Patient Engaged Clinical Pathways: An Update from BCCH. C. Mammen - B… · Patient Engaged...
Transcript of Patient Engaged Clinical Pathways: An Update from BCCH. C. Mammen - B… · Patient Engaged...
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Patient Engaged Clinical Pathways: An Update from BCCH
Cherry Mammen, MD, FRCPC, MHSc Clinical Assistant Professor (UBC) Division of Nephrology, BC Children’s Hospital BC Kidney Days Oct 6th, 2016
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Childhood Nephrotic Syndrome (NS) Clinical Pathway
Introduced at BC Kidney Days 2015 (Dr. Janis Dionne)
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Reasons for a NS clinical pathway
Common pediatric nephrology condition 12-15 incident pts/yr (BC) >100 prevalent patients (BC)
Geographical considerations Pediatricians often responsible for care
Significant local practice variation prednisone dosing, investigations, follow-up,
charting
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NS Clinical Pathway Resources
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• Types of nephrotic syndrome • Complications of nephrotic syndrome • Prednisone course & side effects • How to dip urine for protein • Dietary recommendations • Immunizations and infections • Ongoing care
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Patient Home Monitoring
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Surveillance Checklist
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BC Pediatrician Survey (2015)
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NS Parent/Patient Survey
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New Evidence Informs Pathway Change
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New Evidence Informs Pathway Change
Teeninga N, JASN 2013 Sinha A, Kidney Int 2014 Yoshikawa N, Kidney Int 2014
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‘Old’ Dosing Regimen
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‘New’ Dosing Regimen (Apr 16)
Cumulative Dose: Old: 4095 mg/m2 New: 3360 mg/m2
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A Clinical Pathway is a Quality Improvement Tool
36 patients have entered the pathway Detailed audit of pathway underway