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Collaborative development of a clinical pathway for congestive heart failure
1Bon Secours Hospital, Grosse Pointe, MI, USA.
Insights
Bon Secours Hospital improved congestive heart failure (CHF) patient care by targeting high-cost diagnoses. A new comprehensive care program and clinical pathway reduce costs and treatment variations.
Area of Science:
- Healthcare Management
- Clinical Process Improvement
- Cardiology
Background:
- Bon Secours Hospital identified high-volume, high-cost DRGs for improvement.
- Congestive heart failure (CHF) presented a key area for intervention due to cost and treatment variability.
Purpose of the Study:
- To enhance clinical processes for congestive heart failure (CHF) patients.
- To reduce non-value-added costs and variations in CHF treatment.
- To develop a comprehensive continuum of care for CHF patients.
Main Methods:
- Collaborative work between hospital administration and medical staff.
- Focus on high-volume and high-cost DRGs.
- Development of a comprehensive care program including prevention and maintenance.
- Implementation of a clinical pathway for acute treatment management.
Main Results:
- Initiated a targeted clinical process improvement for CHF.
- Began development of a comprehensive care program.
- Established a collaborative approach involving medical staff.
- Focused on reducing costs and treatment variations.
Conclusions:
- Bon Secours Hospital is actively improving CHF care through process optimization.
- A comprehensive care model and clinical pathway are central to this initiative.
- The hospital aims to reduce costs and standardize treatment for CHF patients.
Abstract:
Bon Secours Hospital, a 304-bed community hospital in Grosse Pointe, MI, decided to target high-volume and high-cost DRGs for clinical process improvement. Working collaboratively with members of the medical staff, the cardiac team set out to improve outcomes by reducing the non-value-added costs and the variations in the treatment of patients with congestive heart failure (CHF). A comprehensive program of care for these patients, that included the full continuum of care, from prevention to maintenance, is being developed, using a clinical pathway to manage the acute phase of treatment.