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Evidence Based Care
Management Tools & Systems
Evidence-based Care Management Tools most commonly include flow charts,
daily utilization review criteria, pathways, associated routine orders, and
key indicators of progress & discharge criteria. The aim of all of these
tools is to support clinicians in providing evidence based, proactive care
for patients groups showing unacceptable variability in care plan components
and utilization outcomes. We work with clients to select the most
appropriate tools for their setting, ensure the tools are targeting the
current hot spots, and establish manageable processes for tool development
and maintenance. |
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A few of our Recent
Studies:
->
Evidence-Based Care Management Tools for a Multi-site Care Provider
->
Pathway Implementation in a Small Hospital
->
Care Pathway Implementation Project
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.
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?
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.
Looking at
the Literature
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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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