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  1. Reducing costs and length of stay and improving efficiency and quality of Care in Cardiac surgery.

    Article, Communication - En anglais

    Risk Management in CABG. A Continuing Perspective. Symposium. San Diego, CA, USA, 1997/02/01.

    Background

    The present era of health care places major emphasis on significantly reducing cost and resource utilization while maintaining quality of care and patient satisfaction.

    Clinicians are being challenged to achieve this within the framework of a patient subset that is increasing in severity of disease and risk-adjusted mortality.

    The Brigham and Women's Cardiac Surgical Services Management Group was formed in 1987 to help accomplish these goals.

    Methods

    The principles we have followed involve protocols and people.

    The multidisciplinary group includes the chiefs of cardiac surgery and anesthesia, chief residents, physician assistants, perfusionists, intensive care unit nursing personnel, and case managers.

    Weekly meetings address every aspect of problems arising in the cardiac surgical service ; separate weekly morbidity and mortality conferences are held.

    The Care Coordination Team establishes and monitors clinical pathways and recommends ways of improving all aspects of the service through a process of daily review on an individual patient basis.

    Results

    The volume of cardiac surgery at Brigham and Women's Hospital has increased steadily.

    The length of stay overall has decreased about 15%, and similarly, cost and total charges have also decreased.

    In addition, patient satisfaction has increased to a level of about 95%. (...)

    Mots-clés Pascal : Chirurgie, Coeur, Réduction, Durée, Hospitalisation, Coût, Qualité, Soin, Homme, Traitement, Cardiopathie, Appareil circulatoire pathologie

    Mots-clés Pascal anglais : Surgery, Heart, Reduction, Duration, Hospitalization, Costs, Quality, Care, Human, Treatment, Heart disease, Cardiovascular disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0127997

    Code Inist : 002B25E. Création : 22/06/1998.