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Computerised clinical pathway as process quality improvement tool.

S Chu1

  • 1Department of Management Science and Information Systems, The University of Auckland, New Zealand. schu@auckland.ac.nz

Studies in Health Technology and Informatics
|October 18, 2001
PubMed
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Process quality improvement (PQI) in healthcare offers greater benefits than product assurance. This study introduces a PQI model operationalized via a computerized clinical pathway management system (CCPMS) and evaluates its effectiveness.

Area of Science:

  • Healthcare Management
  • Quality Improvement Science
  • Health Informatics

Background:

  • Process quality improvement (PQI) is more effective for quality outputs and cost savings than product quality assurance, as seen in other industries.
  • The healthcare industry faces increasing demands for productivity, rising patient acuity, and a need to reduce adverse medical events, making PQI crucial.
  • Current quality assurance methods in healthcare are often reactive and product-focused, failing to address systemic process inefficiencies.

Purpose of the Study:

  • To present a continuous process quality improvement operational model specifically designed for the healthcare industry.
  • To demonstrate the operationalization of this PQI model through the implementation of a computerized clinical pathway management system (CCPMS).
  • To evaluate the effectiveness of the PQI approach, when implemented using a CCPMS prototype, in a healthcare setting.

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Main Methods:

  • Development of a continuous process quality improvement operational model for healthcare.
  • Implementation of a computerized clinical pathway management system (CCPMS) prototype to operationalize the PQI model.
  • Conducting a small-scale evaluative study to assess the effectiveness of the PQI approach using the CCPMS prototype.

Main Results:

  • The study assessed the effectiveness of the PQI approach using a CCPMS prototype.
  • Preliminary findings suggest potential benefits of the PQI model in improving healthcare processes.
  • Further research is needed to fully quantify the impact on quality outputs and cost savings.

Conclusions:

  • A continuous process quality improvement model, operationalized through a CCPMS, offers a promising approach for enhancing healthcare quality.
  • The PQI methodology, supported by technology, can address key challenges in healthcare, including productivity demands and adverse events.
  • The evaluative study provides initial evidence for the effectiveness of this integrated approach, warranting further investigation and broader implementation.