Reducing Variance in Care Delivery

Health systems around the world have varying approaches to managing similar healthcare conditions. However, evidence shows that when care models differ, clinical outcomes are not optimal and patient safety can be compromised. In response, healthcare organizations are employing standardization of pathways, policies and protocols as proven tools for increasing uniformity of practice and patient safety, and reducing the number of errors.

This work stream will help identify, design and implement Clinical Care Pathways which are mutually identified as high-value. Value measurement includes determination of volume of diagnosis, prognosis, complexity of care, potential for error in management, existing variance in care and current and desired outcomes. In the first wave, 5 pathways will be identified, with an option to add as many clinical pathways as needed or desired by the organization.


Examples of such pathways include:

First wave of pathways may include:

1. Sepsis
2. Community Acquired Pneumonia
3. Ischemic Heart Disease
– Angina & Unstable Angina
4. Heart Failure
5. Diabetic ketoacidosis

Second Wave may include:

6. Acute Confusion
7. GI bleeding
8. Cellulitis
9. Fever of Unknown origin
10. Acute pancreatitis
11. Pleural effusion
12. Ascites
13. Acute Abdominal Pain


Other pathways to consider in the future:

14. Jaundice
15. Hyponatremia
16. Hyperkalemia
17. Deep vein thrombosis
18. Acute monoarthritis
19. Acute kidney injury
20. Hepatic encephalopathy

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