Draw a process map of the patient pathway from end of life being identified through to (and shortly beyond) death.
How can this pathway be improved for patients (comparing your existing local processes against best practice in national guidelines? This can be enhanced using the data you collected from local casenote reviews).
What members of the multidisciplinary team will you engage in this improvement work?
How will you evaluate the impact of changes to ensure it is improving the quality of end of life care? (P plan–do– study–act cycles will be helpful).
How will you communicate progress with improving aspects of the pathway to the rest of the team?
Run charts are a great way of showing improved performance over time.
