the positive impact of clinical care program certification in providing patient ... · the positive...

The Positive Impact of Clinical Care Program Certification in Providing

Patient-Centered Care

Juan Carlos González MD, MScChairman Department of Orthopaedics

Brief Description of our JCI

CCP

Servicios de salud

Why CCP?Why

JointReplacements?

Results

Presentation outline

Local Operation

of the Program

Brief Description of our JCI

CCP

Servicios de salud

Why CCP?Why

JointReplacements?

Results

Presentation outline

Local Operation

of the Program

MissionTo treat persons requiring jointreplacements with relentless pursuit forthe highest degree of efficacy and safetythroughout the entire care continuum, byintegrating the best available scientificevidence and forefront continuous qualityimprovement techniques.

Program Design

The program is structured as amultidisciplinary group specializing injoint arthroplasty, nested within ahigh-complexity, general, universityhospital, serving the patient, his familyand the community.

Brief Description of our JCI

CCP

Servicios de salud

Why CCP?Why

JointReplacements?

Results

Presentation outline

Local Operation

of the Program

National accreditation

with excelenceICONTEC ISQua

AcademicMedical Center

Hospital JCI

Superior Value Health Services

2010 2012 2013 2015 2016

CCP in Joint Replacements

JCICHospital

JCIRecertification

Why Orthopaedics?

• Clinical epidemiology, EBM 90’• Base line studies(Prevalence) 04• Centro de Gestión Hospitalaria 06• “Centers of excellence” 08• JCI/FSFB 10

Brief Description of our JCI

CCP

Servicios de salud

Why CCP?Why

JointReplacements?

Results

Presentation outline

Local Operation

of the Program

Outpatient Clinic Admisions OR

Recovery RoomInpatient

(3- 4 days)Follow-up

(1 year PostOP)

Standardized Process

*

**

*

* Patient Education

Patient Educaction

• Preop talk• Preop booklets

Adherence to JCI standards

11,52% 9,95%0,53%

0,00% 0,00% 0,54% 0,00%

35,60% 32,98% 25,79%

7,37% 7,37%10,33%

2,17%

54,45%57,07%

73,68%

92,63% 92,63% 89,13%

97,83%

0,00%

20,00%

40,00%

60,00%

80,00%

100,00%

120,00%

14-nov-11 14-dic-11 21-ago-12 01-feb-13 15-abr-14 01-abr-15 01-mar-16

Autoevaluación Eval. Consultores Autoevaluación Autoevaluación Autoevaluación Autoevaluación Nuevos estándares

Autoevaluación

No cumple Cumple parcial Cumple

Proporción de adherencia a estándares JCI para programa de cuidado clínicoReemplazo Articulares (Cadera, Rodilla y Hombro)

Brief Description of our JCI

CCP

Servicios de salud

Why CCP?Why

JointReplacements?

Results

Presentation outline

Local Operation

of the Program

ESTADISTICAS REEMPLAZOS ARTICULARES

121

168 177 184

103120

146162

10 3 11 19

2012 2013 2014 2015

CADERA RODILLA HOMBRO

Total: 203

Total: 291Total: 334 Total: 365

Joint Replacements CCP Relevant Results

JointReplacements

2010(CE)

2015(CCP)

Dislocation 5,8 % 0,94%

Infection 1,9% 0,62%

PE/ DVT 2,6% 0,2%

Inpatientstay 7 days 3-4 days

Clinical OutcomesDAWSON

ESCALA DE FUNCIONALIDAD PREOPER ESCALA DE FUNCIONALIDAD 3 MESESESCALA DE FUNCIONALIDAD ANUAL

10

20

30

40

50

60

PUN

TAJE

44

16,512

ESCALA DE FUNCIONALIDAD PREOP_1 ESCALA DE FUNCIONALIDAD 3 MES_1 ESCALA DE FUNCIONALIDAD ANUAL_1

10

20

30

40

50

60PU

NTA

JE

43

24

14

Hip (Dawson)

Knee (Dawson)

Clinical OutcomesFunctional scales

DASH- Shoulder

FUENTE: Base de datos – Encuestas de Satisfacción de los Pacientes 2016

5

100%

97%

100%

96%

100%

99%

88% 88% 88% 88% 88% 88%

82%

84%

86%

88%

90%

92%

94%

96%

98%

100%

102%

ENE FEB MAR ABR MAY CONSOLIDADO 2016

C4 - REEMPLAZO ARTICULAR CONSOLIDADO HOSPITAL FOR SPECIAL SURGERY - HCAHPS JUN 2015

CALIFICACIÓN GLOBAL FSFB META FSFB

GLOBAL SATISFACTIONCCP in Joint REplacements

January –May 2016 - Meta 95%

How strongly would you recommend the services of the CCP in joint replacements?

FUENTE: Base de datos – Encuestas de Satisfacción de los Pacientes 2016

7

Net Promoter ScoreEnero a Mayo de 2016

95%

69%

90% 91% 91%88%

91% 91% 91% 91% 91% 91%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

ENE FEB MAR ABR MAY CONSOLIDADO 2016

NPS C4 REEMPLAZOS ARTICULARES - COMPARATIVO

C4 - REEMPLAZO ARTICULAR DE RODILLA HOSPITAL FOR SPECIAL SURGERY - HCAHPS JUN 2015

CALIFICACIÓN NPS - FSFB META FSFB

Brief Description of our JCI

CCP

Servicios de salud

Why CCP?Why

JointReplacements?

Results

Presentation outline

Local Operation

of the Program

GRACIAS!