使用精益六西格玛方法开发一个高效和可持续的跨学科团队计划慢性疼痛在VA:PREVAIL跨学科团队跟踪跟踪
Rena E Courtney1,2,3, Mary J Schadegg4, Natalie Hicks1
1PREVAIL Center for Chronic Pain, Salem VA Health Care System, Salem, VA, USA.
Global advances in integrative medicine and health
|November 1, 2024
概括
精益六西格玛 (LSS) 方法成功地将VA疼痛诊所重新设计成一个高效的跨学科疼痛团队 (IDT) 计划. 这项质量改善计划减少了患者预约和咨询,提高了对慢性疼痛退伍军人的护理.
科学领域:
- 医疗保健管理的管理
- 质量改进方法 质量改进方法
- 疼痛管理 疼痛管理
背景情况:
- 慢性疼痛显著影响美国军方退伍军人.
- 疼痛跨学科团队 (IDT) 代表了疼痛管理的最佳方法.
- 缺乏在复杂的医疗保健系统中开发和实施IDT的标准化框架.
研究的目的:
- 评估9步精益6西格玛 (LSS) 方法的有效性.
- 将一个专注于干预性疼痛服务的VA门诊转变为一个高效和可持续的疼痛IDT计划.
主要方法:
- 普雷维尔跨学科团队赛道 (普雷维尔IDT赛道) 是在一个为农村退伍军人服务的VA医疗中心开发的.
- 重新设计的目的是减少驾驶日数,减少初始疼痛评估咨询,增加全身健康服务的转诊,并改善政策合规性.
- 代设计,测试和改进涉及管理人员,临床医生和退伍军人的反,收集数据超过1年的基线和14个月的维持期.
主要成果:
- 在PREVAIL IDT轨道减少了面对面的约会从5到2和需要咨询从5到1.
- 对全方位健康教育课程的推增加了,VA实现了完全遵守相关政策和标准.
- 该计划已经为486名退伍军人提供服务,其中167名毕业生和212名现有参与者,证明了持续的临床影响.
结论:
- 在PREVAIL IDT轨道展示了在VA内疼痛IDT计划的效率和可持续性的显著改善.
- 精益六西格玛 (LSS) 方法表明,它是重新设计VA环境中的疼痛跨学科团队的有效方法.
- 这项质量改进项目提供了一个可扩展的模型,以提高对退伍军人的疼痛护理服务.
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