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Health - Patient Care
Evidence-Based Care Management Tools for a Multi-Site Care
Provider
This Evidence-Based Care Management Tool process uses teamwork to support
consistency across all sites and services in use of principles, processes,
and services, to provide clients with similar potential outcomes. The Major
Components of the Evidence-Based Care Management Tool Process include
Assessment, Planning, Team Discussion, Goal Setting, and Tracking.
The evaluation of tools developed includes a pilot of draft 1 with 10-20
clients, and multiple caregivers. It also includes setting goals, objectives
and related indicators, mapping a program logic model to guide detection of
indicators for tracking, and collecting information about both intended and
unintended effects. The evaluation also includes a review cycle for pathways
which is linked to both CQI and administrative reporting schedule, as well
as any new evidence relating to the client group. A review of referenced
information is included as well. It addresses questions such as “Can the
level of information be improved?” “Is new research evidence available?”
Click here to see a Brief
Overview.
Link to more studies on:
- Evidence Based Care
Management Tools & Systems
Future of Healthcare in Canada
This is a massive opinion leader study
based on in-depth personal interviews with 80 of the most influential people
in healthcare today, as nominated by their peers. Participants include
deputy ministers, academics, hospital executives, healthcare practitioners
and other qualified parties. The aim is to identify how healthcare will
develop over the next 5-10 years and why this will happen. Royal Bank of
Canada and Manulife Financial are sponsoring the work. The study
includes a special report on funding & financing issues for RBC, as well as
a special report on insurance & benefits for Manulife Financial.
Link to Overview of Findings.
Link to more studies on:
-
Quality & Risk
Review & Future Plans for Quality and Utilization Management
Programs
The Quality and Utilization Management Program at a large community hospital
was felt to be an important influence on patient care management processes.
It has been cited as a benchmark program for external facilities as an
example of successful approaches to managing resources and patient access to
hospital services. In light of the changes within the hospital and in the
external community, a project was initiated to conduct a review to determine
future plans for this program within the hospital.
Through consultation with various internal stakeholders, various goals were
identified for the review. A confidential, semi-structured interview process
was utilized with all stakeholder groups. The final report was structured
around the goals, identified common themes and specific key concerns
identified in the review process, and included recommendations regarding new
structures, adapted processes, and valued elements to retain.
Click here to see a Brief Overview.
Link to more studies on:
- Quality & Risk
Pathway Implementation in a Small Hospital
A work-learn session on pathway implementation was customized to the small
hospital setting. Among the issues identified as key concerns in
implementing pathways at a smaller hospital are:
- What patient groups do we target?
- Who in our area needs to be involved in this process with us? e.g. CCAC,
feeder hospitals?
- How do we keep the pathways concise, patient outcome focused, and easy to
use?
- What is the best way to give feedback from pathway use back to the
caregivers?
Link to more studies on:
- Evidence Based Care
Management Tools & Systems
Setting Strategic
Priorities for Best Practices in Patient Safety
A healthcare association wished to set
strategic priorities regarding best practices regarding safety and risk.
These themes and priorities could then be used in guiding the organizations
program planning. Information from key websites was analyzed for themes,
some of the current main topic areas included medication errors, falls and
injuries due to restraints, errors related to access or waiting. Themes that
can underlie best practices include supporting a blame-free culture,
developing strong communication between interdependent areas, and promotes
leadership/teamwork.
Link to more studies on:
- Quality & Risk
Care Pathway Implementation
Project
Developed a case management system adapted to a Canadian community hospital.
Responsible to an executive committee, worked with the support of an
operations committee. Beginning with an organizational scan, identified
organizational knowledge important to the development of the system, as well
as the enablers within the organization. As part of the process, we
identified existing tools and systems (documentation, QA) which needed
upgrading. Carried out committee facilitation, evidence identification, tool
design; developed and coordinated the implementation and evaluation of the
pilot and the subsequent organization wide implementation of the process.
Link to more studies on:
- Evidence Based Care
Management Tools & Systems
Development of a Patient Satisfaction Survey
Developed and coordinated an ongoing patient satisfaction process. This
process used a stratified random sample of discharged patients, who were
contacted for a telephone interview within a few weeks of their discharge
from hospital. A number of patients were contacted each week, supporting
continuous client feedback. The framework, interview and reporting process
was developed taking into account both previous hospital information, and
external research information, Quarterly reports were provided to
administration concerning trends; however, immediate feedback was provided
to managers where intervention was indicated, and ”pats on the back” sent to
commended staff. Much initial support and coaching of managers went in to
this change.
Link to more studies on:
- Quality & Risk
Evaluation Framework for an Acute Geriatric Medical Unit
A strategic planning process in a large community hospital identified the
need for an acute medical geriatric unit. Working with the development team,
and using information from the planning process, a framework was put in
place to guide the ongoing formative evaluation of the unit.
Link to more studies on:
- Quality & Risk
Facial Protocols for Thermography
Provided statistical advice and analysis to researchers in the area of
thermographic diagnosis. Helped develop the first statistically valid
protocols for identifying facial pain and soft tissue injury, setting out a
basis for further work that took clinical findings to a more quantitative
and defensible level.
Link to more studies
on:
- Evidence Based Care
Management Tools
Developing Measures of the Quality of Nursing Care
A major children’s’ hospital was looking for a cost-effective method of
regularly assessing their quality of nursing care without spending undue
time observing each nurse. We developed a brief form requiring only 3-6
hours of observation per month to assess quality. The instrument was
designed using domain sampling principles, thus ensuring that quality
improvements were broad and not confined to a few narrow tracked indicators.
Link to more studies on:
- Quality & Risk |
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The Brondesbury Group, 144 Front St. West, Suite 650,
Toronto, Canada, M5J 1G2
Tel: 1.416.585.2414
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Fax: 1.416.979.9159
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email: info@brondesbury.com |
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