2.50
Hdl Handle:
http://hdl.handle.net/10755/159727
Type:
Presentation
Title:
Community Provider Practices in Hospices: The Challenges of Documentation
Abstract:
Community Provider Practices in Hospices: The Challenges of Documentation
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2009
Author:Bergen-Jackson, Kimberly, MSN
P.I. Institution Name:University of Iowa
Title:Nursing
Contact Address:50 Newton Road, NB 400, Iowa City, IA, 52242, USA
Contact Telephone:319-335-9585
Co-Authors:K.M. Bergen-Jackson, S. Sanders, K. Herr, C. Forcucci, P. McNichol, J. Reyes, M. Titler, College of Nursing, University of Iowa, Iowa City, IA; P.G. Fine, , University of Utah, Salt Lake City, UT;
This paper will review challenges in obtaining patient outcome and provider practices from an ongoing research project funded by the National Cancer Institute and discuss the impact of care documentation on research and practice. The grant Cancer Pain in Elders: Promoting Evidence-Based Practices in Hospices is a translational research project evaluating the use of a TRIP-Cancer intervention (TRIP-Translating Research into Practice). Sixteen Midwestern community-based hospices stratified by size serve as clinical sites in this randomized control trial. Federally mandated Conditions of Participation define the practice requirements for Medicare Certified Hospice programs, from which over 1 million patients receive end-of-life care each year in the United States. Notwithstanding these regulations, there are no standards for clinical documentation, no less, metrics from which to assess, nor compare quality of care among hospice providers. Variation among program practices, including documentation, were observed during the initial data collection phase of this study. In the face of such variance, and especially in the absence of uniformly adopted outcome measures and documentation standards, quality improvement initiatives in this important and growing healthcare sector will be difficult to manage. From our experience, we describe challenges in documentation of provider practice and impact on research, strategies to address these challenges and suggest the necessity of pertinent outcome measures supported by standardized documentation processes in hospice. The importance of documentation to support consistency and quality of patient care in the hospice setting, as well as challenges inherent in this unique setting of care, are noted. Uniformity in key practice indicators and patient outcome measures in documentation systems would advance the movement to improve quality and consistency of care in hospices. Standardization of documentation systems and language would also facilitate the conduct of research in the hospice setting, a population for which advancing knowledge is essential to assure quality care at the end of life.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleCommunity Provider Practices in Hospices: The Challenges of Documentationen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159727-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Community Provider Practices in Hospices: The Challenges of Documentation</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Bergen-Jackson, Kimberly, MSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Iowa</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Nursing</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">50 Newton Road, NB 400, Iowa City, IA, 52242, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">319-335-9585</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">kimberly-bergen@uiowa.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">K.M. Bergen-Jackson, S. Sanders, K. Herr, C. Forcucci, P. McNichol, J. Reyes, M. Titler, College of Nursing, University of Iowa, Iowa City, IA; P.G. Fine, , University of Utah, Salt Lake City, UT;</td></tr><tr><td colspan="2" class="item-abstract">This paper will review challenges in obtaining patient outcome and provider practices from an ongoing research project funded by the National Cancer Institute and discuss the impact of care documentation on research and practice. The grant Cancer Pain in Elders: Promoting Evidence-Based Practices in Hospices is a translational research project evaluating the use of a TRIP-Cancer intervention (TRIP-Translating Research into Practice). Sixteen Midwestern community-based hospices stratified by size serve as clinical sites in this randomized control trial. Federally mandated Conditions of Participation define the practice requirements for Medicare Certified Hospice programs, from which over 1 million patients receive end-of-life care each year in the United States. Notwithstanding these regulations, there are no standards for clinical documentation, no less, metrics from which to assess, nor compare quality of care among hospice providers. Variation among program practices, including documentation, were observed during the initial data collection phase of this study. In the face of such variance, and especially in the absence of uniformly adopted outcome measures and documentation standards, quality improvement initiatives in this important and growing healthcare sector will be difficult to manage. From our experience, we describe challenges in documentation of provider practice and impact on research, strategies to address these challenges and suggest the necessity of pertinent outcome measures supported by standardized documentation processes in hospice. The importance of documentation to support consistency and quality of patient care in the hospice setting, as well as challenges inherent in this unique setting of care, are noted. Uniformity in key practice indicators and patient outcome measures in documentation systems would advance the movement to improve quality and consistency of care in hospices. Standardization of documentation systems and language would also facilitate the conduct of research in the hospice setting, a population for which advancing knowledge is essential to assure quality care at the end of life.</td></tr></table>en_GB
dc.date.available2011-10-26T22:16:43Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:16:43Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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