PC-PAICE Palliative Care—Promoting Access & International Cancer Experience in India Collaborative (QI717)

Implementation of an Early Palliative Care Referral Program in Lung Cancer: A Quality Improvement Project at the Tata Memorial Hospital, Mumbai, India

“…[17] e quality-improvement and dissemination efforts elaborated in this article were a part of a wider nationwide program as has been described elsewhere. [18] One important, ongoing challenge for new and existing quality-improvement initiatives is how to make the effort as invisible and integrated as possible amid the fabric of usual clinical operations. e seamless integration of validated, quality metric data collection into EMR is ideal but has major cost and time implications.…”

Barriers and Facilitators of Using Quality Improvement To Foster Locally Initiated Innovation in Palliative Care Services in India

“…In 13 The PC-PAICE curricula included baseline states, problem descriptions, outcomes measurement, intervention deployment, sustainability, and QI methods (e.g., run charts, fishbone, A3 process). [14][15][16] All these intend to facilitate systematic problem-solving. Trainees were recruited from the Indian Association of Palliative Care members, and mentors were recruited from faculty of the US and Australian sites with PC oncology services.…”

“…Moreover, all teams met in person in February 2018 for further didactics, team building, and problem-solving. 14 PC-PAICE mentors worked with Indian clinician leads to develop locally initiated quality improvement efforts at seven sites throughout India. In this analysis, we evaluated the implementation experiences of providers and organizational leaders at the seven pilot sites involved in the PC-PAICE to understand the barriers and facilitators to using QI methods to improve PC delivery in India.…”