PCOC is a national palliative care project funded by the Australian Government Department of Health Using PCOC to improve palliative care – A Victorian success story Sabina Clapham Education Manager

Key Outcome Results  Report on Trends in Victoria  Periodic survey exploring how PCOC outcome measures are used by services to improve quality

About PCOC The Palliative Care Outcomes Collaboration (PCOC) aims to improve patient outcomes through routine clinical outcome measurement, periodic surveys and benchmarking.

Demographics Patient Information Collected Setting of care Episode Assessments

Patient Information Collected Patient contact in the hospital consultative setting g Patient contact in the community setting, by phone or in -person On Admission At change in plan of care On Admission A minimum of daily in the inpatient setting At discharge

Trends in Victoria  Over 100 services across Australia, including 20 Victorian services, participate in patient outcome reporting.

Contributing Services

Number of PCOC services and patients

Key results over time – unstable phases

Key results over time – unstable phases by setting

Key results over time – absent/mild pain

Key results over time – absent/mild pain by setting

Key results over time – moderate/severe pain

Key results over time – moderate/severe pain by setting

Patients whose change in pain and symptoms is the same as or better than the national average patient at baseline (2008)

Place of Death Place of deathNumber% Hospital Private residence Residential aged care setting Not stated/inadequately described833.6 Total

Summary Clinical assessments are used to Prove Patient Outcomes Improve Patient Outcomes 18

Summary A broad range of quality improvement activities have resulted from PCOC reporting PCOC outcome measures show consistent improvement in palliative care over time 23 A culture of quality improvement is firmly embedded in services participating in PCOC