Best practices and benchmarking in healthcare : a practical journal for clinical and management application最新文献_第9页

Recognizing organizational impediments to the total quality management process. 认识到组织对全面质量管理过程的障碍。

Best practices and benchmarking in healthcare : a practical journal for clinical and management application Pub Date : 1996-01-01

R J Langlais

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Managed care strategy. 管理式护理策略。

Best practices and benchmarking in healthcare : a practical journal for clinical and management application Pub Date : 1996-01-01

E F Maguire

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Cost containment in cardiac surgery: results with a critical pathway for coronary bypass surgery at the New York hospital-Cornell Medical Center. 心脏手术的成本控制:纽约医院-康奈尔医学中心冠状动脉搭桥手术关键通道的结果。

Best practices and benchmarking in healthcare : a practical journal for clinical and management application Pub Date : 1996-01-01

F T Velasco, W Ko, T Rosengart, N Altorki, S Lang, J P Gold, K H Krieger, O W Isom

{"title":"Cost containment in cardiac surgery: results with a critical pathway for coronary bypass surgery at the New York hospital-Cornell Medical Center.","authors":"F T Velasco, W Ko, T Rosengart, N Altorki, S Lang, J P Gold, K H Krieger, O W Isom","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: A multidisciplinary project was undertaken at The New York Hospital-Cornell Medical Center to develop critical pathways for open-heart surgery to help reduce cost, shorten hospital length of stay (LOS), and streamline patient care.Methods: A critical pathway for elective coronary artery bypass grafting instituted on March 1, 1995, was developed through a cooperative effort involving surgeons, anesthesiologists, nurses, social workers, physical therapists, nutritionists, and patient case managers. Prospective data collected on consecutive patients forming a critical pathway group (n = 114) over a 6-month period were compared with retrospective data on consecutive patients forming a cohort group (n = 382) who underwent elective coronary artery bypass grafting in 1994.Results: The critical pathway group of patients experienced a significantly shorter total hospital LOS (7.7 +/- 2.3 days vs 11.1 +/- 6 days, p < 0.0001) and shorter intensive care unit LOS (1.5 +/- 0.9 days vs 2.0 +/- 2.8 days, p < 0.0001). Direct costs were computed by use of hospital charges multiplied by the Medicare cost-to-charge ratio. Mean hospital direct cost (ancillary resources) was $1181 lower in the critical pathway group when compared with the control group (p < 0.0001). The postoperative mortality and readmission rates were similar for the two groups of patients.Conclusions: The ongoing analysis of cost, LOSs, and outcomes has made possible a process of continuous quality improvement on the cardiothoracic service in which further areas for improvement are identified and studied. The use of a critical pathway for elective coronary artery bypass grafting at our institution significantly reduced hospital LOS and direct costs while maintaining the overall quality of patient care.","PeriodicalId":79476,"journal":{"name":"Best practices and benchmarking in healthcare : a practical journal for clinical and management application","volume":"1 1","pages":"21-8"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20138311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Integrating the physician into the organization decision-making process. 将医生纳入组织决策过程。

Best practices and benchmarking in healthcare : a practical journal for clinical and management application Pub Date : 1996-01-01

R S Curtis, M C Morrison

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Assessing facility and space resources in an academic health science center: a process that works. 评估学术卫生科学中心的设施和空间资源:一个有效的过程。

Best practices and benchmarking in healthcare : a practical journal for clinical and management application Pub Date : 1996-01-01

R P Maurer, D M Shaw

{"title":"Assessing facility and space resources in an academic health science center: a process that works.","authors":"R P Maurer, D M Shaw","doi":"","DOIUrl":"","url":null,"abstract":"Background: The authors served as external consultants to an academic health science center in the eastern United States to identify current and future space needs in response to reported deficiencies, especially in the medical school. This work established a framework to identify, prioritize, and plan future facility and space improvement projects.Methods: The authors used several methods to quantify and profile current space needs and future space requirements, including data and plan reviews, surveys and questionnaires, and on-site facility tours and inspections. Most important, the consultants brought their collective experience as well as their proprietary planning database and guidelines to formulate findings and develop practical recommendations.Results: The engagement substantiated faculty's concerns and perceptions that additional space was necessary for many existing programs, especially the medical school. However, specific space needs, by department or program, frequently differed from faculty's perceived needs as well as those of the university administration.Conclusions: Several important conclusions dealt with the client's need to develop and formalize the space planning and management process. Appropriate guidelines for space planning purposes for this academic health science center also were identified as were the \"next steps\" to build on this successful study.","PeriodicalId":79476,"journal":{"name":"Best practices and benchmarking in healthcare : a practical journal for clinical and management application","volume":"1 1","pages":"51-6"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20138309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Overcoming barriers to benchmarking in healthcare organizations. 克服医疗保健组织中基准测试的障碍。

Best practices and benchmarking in healthcare : a practical journal for clinical and management application Pub Date : 1996-01-01

R G Gift, C F Kinney

引用次数: 0