology

Self Cite

View full text Add to dashboard Cite

show abstract

Epilogue: Reflections from International Mentors of the Quality Improvement Training Programme in India

Abstract: The article collates the narratives of experiences of the international faculty who mentored the quality improvement teams from India since 2017.

Cited by 1 publication

References 1 publication

Quality Improvement in Itself Changes Your Thinking: Lessons From Disseminating Quality Improvement Methods Through a Multisite International Collaborative Palliative Care Project in India

Quality Improvement in Itself Changes Your Thinking: Lessons From Disseminating Quality Improvement Methods Through a Multisite International Collaborative Palliative Care Project in India

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