Table 2.

Effective Practice and Organisation of Care (EPOC) Taxonomy “Implementation Strategies” and “Financial Arrangements” Fitting the “Taking Care of You” (TCY) Program Strategy and Objectives

Subcategory	TCY strategy	Strategy objective
Implementation Strategies Interventions designed to bring about changes in healthcare organizations, the behavior of healthcare professionals or the use of health services by healthcare recipients
Category: Interventions targeted at healthcare workers
A. Communities of Practice	Local advocacy to convene capacity building	Train a specialized PPC team through graduate programs abroad
B. Educational Materials	Design and create written, and online evidence-based information material	Supply healthcare professionals with key objective topics and information on PPC
C. Educational Meetings	Local, and national educational courses and workshops	Create a successful method to favor mass training and raising awareness on PPC approach and principles for healthcare professionals
D. Interprofessional Education	Coach national multidisciplinary courses and participation in postgraduate university courses	Increase national multidisciplinary knowledge on palliative philosophy
E. Patient-Mediated Interventions	Medical, psychological and social work evaluation of the patient and family to discuss as part of multidisciplinary medical board meetings	Provide a psychosocial and medical perspective of the patient and family prior to multidisciplinary decision-making meetings
Financial Arrangements Changes in how funds are collected, insurance schemes, how services are purchased, and the use of targeted financial incentives or disincentives
Category: Collection of funds
F. External Funding	Apply for funding through a research grant	Promote and sustain pediatric palliative care in a middle-income country
Category: Insurance schemes
G. Community-Based Health Insurance	Held Advocacy Reunions with health care providers locally	Lower access barriers for patients and families of MIC
Category: Mechanisms for the payment of health services
H. Payment Methods for Health Workers	Reunions with the board of directors and decision-makers emphasizing the added value of PPC, based on enhancing patient and family satisfaction, patient experience, health humanization, and resource optimization	Obtain institutional support to consolidate the team and decrease the access barrier
Delivery Arrangements Changes in how, when, and where healthcare is organized and delivered, and who delivers healthcare.
Category: Where care is provided and changes to the healthcare environment
I. Site of service delivery	Promote patient attention in the outpatient scenario through medical order	Since most of the patients are referred to the program from hospitalization, we make sure they can continue attention in the outpatient ward
Category: Who provides care and how the healthcare workforce is managed
J. Role expansion or task shifting	Coached local interdisciplinary team meetings, educational meetings among the general PC group.	Guide the conformation of the Pediatric Palliative Care team
Category: Coordination of care and management of care processes
K. Care pathways	Held institutional multidisciplinary meetings with local health care providers	Contextualize life-limiting-and-threatening disease
L. Case management	Participated in multidisciplinary board meetings with treating specialist and several homecare services	Coordinate and guarantee an integrative followup to improve patients care
M. Communication between providers	Coached local interdisciplinary team meetings, support for clinical improvement plans of the team and regional educational meetings	Facilitating and establishing communication and developing an improved dialogue.
N. Continuity of care	While in hospitalization we hold medical board meetings with interdisciplinary teams and promote continuity through outpatient setting followup	Ensuring the responsibility of care and bereavement followup
O. Disease management	Coached educational team meetings, regional meetings with health care professionals and healthcare providers	Promote adequate quality of life during the health-disease-attention process
P. Patient-initiated appointment systems	Providing phone advisory 24 h 7 days a week	Around-the-clock availability for care consultation to direction the family and bereavement care
Q. Referral systems	Coached educational sessions with the hospital’s pediatric departments	Educating about the importance of involving comprehensive care and patients with complex chronic diseases who are candidates for referral to the PPC team
R. Shared decision-making	Meetings and constant communication is held with TCYteam, treating specialist and the family	Establish individualized management goals
S. Teams	Coached local interdisciplinary team meetings, support for clinical improvement plans, and regional educational meetings	Establishing a multidisciplinary team that provides organizational status, coordinated care, and capability based on individualized relevance and effectivity
T. Transition of Care	Interdisciplinary meetings between treating specialist, our team and the family	Provide objective information to the family when a patient’s treatment changes from curative to palliative

PPC Pediatric Palliative Care, MIC Middle Income Country, TCY “Taking Care of You”, MIC Middle-Income countries