DescriptionBackground: Starting in 2009, an effort to improve clinical outcomes and reduce costs in surgical procedures was initiated by the University of Applied Sciences in Upper Austria. Since 2015, eleven hospitals have taken part in this program. As role models, systems were chosen which had been initiated by Intermountain Healthcare or the National Surgical Quality Improvement Program (NSQIP). The primary aim of this program was to introduce value-based care in participating hospitals and by doing so to optimize processes of care. Methods: In a multi enterprise effort to improve clinical outcomes and reduce costs, a management and reporting tool, “Rosetta Medical”, was developed which allows clinicians and managers to analyze actual costs and outcomes at the level of individual encounters and by department, diagnosis, and procedure. Data from hospital data bases (services provided for the patients, length of stay (LOS)) was combined with data (55 predefined pre-operative risk factors and complications/mortality) collected by specially trained nurses. Services in the data are provided with prices by using mapping catalogues. Reliable and standardized data is basis for this reporting tool to ensure comparable data. Results are compared on a risk-adjusted basis between the hospitals using statistical methods. Results: For the first time, it was possible to compare processes, outcome and costs periodically on a risk- adjusted basis in Austrian hospitals of varying sizes. Key figures are used as basis for care process and outcome optimization. Conclusion: For the participating hospitals “Rosetta-Medical” provides a unique opportunity to compare their work on a fair and transparent basis and enables collaborative initiatives to adopt evidence-based best practices.
|Period||6 Sep 2017|
|Event title||6th World Congress of Clinical Safety: null|