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ScrippsHealth: quality planning for clinical processes of care
1ScrippsHealth.
Abstract
Unlabelled:
Project Overview: In 1991, Scripps Memorial Hospital developed clinical pathways (called CareTracs) for four DRGs in cardiovascular surgery (DRGs 104, 105, 106, and 107) in order to stabilize those clinical processes, collect data on them, and make improvements.
Key Findings:
In the first six months the CareTracs were in place, lengths of stay decreased by 20 to 30 percent and charges were reduced by approximately 20 percent. Patients in DRG 107 (coronary artery bypass graft without cardiac catheterization), on average, now spend less time in ICU and are extubated sooner -- improvements that have, in turn, reduced the incidence of nosocomial pneumonia.