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PCQC COVID-19 Case Report

In the wake of the COVID-19 crisis, the PCQC has developed a voluntary, short case report to collate experiences of palliative care clinicians in caring for COVID positive, PUI (Person Under Investigation), and recovered patients. These experiences are shared with the palliative care community to foster continuous learning.


Please complete the case report for each patient.  The case report includes data on the final status of the patient and therefore should be submitted after the consult is completed.   We recommend collecting data on paper, using the PCQC COVID-19 data collection card.  We would like you to answer as many questions as you can, but all responses are optional.   At the end of the case report, you have the option to enter another case report.


You do not need to be a member of PCQC to participate. The case report is free and voluntary. You can learn more about the case report here. If you have any questions, please reach out to Thank you!


The Palliative Care Quality Collaborative is the new, unified quality registry for specialty palliative care. Its mission is to provide palliative care clinicians and programs with actionable information to improve the quality of palliative care delivery. If you are interested in becoming a member of PCQC, click here.

This form only takes a few minutes to complete per patient.