Table of Content
- UPS Healthcare Expands Global Cold Chain Logistics Network
- UPS HEALTHCARE CONTINUES INVESTMENT IN PERSONALIZED MEDICINE
- Specialized Pathways
- Direct-to/From-Patient and Home Healthcare
- How to Evaluate a Clinical Supply Chain Partner to Meet Your Vaccine Trial Needs
- Patient-Centric Supply Chain & Drug Storage Solutions
The effects of clinical pathways on professional practice, patient outcomes, length of stay, and hospital costs. As with any other intervention in healthcare, the question is whether CPWs achieve what they aim for, whether they ultimately contribute to improve the outcomes of healthcare, and at what cost this is achieved. Rotter et al. addressed the effects of CPWs on professional practice, patient outcomes, length of stay and hospital costs for the hospital setting in a Cochrane systematic review (Rotter et al., 2012).
I want to add that the clinical pathways section is kind of vague. I think it is to give you a basic idea of assessment/eval/teaching for each visit. I'm sure a lot of tailoring will have to be done to meet your pt's need.
UPS Healthcare Expands Global Cold Chain Logistics Network
Impact on readmission rates and mortality of a chronic obstructive pulmonary disease inpatient management guideline. Effect of a scoring system and protocol for sedation on duration of patients’ need for ventilator support in a surgical intensive care unit. Impact of a clinical pathway in cases of transurethral resection of the prostate.
As a result of standardizing clinical practice according to evidence-based clinical practice guidelines, CPWs have the potential to reduce treatment errors and improve patient outcomes. Successful CPW uptake and implementation is a complex process and requires careful consideration about facilitators and barriers to change provider behaviour in the specific setting. An active process that maximizes the input is essential, and support of both managers and clinicians is required to overcome the inherent resistance often apparent in the implementation of CPWs.
UPS HEALTHCARE CONTINUES INVESTMENT IN PERSONALIZED MEDICINE
Rotter et al. observed considerable clinical and methodological heterogeneity, with a broad range of disparate outcomes measured, many different settings in which care is delivered, and a wide range of diagnoses and types of patient included in the different study designs. Study outcomes reported were in-hospital complications, in-hospital mortality, hospital readmission, length of stay and hospital costs (Kinsman et al., 2010). In 2006 the EPA network published its first international survey and overview on the reported use and dissemination of CPWs in 23 countries (Vanhaecht et al., 2006). CPW prevalence was defined as the number of individual patients reported to be on a pathway. The study found that reported estimates of CPW use were low and that when CPWs were used it was mainly in acute care settings. Pathway utilization was low (1–5%) in Belgium, the Netherlands, Germany and Spain, whereas in Wales and Scotland it was found to be higher (6–10%), and in the rest of the UK the estimate was 11–15% (Vanhaecht et al., 2006).
Implementation strategies have been too poorly reported in the literature to allow for identifying specific characteristics that contribute to the uptake of CPWs by clinicians. Most CPW evaluations focused on effectiveness measures rather than on CPW uptake or adherence to the evidence-based recommendations and evidence underpinning which implementation strategies are the most successful remains scarce. However, both groups did not differ for in-hospital mortality and hospital readmission within six months after discharge (the longest follow-up period reported.) Significant variations across studies prevented further meta-analysis and limited conclusions. The lecture series will include approximately 12 lectures by health care leaders across multiple disciplines. Industry executives from related fields will also be invited to share their perspectives.
Specialized Pathways
Examples are the United Kingdom, Canada and Australia (EPA, 2018b; Huckson & Davies, 2007; Grimshaw et al., 2007). CPWs may serve as useful and evidence-based management tools to reduce variations in clinical practice and to decrease costs and length of stay. The reported effects on in-hospital complications are promising and the pathway concept seems to be effective for large groups of patients, especially those receiving invasive procedures. Thus CPW implementation is likely to become increasingly emphasized in Europe (Evans-Lacko et al., 2010) although much more experience with CPW implementation is needed to fully understand this quality improvement concept.
By definition, CPWs support the involvement of patients in clinical practice but this aspect was rarely reported in over primary studies that have been critically appraised in the systematic review presented above (Rotter et al. 2012). However, more patient involvement in the clinical decision-making process in terms of CPW-guided hospital care is pivotal because the patient should play a central role in this process (van der Weijden et al., 2012). Implementation research has shown that patient involvement is a crucial factor for the success or failure of clinical pathway interventions in terms of the quality of care provided as well as clinical efficiency, for example in pediatric hospital settings (Cene et al., 2016). A plain language version of a CPW for guidance of the patient and shared decision-making is therefore a crucial element in increasing compliance and patient safety. Many countries and professional bodies embrace the clinical pathway concept.
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Thus, they have the potential to streamline clinical practice for a specific group of patients with a particular diagnosis or undergoing a particular procedure. In other words, CPWs can be described as structured multidisciplinary care plans which detail essential steps in the care of patients with a specific clinical problem. This chapter has shown that although the clinical pathway concept is not a “silver bullet” for improving healthcare practice in Europe, it has the potential to promote quality of care and to maximize clinical efficiency. From a patient perspective, CPWs provide better guidance and understanding of what patients should expect throughout the care episode.
Evidence on successful clinical pathway implementation is sparse and varies significantly in how healthcare organizations implement CPWs. Successful CPW uptake and implementation is a complex process and requires careful consideration about facilitators and barriers in order to change provider behaviour (Grimshaw et al., 2001). The clinical pathway concept is by definition a multidisciplinary approach and should include all involved professions. Passive, top-down strategies to promote and implement CPWs have little or no impact. Engagement of both clinical and management staff in the development and adoption of CPWs is required and multifaceted strategies should be used to implement this concept.
A six-credit capstone project is the key component of the program. During this intensive experience, students will work with and shadow clinical operation professionals with the guidance of an HMS advisor. Focused on clinical operations, past capstone projects have included patient throughput, operational efficiency, implementation of new technology, reducing over-utilization and reducing patient wait days. Each seminar will focus on providing access to real-world clinical management experiences. Clinical and administrative leaders will be invited to share their career paths and students will able to take advantage of networking opportunities.
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