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

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

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

4. Demographics Patient Information Collected Setting of care Episode Assessments

5. 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

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

7. Contributing Services

8. Number of PCOC services and patients

9. Key results over time – unstable phases

10. Key results over time – unstable phases by setting

11. Key results over time – absent/mild pain

12. Key results over time – absent/mild pain by setting

13. Key results over time – moderate/severe pain

14. Key results over time – moderate/severe pain by setting

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

17. Place of Death Place of deathNumber% Hospital135059.0 Private residence50622.1 Residential aged care setting34815.2 Not stated/inadequately described833.6 Total2287100

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

23. 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