The Positive Impact of Clinical Care Program Certification in Providing Patient ... · The Positive...
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The Positive Impact of Clinical Care Program Certification in Providing Patient-Centered Care Juan Carlos González MD, MSc Chairman Department of Orthopaedics
Transcript of The Positive Impact of Clinical Care Program Certification in Providing Patient ... · The Positive...
The Positive Impact of Clinical Care Program Certification in Providing
Patient-Centered Care
Juan Carlos González MD, MScChairman Department of Orthopaedics
Brief Description of our JCI
CCP
Servicios de salud
Why CCP?Why
JointReplacements?
Results
Presentation outline
Local Operation
of the Program
Brief Description of our JCI
CCP
Servicios de salud
Why CCP?Why
JointReplacements?
Results
Presentation outline
Local Operation
of the Program
MissionTo treat persons requiring jointreplacements with relentless pursuit forthe highest degree of efficacy and safetythroughout the entire care continuum, byintegrating the best available scientificevidence and forefront continuous qualityimprovement techniques.
Program Design
The program is structured as amultidisciplinary group specializing injoint arthroplasty, nested within ahigh-complexity, general, universityhospital, serving the patient, his familyand the community.
Brief Description of our JCI
CCP
Servicios de salud
Why CCP?Why
JointReplacements?
Results
Presentation outline
Local Operation
of the Program
National accreditation
with excelenceICONTEC ISQua
AcademicMedical Center
Hospital JCI
Superior Value Health Services
2010 2012 2013 2015 2016
CCP in Joint Replacements
JCICHospital
JCIRecertification
Why Orthopaedics?
• Clinical epidemiology, EBM 90’• Base line studies(Prevalence) 04• Centro de Gestión Hospitalaria 06• “Centers of excellence” 08• JCI/FSFB 10
Brief Description of our JCI
CCP
Servicios de salud
Why CCP?Why
JointReplacements?
Results
Presentation outline
Local Operation
of the Program
Outpatient Clinic Admisions OR
Recovery RoomInpatient
(3- 4 days)Follow-up
(1 year PostOP)
Standardized Process
*
**
*
* Patient Education
Patient Educaction
• Preop talk• Preop booklets
Adherence to JCI standards
11,52% 9,95%0,53%
0,00% 0,00% 0,54% 0,00%
35,60% 32,98% 25,79%
7,37% 7,37%10,33%
2,17%
54,45%57,07%
73,68%
92,63% 92,63% 89,13%
97,83%
0,00%
20,00%
40,00%
60,00%
80,00%
100,00%
120,00%
14-nov-11 14-dic-11 21-ago-12 01-feb-13 15-abr-14 01-abr-15 01-mar-16
Autoevaluación Eval. Consultores Autoevaluación Autoevaluación Autoevaluación Autoevaluación Nuevos estándares
Autoevaluación
No cumple Cumple parcial Cumple
Proporción de adherencia a estándares JCI para programa de cuidado clínicoReemplazo Articulares (Cadera, Rodilla y Hombro)
Brief Description of our JCI
CCP
Servicios de salud
Why CCP?Why
JointReplacements?
Results
Presentation outline
Local Operation
of the Program
ESTADISTICAS REEMPLAZOS ARTICULARES
121
168 177 184
103120
146162
10 3 11 19
2012 2013 2014 2015
CADERA RODILLA HOMBRO
Total: 203
Total: 291Total: 334 Total: 365
Joint Replacements CCP Relevant Results
JointReplacements
2010(CE)
2015(CCP)
Dislocation 5,8 % 0,94%
Infection 1,9% 0,62%
PE/ DVT 2,6% 0,2%
Inpatientstay 7 days 3-4 days
Clinical OutcomesDAWSON
ESCALA DE FUNCIONALIDAD PREOPER ESCALA DE FUNCIONALIDAD 3 MESESESCALA DE FUNCIONALIDAD ANUAL
10
20
30
40
50
60
PUN
TAJE
44
16,512
ESCALA DE FUNCIONALIDAD PREOP_1 ESCALA DE FUNCIONALIDAD 3 MES_1 ESCALA DE FUNCIONALIDAD ANUAL_1
10
20
30
40
50
60PU
NTA
JE
43
24
14
Hip (Dawson)
Knee (Dawson)
Clinical OutcomesFunctional scales
DASH- Shoulder
FUENTE: Base de datos – Encuestas de Satisfacción de los Pacientes 2016
5
100%
97%
100%
96%
100%
99%
88% 88% 88% 88% 88% 88%
82%
84%
86%
88%
90%
92%
94%
96%
98%
100%
102%
ENE FEB MAR ABR MAY CONSOLIDADO 2016
C4 - REEMPLAZO ARTICULAR CONSOLIDADO HOSPITAL FOR SPECIAL SURGERY - HCAHPS JUN 2015
CALIFICACIÓN GLOBAL FSFB META FSFB
GLOBAL SATISFACTIONCCP in Joint REplacements
January –May 2016 - Meta 95%
How strongly would you recommend the services of the CCP in joint replacements?
FUENTE: Base de datos – Encuestas de Satisfacción de los Pacientes 2016
7
Net Promoter ScoreEnero a Mayo de 2016
95%
69%
90% 91% 91%88%
91% 91% 91% 91% 91% 91%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
ENE FEB MAR ABR MAY CONSOLIDADO 2016
NPS C4 REEMPLAZOS ARTICULARES - COMPARATIVO
C4 - REEMPLAZO ARTICULAR DE RODILLA HOSPITAL FOR SPECIAL SURGERY - HCAHPS JUN 2015
CALIFICACIÓN NPS - FSFB META FSFB
Brief Description of our JCI
CCP
Servicios de salud
Why CCP?Why
JointReplacements?
Results
Presentation outline
Local Operation
of the Program
GRACIAS!
