Developing a toolkit to help hospitals measure quality of care at the end of life

The purpose of this project is to convene experts in the measurement of quality of care at the end of life and to develop a "toolkit" that can be used to help health care providers assess the quality with which they provide care to terminally ill patients. Foundation funds will be used for staff at the Center to Improve Care of the Dying at George Washington University for development and dissemination of the "toolkit" to hospitals, professional associations, and patient and consumer groups. This project has four objectives. First, it will critically evaluate what is known about measurement regarding the quality of care at the end of life. Second, through conference proceedings, the project will reach a consensus on a recommended set of measures and procedures that are appropriate for institutions to utilize now to measure quality of care at the end of life. The intent is to develop a "toolkit" which will be user-friendly. Third, the project will disseminate the available and recommended measures to health care institutions and researchers. Fourth, priorities for future work to improve and disseminate measures will be identified. This project is a natural follow-up to the SUPPORT study since it will assemble and disseminate measures to help hospitals and health professionals to improve how they care for terminally ill patients. The project could yield significant leverage by stimulating improvements in clinical practice as well as improvements in tools to measure how health care providers care for dying patients. This project meets an immediate need among health care providers for tangible tools to respond to the concern in the U.S. that the way that Americans die in hospitals is overmedicalized and contrary to patient preferences. This effort will bring together the nation's leaders in clinical practice, research, and other domains to develop practical ways to improve the quality of care at the end of life.

Grant Details

Amount Awarded $45,049.00

Awarded on: 6/26/1996

Time frame: 8/1/1996 - 6/30/1997

Grant Number: 29719


George Washington University

2121 Eye Street, N.W.
Washington, 20052-1001


Joan M. Teno
Project Director