Phys.theory:MS: clincal pathways in MS
WHY DO WE NEED A CLINICAL PATHWAY
The complexity of health care
Quality of health care – 6 core dimensions
- Geode communicatie tussen verzorgers & behandelaars nodig
- Klinische pathway hierop focussen
WHAT IS A CLINICAL PATHWAY
A care pathway is a complex intervention for the mutual decision making and organisation of care
processes for a well-defined group of patients during a well-defined period
- Voor deze groep & deze tijd
Defining characteristics of care pathways include
- An explicit statement of the goals and key elements of care based on evidence, best practice, and
patients’ expectations and their characteristics
- The facilitations of the communication among the team members and with patients and families
- The coordination of the care process by coordination the roles and sequencing the activities of
the multidisciplinary care team, patients and their relatives
- The documentation, monitoring, and evaluation of variances and outcomes
- The identification of the appropriate resources
The aim of a care pathway is to enhance the quality of care across the continuum by improving risk-
adjusted patient outcomes, promoting patient safety, increasing patient satisfaction and optimizing the
use of resources
Hooddoel
- Kwaliteit geven van behandeling/verzorging
Nala Melis Pagina 1
, Phys.theory:MS: clincal pathways in MS
THE 7-PHASE METHOD
A= action
P= plan
D=due
S= study
To design, implement and evaluate clinical pathways
QUALITIY INDICATORS FOR CLINICAL PATHWAY EVALUATION AND FOLLOW-UP
These indicate if you are delivering quality
Bekomen wat we willen bekomen?
Helpe, evalueren pathway
CLINICAL PATHWAY IN MS
In most cases the patient starts with medical treatment and
over the years rehabilitation will be started
There is a loop constantly going back to the neurologist
MS nurse is very important for the MS patient, with all their
questions and complaints they can go to the nurse. This
includes psychological questions, medication questions, etc
- Contact by email or phone
- The nurse can decide whether the patient needs to go
to the neurologist or not, or that there is a need for a
MDC
- Dokter kan hen ook contacteren
Consultation of second opninion
Multidisc. Consult
- Indien net gekregen diagnose= zowiso
- Indien follow up = afspraak
Yearly follow up
- Medische behandeling niet ∆
Nala Melis Pagina 2
WHY DO WE NEED A CLINICAL PATHWAY
The complexity of health care
Quality of health care – 6 core dimensions
- Geode communicatie tussen verzorgers & behandelaars nodig
- Klinische pathway hierop focussen
WHAT IS A CLINICAL PATHWAY
A care pathway is a complex intervention for the mutual decision making and organisation of care
processes for a well-defined group of patients during a well-defined period
- Voor deze groep & deze tijd
Defining characteristics of care pathways include
- An explicit statement of the goals and key elements of care based on evidence, best practice, and
patients’ expectations and their characteristics
- The facilitations of the communication among the team members and with patients and families
- The coordination of the care process by coordination the roles and sequencing the activities of
the multidisciplinary care team, patients and their relatives
- The documentation, monitoring, and evaluation of variances and outcomes
- The identification of the appropriate resources
The aim of a care pathway is to enhance the quality of care across the continuum by improving risk-
adjusted patient outcomes, promoting patient safety, increasing patient satisfaction and optimizing the
use of resources
Hooddoel
- Kwaliteit geven van behandeling/verzorging
Nala Melis Pagina 1
, Phys.theory:MS: clincal pathways in MS
THE 7-PHASE METHOD
A= action
P= plan
D=due
S= study
To design, implement and evaluate clinical pathways
QUALITIY INDICATORS FOR CLINICAL PATHWAY EVALUATION AND FOLLOW-UP
These indicate if you are delivering quality
Bekomen wat we willen bekomen?
Helpe, evalueren pathway
CLINICAL PATHWAY IN MS
In most cases the patient starts with medical treatment and
over the years rehabilitation will be started
There is a loop constantly going back to the neurologist
MS nurse is very important for the MS patient, with all their
questions and complaints they can go to the nurse. This
includes psychological questions, medication questions, etc
- Contact by email or phone
- The nurse can decide whether the patient needs to go
to the neurologist or not, or that there is a need for a
MDC
- Dokter kan hen ook contacteren
Consultation of second opninion
Multidisc. Consult
- Indien net gekregen diagnose= zowiso
- Indien follow up = afspraak
Yearly follow up
- Medische behandeling niet ∆
Nala Melis Pagina 2
