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[Experience in Implementing an Integrated Cardiometabolic Practice Unit in a Private Healthcare Provider: A
Rubén Rojas1, Nicolás Jaña1, Carlos Arroyo2
1Fractal EDM, Santiago, Chile.
Insights
A new Cardiometabolic Integrated Practice Unit (UPI) was successfully implemented to improve cardiovascular disease care in Chile. This model offers a comprehensive approach from prevention to rehabilitation, aiming to reduce health and economic impacts.
Area of Science:
- Healthcare Management
- Cardiovascular Health
- Integrated Care Models
Context:
- Cardiovascular diseases are a leading cause of death and economic burden in Chile.
- Existing healthcare systems in Chile lack a fully integrated approach to managing cardiometabolic conditions.
- The FUSAT Clinical Hospital sought to address these challenges through innovative care delivery.
Purpose:
- To describe the structured process of establishing a Cardiometabolic Integrated Practice Unit (UPI).
- To adapt a recognized framework (Porter and Lee) for implementing the UPI.
- To outline the key steps involved in organizing the UPI for optimal patient care.
Summary:
- The Cardiometabolic UPI was structured using five defined steps: patient selection, needs-based stratification, care delivery, communication strategy, and monitoring indicators.
- Implementation involved a multidisciplinary team working collaboratively over six months.
- The UPI integrates care across the entire patient journey, from promotion and prevention to rehabilitation.
Impact:
- Successful implementation of the Cardiometabolic UPI at the FUSAT Clinical Hospital.
- Demonstrates the feasibility of such integrated projects through defined governance and strategic objectives.
- Highlights the potential for significant positive impact on cardiovascular healthcare delivery in Chile.
Abstract:
Cardiovascular diseases, in addition to being a health problem for Chile, ranking as the second leading cause of death, also impose a significant economic burden on the country. Aiming to reduce these diseases' health and economic impact, we decided to structure a Cardiometabolic Integrated Practice Unit (UPI) at the FUSAT Clinical Hospital. Unlike the current organization of healthcare systems in Chile, a UPI is structured throughout the entire cycle of care (from promotion and prevention to rehabilitation), with a multidisciplinary team (both clinical and administrative) organized around closely related medical conditions or a set of health conditions.
Aim:
This study aims to describe the process of structuring a Cardiometabolic Integrated Practice Unit (UPI) at the FUSAT Clinical Hospital.
Methodology:
In this case, Porter and Lee's article was used as a basis for structuring this UPI.
Results:
Based on this article, five steps were defined to organize this Cardiometabolic UPI: (1) patient selection, (2) patient stratification based on care needs, (3) patient selection and care, (4) communication strategy, and (5) definition of monitoring indicators.
Conclusion:
After 6 months of collaborative work, we successfully implemented the UPI at the FUSAT Clinical Hospital. This achievement demonstrates that projects of this nature can be carried out through a defined organization and governance, a strategic definition and prioritization of objectives, and an adaptation of the methodology to the local reality. The successful implementation of the UPI inspires confidence in its potential impact on healthcare in Chile.
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