基于价值的护理在门诊外科中心的设置中的实际含义
Isaac Y Hung1, David S Jevsevar2, Troy Simonson3
1School of Medicine, University of California, Irvine, Irvine, California; Center on Stress & Health, University of California Irvine, Orange, California.
The Journal of arthroplasty
|November 17, 2024
概括
门诊外科中心 (ASC) 可以通过采用替代支付模式 (APM) 和标准化实践来整合基于价值的护理 (VBC). 这种方法提高了效率,降低了高达45%的成本,并改善了骨科手术患者的治疗结果.
科学领域:
- 整形外科手术 整形外科手术
- 医疗保健服务研究 医疗服务研究
- 以价值为基础的护理
背景情况:
- 门诊外科手术中心 (ASC) 越来越多地喜欢骨科手术,而不是传统的医院.
- 手术技术,麻醉和恢复协议的进步支持安全的门诊复杂程序.
- ASC与基于价值的护理 (VBC) 原则保持一致,提供具有成本效益的,高质量的,以患者为中心的护理.
研究的目的:
- 探索将VBC整合到ASC中的策略.
- 检查VBC采用的运营,财务和临床改进.
- 为替代支付模式 (APM) 准备ASC.
主要方法:
- 评估ASC采用APM (例如捆绑支付) 的策略.
- 使用精益方法和六西格玛实施标准化实践.
- 通过标准化植入物选择和供应商谈判,针对可操作指标和成本管理进行数据收集.
主要成果:
- 与医院门诊部门相比,ASC可以节省高达45%的成本.
- 采用APM可以改善护理协调,提高效率,并使财务激励与临床结果保持一致.
- 标准化实践减少了变异性,提高了手术结果,控制了成本,并得到了绩效监测的支持.
结论:
- 在骨科手术中,ASC为VBC实施提供了显著的机会.
- 准备APM,标准化实践和使用性能数据是节省成本和改善结果的关键.
- 持续改进和协调的财务/临床目标使ASC成为骨科护理的领导者.
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