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A graphic tool for tracking variance & comorbidities in cardiac surgery case management
1Cardiothoracic Surgery X3-CAR, Virginia Mason Medical Center, Seattle, Washington 98111.
Progress in Cardiovascular Nursing
|January 1, 1993
Summary
This study introduces a novel tracking system for nursing case management to improve healthcare quality and reduce costs. The system analyzes patient comorbidities and variances, enabling tailored care pathways and better patient outcomes.
Area of Science:
- Healthcare Management
- Quality Improvement Science
- Nursing Research
Background:
- Nursing case management is crucial for balancing healthcare costs and quality.
- Continuous Quality Improvement (CQI) focuses on outcome measurements in healthcare.
- Outcome research is emerging in case management, demanding analysis of variance, cost-effectiveness, and patient risk factors.
Observation:
- Existing case management systems often lack the ability to track both patient variance and comorbidities simultaneously.
- There is a need for tailored critical pathways based on specific patient comorbidities.
- Current research demands in case management include tracking variance, evaluating cost reduction, and identifying at-risk patients.
Findings:
- A simple, graphic, multidisciplinary tracking system is presented.
- This system incorporates patient comorbidities for enhanced analysis.
- It facilitates individual and group patient variance analysis.
Implications:
- The system allows for subset tailoring of critical pathways for patients with specific comorbidities.
- It supports improved outcome measurements and continuous quality improvement in nursing case management.
- This approach can lead to more effective and cost-efficient patient care by identifying and managing risks proactively.