Implementation of a quality care management system for patients with arthritis of the hip and knee
The Orthopaedic Unit of the Repatriation General Hospital (RGH) in Adelaide, South Australia has implemented a quality care management system for patients with arthritis of the hip and knee. The system not only optimises conservative management but ensures that joint replacement surgery is undertake...
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| Veröffentlicht in: | Australian health review 2013-01, Vol.37 (1), p.88-92 |
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| container_end_page | 92 |
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| container_title | Australian health review |
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| creator | Doerr, Christine R Graves, Stephen E Mercer, Graham E Osborne, Richard H |
| description | The Orthopaedic Unit of the Repatriation General Hospital (RGH) in Adelaide, South Australia has implemented a quality care management system for patients with arthritis of the hip and knee. The system not only optimises conservative management but ensures that joint replacement surgery is undertaken in an appropriate and timely manner. This new service model addresses identified barriers to service access and provides a comprehensive, coordinated strategy for patient management. Over 4 years the model has reduced waiting times for initial outpatient assessment from 8 to 3 months and surgery from 18 to 8 months, while decreasing length of stay from 6.3 to 5.3 days for hips and 5.8 to 5.3 days for knees. The service reforms have been accompanied by positive feedback from patients and referring general practitioners in relation to the improved coordination of care and enhanced efficiency in service delivery. |
| doi_str_mv | 10.1071/AH11107 |
| format | Article |
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The system not only optimises conservative management but ensures that joint replacement surgery is undertaken in an appropriate and timely manner. This new service model addresses identified barriers to service access and provides a comprehensive, coordinated strategy for patient management. Over 4 years the model has reduced waiting times for initial outpatient assessment from 8 to 3 months and surgery from 18 to 8 months, while decreasing length of stay from 6.3 to 5.3 days for hips and 5.8 to 5.3 days for knees. The service reforms have been accompanied by positive feedback from patients and referring general practitioners in relation to the improved coordination of care and enhanced efficiency in service delivery.</description><subject>Arthritis</subject><subject>Arthroplasty</subject><subject>Arthroplasty, Replacement, Hip - standards</subject><subject>Arthroplasty, Replacement, Knee - standards</subject><subject>Efficiency, Organizational</subject><subject>Health administration</subject><subject>Health Plan Implementation - methods</subject><subject>Health Plan Implementation - organization & administration</subject><subject>Humans</subject><subject>Length of Stay - trends</subject><subject>Models, Organizational</subject><subject>Osteoarthritis, Hip - diagnosis</subject><subject>Osteoarthritis, Hip - rehabilitation</subject><subject>Osteoarthritis, Hip - surgery</subject><subject>Osteoarthritis, Knee - diagnosis</subject><subject>Osteoarthritis, Knee - rehabilitation</subject><subject>Osteoarthritis, Knee - surgery</subject><subject>Patient Care Management - methods</subject><subject>Patient Care Management - organization & administration</subject><subject>Patient education</subject><subject>Patients</subject><subject>Quality Assurance, Health Care - methods</subject><subject>Quality Assurance, Health Care - organization & administration</subject><subject>Quality Indicators, Health Care</subject><subject>Referral and Consultation - standards</subject><subject>Severity of Illness Index</subject><subject>South Australia</subject><subject>Triage</subject><subject>Waiting Lists</subject><issn>0156-5788</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkE1P3DAQhn1oBRSq_oPKt_ay4LHzeUSoZUFIXGiv1sSZENMkDrZX1f57HHapKqSq4uSR55lnRi9jn0Ccgijh7HwNkIp37EhAXqzysqoO2YcQHoSAOq-KA3YoFeS1UNkRa67GeaCRpojRuom7jiN_3OBg45Yb9MRHnPD-meBhGyKNvHOezwlPX4H_trHn6GPvbbRhmY898d7OHKeW_5qITtj7DodAH_fvMfvx_dvdxXp1c3t5dXF-szJZLePK5EUjlalzUZeFgYZKCSZLxxNIbFtsGinzKsuqTshWESGZzqjMNAqlwBzUMfu6887ePW4oRD3aYGgYcCK3CRoUyEpVsi4S-mWHGu9C8NTp2dsR_VaD0EuIeh9iIj_vpZtmpPYP95JgAn7uAD_aqI0bBjJLkuEBY9CB0Jte2ylltvSdv9etsxqbsKxSCgptacAZNRQl1IVMyyErxSJe_yVORBf_qfuv6vrtqpfGa9kTomK-fA</recordid><startdate>20130101</startdate><enddate>20130101</enddate><creator>Doerr, Christine R</creator><creator>Graves, Stephen E</creator><creator>Mercer, Graham E</creator><creator>Osborne, Richard H</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20130101</creationdate><title>Implementation of a quality care management system for patients with arthritis of the hip and knee</title><author>Doerr, Christine R ; 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The system not only optimises conservative management but ensures that joint replacement surgery is undertaken in an appropriate and timely manner. This new service model addresses identified barriers to service access and provides a comprehensive, coordinated strategy for patient management. Over 4 years the model has reduced waiting times for initial outpatient assessment from 8 to 3 months and surgery from 18 to 8 months, while decreasing length of stay from 6.3 to 5.3 days for hips and 5.8 to 5.3 days for knees. The service reforms have been accompanied by positive feedback from patients and referring general practitioners in relation to the improved coordination of care and enhanced efficiency in service delivery.</abstract><cop>Australia</cop><pmid>23159034</pmid><doi>10.1071/AH11107</doi><tpages>5</tpages></addata></record> |
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| identifier | ISSN: 0156-5788 |
| ispartof | Australian health review, 2013-01, Vol.37 (1), p.88-92 |
| issn | 0156-5788 |
| language | eng |
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| source | MEDLINE; CSIRO Publishing Journals |
| subjects | Arthritis Arthroplasty Arthroplasty, Replacement, Hip - standards Arthroplasty, Replacement, Knee - standards Efficiency, Organizational Health administration Health Plan Implementation - methods Health Plan Implementation - organization & administration Humans Length of Stay - trends Models, Organizational Osteoarthritis, Hip - diagnosis Osteoarthritis, Hip - rehabilitation Osteoarthritis, Hip - surgery Osteoarthritis, Knee - diagnosis Osteoarthritis, Knee - rehabilitation Osteoarthritis, Knee - surgery Patient Care Management - methods Patient Care Management - organization & administration Patient education Patients Quality Assurance, Health Care - methods Quality Assurance, Health Care - organization & administration Quality Indicators, Health Care Referral and Consultation - standards Severity of Illness Index South Australia Triage Waiting Lists |
| title | Implementation of a quality care management system for patients with arthritis of the hip and knee |
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