For a research project on “care pathways for patients with low back pain” we are looking for international expertise in this area. Low back pain is a common problem, with a lifetime prevalence of up to 80%, which results in a tremendous cost for society in terms of direct medical costs and costs from loss of productivity. Moreover, the condition is characterized by a tendency for over-medicalisation and medical overconsumption. Therefore, we want to investigate what lessons can be learned from the care pathways organized elsewhere to manage low back pain and limit its impacts.
November 28, 2015 |The Bram & Bluma Appel Salon at the Toronto Reference Library
The inaugural pathways conference was held this past November to an audience of doctors, nurses, clinicians, pharmacists, and various other medical professionals and mental health and addiction specialists.
This week, a group of 12 professional graduated from the 10-day Care Pathway Course, in Utrecht, the Netherlands. This course is organised within the Belgian-Dutch Clinical Pathway Network. The 7-phase model forms the backbone of the course. The 10 days are spread over a period of just over a year, in which the participants perform a care pathway project. The course ends with (poster) presentations on the projects, showing results and lessons learned.
In E-P-A newsletter Issue 12, November 2013, we informed you of a project aimed at developing and implementing care pathways for nutrition problems. It is now time to give you a quick update. The project, supported by an unconditional educational grant by Baxter, is executed in 3 hospitals in Belgium, France, Germany and The Netherlands, and is a good example of working with a care pathway as a complex intervention. A complex intervention is always a combination of several ‘active ingredients’. In the case of care pathways these ingredients are: 1) the evidcence based key interventions and indicators for the target group; 2) feedback on the current care process on the basis of the key indicators; and 3) an improvement strategy to improve the care process.
So far, we have produced an overview of evidence based interventions and indicators by performing a systematic review. An international expert panel validated the output. A formal publication of the systematic review is under review with in the research team.
The 12 participating hospitals have performed a retrospective patient record analysis to provide data on the current care process. This has resulted in a 140 page feedback report, which can be used as a benchmark. We have organized feedback sessions per country for the participating teams, where we shared the results. Some of the results, such as time between decision for surgery and surgery, or number of patients that where screened for malnutrition, were real eye-openers for the teams, indicating room for improvement.
The next phase of the project is the quality improvement strategy (active ingredient #3) which is planned for the next few months. After this, the teams will perform a prospective analysis, to see if their performance has improved.
We will keep you posted!
The CP4NutriGICan research team,
Ruben van Zelm, MSc; Prof. Kris Vanhaecht (principal investigator); Ellen Coeckelberghs, PhD; Prof. Massimiliano Panella; Prof. Walter Sermeus
Lead contact person for Baxter: mrs. L. Nonneman
ST- Elevation Myocardial infarction (STEMI) is one of the most common disease in our aging world that leads to mortality due to its time sensitivity characteristics. The promises by clinical pathway in controlling the cost, time and quality of patient care has encouraged the use of clinical pathway in STEMI care. However, it is still not clear what are the the most optimal clinical pathway components that will suit the STEMI patients and will make the use of the clinical pathway more practical?. Hence, in this study a survey was designed to answer the aforementioned question.
Following the successful International Care Pathway Conference 2015 in Reggio Emilia last October, E-P-A has a new National Section in Italy. Any country with more than 20 members can form a National Section. There are more than 20 individual E-P-A members in Italy, and there are two volunteers to lead the section. We introduce the Chair and Co-Chair of the Italian Section.
During the Round Table session on the final day of the ICPC2015, ms. G. Gelosini told the audience a very personal story from her perspective as a patient. She encountered negative and positive experiences during her illness. Among the negative experiences were not being taken serious by professionals and a fragmented care process. The positive experience were summarized in 7 positive aspects about care pathways:
At the closing of the ICPC2015, prof. Sermeus gave an overview of developments and challenges, and E-P-A’s role in advancing care pathways. He used the model for managing complex change by T. Knoster as structure:
In 2013, the Stroke care team from the region Roosendaal / Moerdijk, the Netherlands, was awarded for their achievements in improving patient care. They were awarded with the first prize of the Belgian-Dutch Clinical Pathway Network biannual competition for best care pathway project. One of the elements of this prize is presenting the project at the International E-P-A conference. Unfortunately, the team representatives are unable to attend ICPC2015. E-P-A still wants to share the project, a short overview of the project and lessons learned is published in this article.