Table 2.
Usual Care Versus Palliative Care Intervention Implementation
| Usual PC | PCI | |
|---|---|---|
| Patient assessment | Unstructured; ESAS and PPS used at one site | QOL: physical, psychological, social, and spiritual; distress | 
| Family caregiver assessment | None | QOL: physical, psychological, social, and spiritual; distress, burden, and preparedness | 
| Interdisciplinary care plan | Unstructured | Standardized based on needs identified from assessment | 
| Patient education | Unstructured as needed | Individually tailored (two sessions) addressing QOL domains | 
| Caregiver education | Unstructured as needed | Individually tailored (one session) addressing QOL domains | 
| Care coordination/management | As needed | As needed | 
| Phone follow-up | As needed | Patients (two calls); FCG (one call) | 
| Duration | Until transition to home-based PC or hospice | Three months | 
| Palliative care team structure | ||
| Site 1 | Physician, Nurse, Social Worker, Chaplain | |
| Site 2 | Physician, Nurse, Social Worker, Chaplain | |
| Site 3 | Physician, Nurse, Social Worker | |
ESAS, Edmonton symptom assessment scale; PPS, palliative performance scale.