Navigation Links
New Mayo Clinic cardiovascular surgical care model improves care value, predictability and the patient experience
Date:5/6/2014

ROCHESTER, Minn. New research from Mayo Clinic shows that implementing a uniform method to care for lower-risk cardiac surgical patients improves outcomes, reduces patients' time in the hospital and lowers overall per patient costs by 15 percent. The study is published in the May issue of Health Affairs.

MULTIMEDIA ALERT: Video and audio are available for download on the Mayo Clinic News Network.

"In the high-acuity, full-service hospital, individual clinical judgment remains key, and some medical care demands this," says David Cook, M.D., a Mayo Clinic anesthesiologist and primary author of the study. "But if this philosophy is applied universally, the same medical problem could be approached in 10 different ways by 10 different physicians, leading to unwarranted variability in costs, quality and outcomes."

In 2009, practice leaders at Mayo Clinic initiated a practice redesign effort targeted at lower-risk cardiovascular surgical patients that would set clear expectations for their hospital care, improve patients' experiences and outcomes, and reduce overall costs. The group used stakeholder analysis, practice analysis and management tools such as Lean and Six Sigma to design the new model of care. Key elements of the model included:

  • Stratification of the patient population into lower and higher complexity to identify which patients could be cared for using the standardized model

  • New workflow paths that empowered nonphysician care providers to make decisions at the bedside

  • Co-location of patients with similar levels of acuity

  • Health IT tools to support work models and care delegation
"Our effort to disrupt the typical model of a full-service hospital surgery practice provides evidence of the power of a standardized care model to improve care value," Dr. Cook explains. "Instead of treating all patients as highly complex and requiring unique problem-solving, we found that 67 percent of our patients would be amenable to a new care model that achieved a high degree of predictability."

"For patients and families, uncertainty is a significant burden," he continues. "Now, we've made care predictable enough so that we can tell patients and families what they can expect, and this is tremendously important."

Dr. Cook says that it's critical to apply the right tools, care model and work model to the right patient population. Part of the reason that protocols or best practices fail, he says, is that providers may not follow them if they are not applied, with forethought, to the right patient population. He also stresses that persistent leadership and phased implementation of changes are critical for such initiatives to succeed.


'/>"/>

Contact: Shelly Plutowski
newsbureau@mayo.edu
507-284-5005
Mayo Clinic
Source:Eurekalert

Related medicine news :

1. WHI reports $37.1B economic return on combined hormone therapy clinical trial
2. Mayo Clinic study finds nerve damage after hip surgery may be due to inflammation
3. Clinical opinion published in American Journal of Obstetrics & Gynecology
4. NCI, NCRI and EORTC outline risk-assessment approach for biomarker-driven cancer clinical trials
5. Mayo Clinic launches 50-gene cancer panel test
6. The Lancet Diabetes & Endocrinology: Large clinical trials to evaluate risks of testosterone treatment urgently needed
7. Dartmouth awarded lead role in NCI clinical trials network
8. Clinics not bogged down by red tape can ease health cost burdens
9. $8 million NIH grant will fund multicenter clinical trial of stroke intervention drug
10. MSU physicists push new Parkinsons treatment toward clinical trials
11. New clinical definition for epilepsy improves diagnosis accuracy
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/24/2016)... Michigan (PRWEB) , ... June 24, 2016 , ... June ... about the dangers associated with chronic pain and the benefits of holistic treatments, ... individuals who are suffering with Sickle Cell Disease. , Sickle Cell Disease (SCD) is ...
(Date:6/24/2016)... ... , ... Global law firm Greenberg Traurig, P.A. announced that 20 Florida attorneys ... peers for this recognition are considered among the top 2 percent of lawyers practicing ... members of this year’s Legal Elite Hall of Fame: Miami Shareholders Mark D. ...
(Date:6/24/2016)... ... June 24, 2016 , ... Topical BioMedics, Inc, makers of Topricin and MyPainAway Pain Relief ... a minimum wage raise to $12 an hour by 2020 and then adjusting it yearly ... lost value of the minimum wage, assure the wage floor does not erode again, and ...
(Date:6/24/2016)... NY (PRWEB) , ... June 24, 2016 , ... ... Haute Living, is proud to recognize Dr. Barry M. Weintraub as a prominent ... “the most beautiful women in the world, and the most handsome men, look ...
(Date:6/24/2016)... ... ... National recruitment firm Slone Partners is pleased to announce the placement of ... President of North American Capital Sales at HTG Molecular . , ... the commercialization of the HTG EdgeSeq system and associated reagents in North America. , ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... , June 23, 2016 ... "Pharmaceutical Excipients Market by Type (Organic Chemical (Sugar, ... Formulation (Oral, Topical, Coating, Parenteral) - Global Forecast to ... The global pharmaceutical excipients market ... at a CAGR of 6.1% in the forecast period ...
(Date:6/23/2016)... , June 23, 2016 Roche (SIX: ... 510(k) clearance for its Elecsys BRAHMS PCT (procalcitonin) assay ... sepsis or septic shock. With this clearance, Roche is ... a fully integrated solution for sepsis risk assessment and ... with bacterial infection and PCT levels in blood can ...
(Date:6/23/2016)... 23, 2016 Capricor Therapeutics, ... a biotechnology company focused on the discovery, development ... patient enrollment in its ongoing randomized HOPE-Duchenne clinical ... 50% of its 24-patient target. Capricor expects the ... quarter of 2016, and to report top line ...
Breaking Medicine Technology: