AI Article Synopsis
- The Cancer Care Index (CCI) showed a 42% improvement in patient care by tracking harmful events and missed care opportunities, prompting a study to apply this concept to other medical service lines.
- Clinical indices were created for Nephrology, Pulmonology, and Otolaryngology, focusing on specific harms and optimal care delivery, with monthly updates on performance metrics.
- Each service line experienced significant performance improvements, with reductions in undesirable events of 63.2% for nephrology, 89.5% for pulmonology, and 53.0% for otolaryngology, while staff expressed satisfaction with the new metrics.
Article Abstract
Objective: The Cancer Care Index (CCI), a single metric that sums the number of undesirable patient events in a given time frame (either preventable harm events or missed opportunities to provide optimal care), resulted in a 42% improvement in performance. Our objective was to test the index concept in other service lines to determine whether similar performance improvement occurred.
Study Design: Care indices were developed and introduced in 3 additional service lines: Nephrology (Chronic Kidney Disease Care Index; CKDCI), Pulmonology (Lung Transplantation Care Index; LTCI), and Otolaryngology (Tracheostomy Care Index; TCI). After reaching agreement on specific harms to be avoided and elements of optimal care that should be reliably delivered, these items were compiled into indices that were updated monthly. Reports included each element individually and the total for all elements. Baseline performance was calculated retrospectively for the previous year.
Results: Significant improvement in performance occurred in each program following implementation of the clinical indices. The CKDCI was decreased by 63.2% (P < .001), the LTCI was decreased by 89.5% (P < .001), and the TCI was decreased by 53.0% (P < .001). Surveyed staff indicated satisfaction with use of the metric.
Conclusions: Clinical indices are useful for evaluating and managing the overall reliability of a program's ability to deliver optimal care, and are associated with improved clinical performance and satisfaction by service line staff when incorporated into a program's operation.
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| http://dx.doi.org/10.1016/j.jpeds.2017.09.073 | DOI Listing |
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