Professional Documents
Culture Documents
Nasional
Dr Amrizal Muhd Nur
Outline:
Pendahuluan
Format Clinical Pathways
Clinical Pathways 15 RS Pilot
Kesimpulan
Pendahuluan(1)
Pendahuluan(2)
Clinical Pathway & Case-Mix
Common conditions
High volume
High costs
Predictable outcomes
Pendahuluan(3)
Components in CP?
1.
2.
3.
4.
Categories of care/Activities
Time frame
Outcomes
Variance
Pendahuluan(4)
Categories of
care/Activities
Time
Interventions
Outcomes
Variance
AREA OF CARE
DAY 1
DAY 2
DAY 3
DATE :
ASSESSMENTS AND
CONSULTATIONS
INVESTIGATION
TREATMENT
MEDICATIONS
DIET
ACTIVITY
TEACHING
DISCHARGE PLANS
VARIANCE
The Experience of CP
Implementation in
Johns Hopkins Hospital
1. Improved quality of care
2. Reduced costs
3. Reduced length of stay
Finalisasi Format CP
Kirim Format Final ke POKJA dan Konsultan
Mulai mengumpul data 100 kasus setiap CP
Kirim Data 100 kasus untuk Analisis
13
14
BELUM DI TERIMA CP
RS M HOESIN, PALEMBANG
1. Katarak
2. Glaukoma
RS FATMAWATI, JAKARTA
1. Fraktur Tibia
2. Fraktur Tibia Tertutup dengan kompartemen sindrom
RS KARIADI, SEMARANG
1. Epidural Hematom
2. Hidrosefalus (0-14 Tahun)
RS PERSAHABATAN, JAKARTA
1. Pneumothoraks Spontan Primer
2. Pneumonia
RS SARDJITO, JOGJAKARTA
1. Bedah Sesar Elektif
2. Bedah Sesar Emergensi
RS WAHIDIN, MAKASSAR
1. Chronic Kidney Disease
2. DM + Ketoasidosis
RS M JAMIL, PADANG
1. Cerebral Infarction
2. Stroke Pendarahan
RS KANDOU, MANADO
1. Kandidiasis Kutis
2. Liken Planus
CLINICAL PATHWAYS IN
CASE-MIX (1)
Advantages
Reduce variations on care
More predictable cost
CLINICAL PATHWAYS IN
CASE-MIX (2)
Advantages
counter-check on certain DRG costs
ABC costing
Standardisation
Transparency
Accountability
Evidence-based medicine
Quality of care
Efficiency of care
Flexibility (Variances)
Casemix
Hambatan ?
perlu 100 kasus setiap Clinical Pathway
(2 CP setiap RS)
RS yang belum menghantar CP, sila hantar ke email:
pokjacp@yahoogroup.com
Terima Kasih
amrizal65@gmail.com
amrizal@unu.edu