Baseline Process Map

DELAYED/NON TIMELY REFERAL OF

CANCER PATIENTTO PALLIATIVE

CARE

PEOPLE

POLICIES PROCEDURES

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

comm

unication

skills

Shor

tage

of

time

Psych

ological

barrier Limited number of beds

Lack of budgetShortage of

staffs

culturePatients and their family

Resi

stance

Behavi

ora

l patt

ern

Language barrier

No translator

Lack o

f

aw

are

ness

No designated area for PC

38%54%

8%

yes

no

don’t know

4%4%

92%67%

33%

Supporting Data- Physicians’ survey results

17%

83%

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 ?

38%54%

8%

yes

no

don’t know

4%4%

92%67%

33%

Supporting Data- Physicians’ survey results

17%

83%

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 ?

BARRIERS FOR PALLIATIVE CARE CONSULTATION AND REFERAL

32.08%

26.42%

13.21%

9.43% 9.43%

3.77% 3.77%1.89%

0

0.05

0.1

0.15

0.2

0.25

0.3

0.35

unaware of referal criteria

Pt. & family resistance psychological barrier miscommunication lack of knowledge Unsure diseaseprocess

other lack of teamaccessibility

Barriers

Freq

uenc

y

0

0.2

0.4

0.6

0.8

1

Horizontal Line Value

Perc

enat

ge C

umul

ativ

e

Pareto Analysis:

Changes Made to the Process

•