Related Experiment Videos
[Quality management: internal guidelines and critical pathways for patients]
H P Müller1, K Schmid, D Conen
1Arztliche Projektleitung mipp, Kantonsspital Aarau, Schweiz. hanspeter.mueller@ksa.ch
Summary
Internal guidelines, known as "locally owned" standards, demonstrate higher effectiveness and acceptance in medical practice compared to external guidelines. The model of integrated patient pathways (mipp) utilizes these internal guidelines for enhanced quality management and cost accounting.
Area of Science:
- Healthcare Management
- Medical Informatics
- Quality Improvement
Context:
- Practice guidelines are a significant development in American medicine, yet their real-world effectiveness is debated.
- Internal guidelines, developed by healthcare organizations, show greater acceptance and positive outcomes.
- The model of integrated patient pathways (mipp) at Kantonsspital Aarau leverages internal guidelines.
Purpose:
- To present the model of integrated patient pathways (mipp) and its core features.
- To highlight the role of internal guidelines in improving healthcare delivery.
- To demonstrate how mipp integrates process description with cost calculation.
Summary:
- The mipp model constructs and implements patient pathways using internal guidelines, incorporating path-controlling, benchmarking, and visualization.
- These pathways emphasize interdisciplinary collaboration for efficient quality management, similar to clinical pathways.
- Mipp integrates process descriptions with cost calculations, supporting standard and activity-based costing.
Impact:
- Mipp provides a framework for healthcare organizations to gain clarity on treatment processes.
- This clarity is crucial for optimizing patient care and improving outcomes.
- The model supports healthcare organizations in preparing for upcoming prospective payment systems (PPS).