National report on patient outcomes in palliative care in Australia: January - June 2014: report 17

The Palliative Care Outcomes Collaboration (PCOC) assists services to improve the quality of the palliative care they provide through the analysis and benchmarking of patient outcomes. In this, the seventeenth PCOC report, data submitted for the January to June 2014 period are summarised and patient outcomes benchmarked to enable participating services to assess their performance and identify areas in which they may improve

Victoria: patient outcomes in palliative care: July - December 2014

The Palliative Care Outcomes Collaboration (PCOC) assists services to improve the quality of the palliative care they provide through the analysis and benchmarking of patient outcomes. In this PCOC report, data submitted for the July to December 2014 period are summarised and patient outcomes benchmarked to enable participating services to assess their performance and identify areas in which they may improve

Patient Outcomes in Palliative Care - South Australia, July - December 2018

The Australian palliative care sector is a world leader in using routine clinical assessment information to guide patient centred care and measure patient and family outcomes. Providers of palliative care are commended for their commitment to excellence in delivering evidence-based, patient-centred care by using the routine Palliative Care Outcomes Collaboration (PCOC) assessment framework and contributing patient data toward national outcome measurement and benchmarking. PCOC acknowledges the dedication and willingness of clinicians to improve the care of patients, their families and caregivers. The information collected is not just data - it represents the real-life outcomes of over 40,000 Australians who die an expected death every year. While the focus of this report is on the most recent information relating to July to December 2018, results over the last three years are also presented to highlight achievements and improvement in outcomes. The most recent information corresponds to 23,333 patients, having 29,931 episodes of care and 70,135 palliative care phases from 127 services who provide palliative care in hospital / hospice or in the person\u27s home

Queensland, patient outcomes in palliative care, January - June 2015

The Palliative Care Outcomes Collaboration (PCOC) is a national program that utilises standardised clinical assessment tools to measure and benchmark patient outcomes in palliative care. Participation in PCOC is voluntary and can assist palliative care service providers to improve practice. This is achieved via the PCOC patient outcome improvement framework which is designed to: * provide clinicians with the tools to systematically assess individual patient experiences using validated clinical assessment tools, * define a common clinical language to streamline communication between palliative care providers, * facilitate the routine collection of national palliative care data to drive quality improvement through reporting and benchmarking, * provide service-to-service benchmarking reports and opportunities to discuss sector results at benchmarking workshops, and * support research using the PCOC longitudinal database (2006-2015)

A profile of patients receiving palliative care in Queensland for January - June 2019

The Palliative Care Outcomes Collaboration (PCOC) is a national program that aims to improve the quality and outcomes of palliative care in Australia. This is achieved via a standardised clinical language that supports a national data collection. This report provides a high level profile of 4,625 patients who received palliative care in Queensland during January to June 2019 and had their pain, symptom, family / carer and psychological / spiritual issues assessed as part of routine clinical care

A profile of patients receiving palliative care in Western Australia for January - June 2019

The Palliative Care Outcomes Collaboration (PCOC) is a national program that aims to improve the quality and outcomes of palliative care in Australia. This is achieved via a standardised clinical language that supports a national data collection. This report provides a high level profile of 4,181 patients who received palliative care in Western Australia during July to December 2018 and had their pain, symptom, family / carer and psychological / spiritual issues assessed as part of routine clinical care

Patient Outcomes in Palliative Care - NSW and ACT, January - June 2019

The Australian palliative care sector is a world leader in using routine clinical assessment information to guide patient centred care and measure patient and family outcomes. Providers of palliative care are commended for their commitment to excellence in delivering evidence-based, patient-centred care by using the routine Palliative Care Outcomes Collaboration (PCOC) assessment framework and contributing patient data toward national outcome measurement and benchmarking. PCOC acknowledges the dedication and willingness of clinicians to improve the care of patients, their families and caregivers. The information collected is not just data - it represents the real-life outcomes of over 40,000 Australians who die an expected death every year. While the focus of this report is on the most recent information relating to January to June 2019, results over the last three years are also presented to highlight achievements and improvement in outcomes. The most recent information corresponds to 24,562 patients, having 31,826 episodes of care and 73,209 palliative care phases from 138 services who provide palliative care in hospital / hospice or in the person\u27s home

Retrospective evaluation of whole exome and genome mutation calls in 746 cancer samples

Funder: NCI U24CA211006Abstract: The Cancer Genome Atlas (TCGA) and International Cancer Genome Consortium (ICGC) curated consensus somatic mutation calls using whole exome sequencing (WES) and whole genome sequencing (WGS), respectively. Here, as part of the ICGC/TCGA Pan-Cancer Analysis of Whole Genomes (PCAWG) Consortium, which aggregated whole genome sequencing data from 2,658 cancers across 38 tumour types, we compare WES and WGS side-by-side from 746 TCGA samples, finding that ~80% of mutations overlap in covered exonic regions. We estimate that low variant allele fraction (VAF < 15%) and clonal heterogeneity contribute up to 68% of private WGS mutations and 71% of private WES mutations. We observe that ~30% of private WGS mutations trace to mutations identified by a single variant caller in WES consensus efforts. WGS captures both ~50% more variation in exonic regions and un-observed mutations in loci with variable GC-content. Together, our analysis highlights technological divergences between two reproducible somatic variant detection efforts

The palliative care phase assessment in practice

PCOC is a national approach towards the routine assessment in palliative care practice using standardised assessment tools

Using PCOC to improve palliative care - a Victorian success story

The Palliative Care Outcomes Collaboration (PCOC) aims to improve patient outcomes through routine clinical outcome measurement, periodic surveys and benchmarking. Currently 115 services across Australia, including 22 Victorian services, participate in patient outcome reporting. This presentation will report the key PCOC outcome results over time and the results of a recent survey exploring how PCOC outcome measures are used by services to improve quality. Patient outcome results demonstrate improvements over time. For example, the percentage of unstable patients in the unstable phase for three days or less has increased from 49% in 2009 to 73% in 2013. Furthermore, the percentage of patients whose change in pain and symptoms is the same as or better than the national average patient at baseline (2008) increased across all symptom areas between 2009 and 2013, indicating improvement in symptom management across the board. The survey results reveal that services most frequently use PCOC outcome measures for quality improvement projects (78.7%). A total of 43 quality improvement activities were identified in the survey, including education activities and using PCOC assessment scores in prioritising clinical discussions. Future implications for Victorian palliative care services will be discussed in light of these survey results