The Palliative Care—Promoting Access and Improvement of the Cancer Experience (PC-PAICE) Project in India: A Multisite International Quality Improvement Collaborative

Karl A. Lorenz, VA Palo Alto Healthcare System, Palo Alto, California, USA; Section of Palliative Care, Division of Primary Care and Population Health, Department of Medicine, Stanford University School of Medicine, Palo Alto, California, USA
Jake Mickelsen, Stanford Healthcare, Palo Alto, California, USA
Nandini Vallath, Division of Palliative Care, Tata Trusts Cancer Care Program, Mumbai, Maharashtra, India
Sushma Bhatnagar, Department of Onco-Anaesthesia and Palliative Medicine, Dr B. R. Ambedkar, IRCH, AIIMS, New Delhi, India
Odette Spruyt, Western Health Network, VCCC, Melbourne, Victoria, Australia; University of Melbourne, Melbourne, Victoria, Australia
Michael Rabow, Division of Palliative Care, Department of Medicine, University of California, San Francisco, San Francisco, California, USA
Meera Agar, Faculty of Health, Palliative Care, University of Technology Sydney, Sydney, New South Wales, Australia
Sydney M. Dy, Johns Hopkins Sidney Kimmel Comprehensive Cancer Center, Baltimore, Maryland, USA; Johns Hopkins School of Medicine, Lutherville, Maryland, USA; Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
Karen Anderson, Edith Cowan University, Perth, Australia
Jayita Deodhar, Department of Palliative Medicine, Tata Memorial Centre, Mumbai, Maharashtra, India
Leela Digamurti, Department of Palliative Care and Gynaecological Oncology, Homi Bhabha Cancer Hospital and Research Centre, Aganampudi, Visakhapatnam, Andhra Pradesh, India
Gayatri Palat, Department of Medical Oncology, MNJ Institute of Oncology and Regional Cancer Centre, Hyderabad, Telangana, India
Spandana Rayala, Department of Medical Oncology, MNJ Institute of Oncology and Regional Cancer Centre, Hyderabad, Telangana, India
M M. Sunilkumar, Trivandrum Institute of Palliative Sciences, Thiruvananthapuram, Kerala, India
Vidya Viswanath, Department of Palliative Care and Gynaecological Oncology, Homi Bhabha Cancer Hospital and Research Centre, Aganampudi, Visakhapatnam, Andhra Pradesh, India
Jyothi Jayan Warrier MCom, Department of Medical Oncology, MNJ Institute of Oncology and Regional Cancer Centre, Hyderabad, Telangana, India
Sarbani Gosh-Laskar, Division of Palliative Care, Department of Medicine, University of California, San Francisco, San Francisco, California, USA; Department of Radiation Oncology, Tata Memorial Hospital, Mumbai, Maharashtra, India
Stephanie M. Harman, Section of Palliative Care, Division of Primary Care and Population Health, Department of Medicine, Stanford University School of Medicine, Palo Alto, California, USA
Karleen F. Giannitrapani, VA Palo Alto Healthcare System, Palo Alto, California, USA; Section of Palliative Care, Division of Primary Care and Population Health, Department of Medicine, Stanford University School of Medicine, Palo Alto, California, USA
Anchal Satija, Department of Onco-Anaesthesia and Palliative Medicine, Dr B. R. Ambedkar, IRCH, AIIMS, New Delhi, India
C S. Pramesh, Tata and the National Cancer Grid, Mumbai, India
Michelle DeNatale, Stanford Healthcare, Palo Alto, California, USA

Document Type

Article

Publication Date

1-2021

Abstract

Mentors at seven U.S. and Australian academic institutions initially partnered with seven leading Indian academic palliative care and cancer centers in 2017 to undertake a program combining remote and in-person mentorship, didactic instruction, and project-based learning in quality improvement (QI). From its inception in 2017 to 2020, the Palliative Care—Promoting Accesst and Improvement of the Cancer Experience Program conducted three cohorts for capacity building of 22 Indian palliative care and cancer programs. Indian leadership established a Mumbai QI training hub in 2019 with philanthropic support. In 2020, the project which is now named Enable Quality, Improve Patient care - India (EQuIP-India) focuses on both palliative care and cancer teams. EQuIP-India now leads ongoing Indian national collaboratives and training in QI and is integrated into India's National Cancer Grid. Palliative Care—Promoting Accesst and Improvement of the Cancer Experience demonstrates a feasible model of international collaboration and capacity building in palliative care and cancer QI. It is one of the several networked and blended learning approaches with potential for rapid scaling of evidence-based practices.

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