There was recognition and documentation of the patient's transition to the active dying phase, and communication to the patient, family and staff on the patient's imminent death. Percentage of patients whose transition to the active dying phase was documented. Examples of documentation of transition: Transition to phase 4 in Palliative Care Outcome Collaborative (PCOC); Initiation of a care plan for the dying.

Number of patients whose transition to the active dying phase was documented

Total number of expected deaths

Voluntary self-participation among services provided by Class C Providers self-report data from service providers across the palliative care community (including private, restructured and community hospitals, inpatient hospices and hospice home care and hospice day care providers). The assessor based at the participating palliative care service is asked to rate their service's performance using the following descriptions of each rating to determine the appropriate rating: Never – means that this does not occur; Rarely – means that this occurs less than 25% of the time; Sometimes – means that this occurs between 25% to less than 50% of the time; Often – means that this occurs between 50% to less than 75% of the time; Almost Always – means that this occurs between 75% to less than 100% of the time; Always – means that this occurs all the time. Many of the quality measures contain multiple aspects. Thus the assessor should consider the team's performance against all aspects of measure. Ratings of "always" should only be applied when all aspects have been achieved. Where aspects are assessed differently, the overall element rating should reflect the lowest rated aspect.

Singapore Hospice National Guidelines for Palliative Care Self-Assessment Workbook (July 2021 version): singaporehospice.org.sg/e-library/docs/national-guidelines-for-palliative-care-self-assessment-workbook-4th-edition-jul-2021/. Date cited 27/10/2023.

singaporehospice.org.sg/e-library/docs/national-guidelines-for-palliative-care-self-assessment-workbook-4th-edition-jul-2021/