Clinical Pathways

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Clinical pathways aim to standardize patient care processes while allowing for variations between individual patients. They seek to improve quality of care and reduce costs.

Clinical pathways outline the essential stages of health services including expected results. They illustrate the process from patient admission to discharge.

The seven key goals of implementing clinical pathways are: choosing best practices, setting treatment standards, coordinating care processes, informing staff roles, analyzing service data, reducing documentation burden, and improving patient satisfaction.

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CLINICAL PATHWAYS
SOME SAY THAT THE PATIENT CARE PROCESS IS A PROCESS THAT IS FULL OF ART "HIGH VALUE".
WE LOOK AT THE FACT THAT IN CARING FOR PATIENTS, DOCTORS SOMETIMES PROVIDE SERVICES THAT
VARIES ACCORDING TO SCIENCE AND "FEEL" THEY HAVE., THIS VARIATION IS NECESSARY, CONSIDERING
EACH PATIENT ALSO HAS A VARIETY OF CONDITIONS WHEN THE BODY REACTS TO DRUG AND DISEASE.

Clinical Pathways
CLINICAL PATHWAY IS A FLOW THAT SHOWS IN DETAIL THE ESSENTIAL STAGES OF HEALTH SERVICES
INCLUDING THE EXPECTED RESULTS. SIMPLY WE CAN SAY THAT CLINICAL PATHWAYS IS A WORKFLOW THAT
ILLUSTRATES THE PROCESS STARTED WHEN THE PATIENT ADMISSION TO RETURN OF THE PATIENT. CLINICAL
PATHWAYS PROVIDE MINIMUM SERVICE STANDARDS AND ENSURE THAT THE SERVICES ARE NOT
FORGOTTEN AND TIMELY EXECUTION. CLINICAL PATHWAYS HAVE MANY OTHER NAMES SUCH AS: CRITICAL
CARE PATHWAYS, INTEGRATED CARE PATHWAY, COORDINATED CARE PATHWAY, CAREMAPS, OR
ANTICIPATED RECOVERY PATHWAY.

CLINICAL PATHWAYS
ACCORDING TO DR. HANEVI DJASRI, MARS, CONSULTANT OF UGM, THERE ARE AROUND SEVEN KEY GOAL OF
IMPLEMENTING CLINICAL PATHWAYS:
(1) CHOOSE THE BEST PRACTICE PATTERNS OF A WIDE VARIETY OF PATTERNS OF PRACTICE,
(2) SETS THE STANDARDS EXPECTED OF TREATMENT DURATION AND SHOULD USE OF CLINICAL
PROCEDURES,
(3) ASSESS THE RELATIONSHIP BETWEEN THE VARIOUS STAGES AND DIFFERENT CONDITIONS IN A
PROCESS AND
DEVELOP A STRATEGY TO COORDINATE IN ORDER TO PRODUCE A FASTER SERVICE WITH
FEWER STAGES,

(4) PROVIDE INFORMATION TO ALL STAFF INVOLVED ON A COMMON GOAL THAT MUST BE ACHIEVED FROM
A SERVICE AND WHAT THEIR ROLE IN THE PROCESS,
(5) PROVIDES A FRAMEWORK FOR COLLECTING AND ANALYZING DATA SERVICE PROCESS SO THAT
PROVIDERS CAN DETERMINE HOW OFTEN AND WHY A PATIENT DOES NOT GET SERVICE IN ACCORDANCE
WITH THE STANDARDS,
(6) REDUCES THE BURDEN OF CLINICAL DOCUMENTATION
(7) IMPROVE PATIENT SATISFACTION THROUGH ENHANCED PATIENT EDUCATION (EG BY PROVIDING MORE
ACCURATE INFORMATION ABOUT THE SERVICE PLAN).

CLINICAL PATHWAYS
CONVENTIONALLY, CLINICAL PATHWAYS ARE WRITTEN IN MATRIX FORM WITH ASPECTS OF THE SERVICE ON
THE ONE HAND, AND THE TIME OF SERVICE ON THE OTHER. THE TIME INTERVAL IS USUALLY IN A MATTER OF
DAYS FOLLOWING THE DAILY CLINICAL INSTRUCTION, BUT THIS CAN VARY DEPENDING ON THE JOURNEY
AND PROGRESSION OF THE DISEASE OR ACTIONS (EG, CLINICAL PATHWAYS FOR CHRONIC DISEASES MAY
CHOOSE A TIME INTERVAL OF A WEEK OR MONTH). GENERALLY CLINICAL PATHWAYS DEVELOPED FOR THE
DIAGNOSIS OR ACTIONS THAT ARE "HIGH-VOLUME", "HIGH-RISK" AND "HIGH-COST". CLINICAL PATHWAYS
DEVELOPED IN THE HOSPITAL, BUT IS NOW GRADUALLY BEEN INTRODUCED TO OTHER HEALTH CARE
FACILITIES SUCH AS NURSING HOME AND HOME HEALTHCARE

CLINICAL PATHWAYS
WITH THE IMPLEMENTATION OF CLINICAL PATHWAYS, EXPECTED PATIENT ACTUALLY RECEIVED THE
SERVICES REQUIRED UNDER THE CONDITION THAT THE COSTS INCURRED CAN BE ACCORDING TO THE
TREATMENT RECEIVED AND THE EXPECTED RESULTS. THE PRESENCE OF CLINICAL PATHWAYS CAN ALSO HELP
DOCTORS WHEN PERFORMING MAINTENANCE. DETAILS OF THE STAGES LISTED IN PATIENT CARE CLINICAL
PATHWAYS CAN BE A GUIDE TO THE DOCTOR WHEN "ACTION". .

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