1. Baseline Process Map

2. DELAYED/NON TIMELY REFERAL OF CANCER PATIENT TO PALLIATIVE CARE PEOPLE POLICIESPROCEDURES Cause & Effect Diagram Too busy Inpatient No referral criteria Lack of clear guideline PLANT lack of communication No educational session Unsure of disease process Lack of clear guideline physician Lack of communication skills Shortage of time Psychological barrier Limited number of beds Lack of budget Shortage of staffs culture Patients and their family Resistance Behavioral pattern Language barrier No translator Lack of awareness No designated area for PC

3. Supporting Data- Physicians’ survey results Do you objectively screen patients for Palliative Care referral ? Are you aware of Palliative care management and referral process? Are you aware of NCCN Palliative care guideline and Screening recommendation ? Do you think Standardized palliative care referral scoring tool will help to improve patient care ?

4. Supporting Data- Physicians’ survey results Do you objectively screen patients for Palliative Care referral ? Are you aware of Palliative care management and referral process? Are you aware of NCCN Palliative care guideline and Screening recommendation ? Do you think Standardized palliative care referral scoring tool will help to improve patient care ? Pareto Analysis:

5. Changes Made to the Process