Integrated Clinical Pathways of Care
Integrated Pathways of Care (IPOC) are essential clinical care team work detail and task distribution tools. NHS organizations have, with varying degrees of success, designed and implemented IPOCs but primarily have focused their efforts on elective surgical procedures. As the NHS enters into HRG based financial management strategies driven by Payment by Results, the imperative force shifts IPOC development and implementation strategies from elective surgery IPOCs to medical IPOCs designed to coordinate care for the unplanned emergency medical admission. MADC has assisted provider organizations in the development of IPOCs for the:
Most common medical admission diagnoses:
- Acute Myocardial Infarction
- Adult diabetic ketoacidosis
- Asthma/bronchitis (paediatric or adult)
- Cerebrovascular accident
- Chest Pain
- Chronic Obstructive Pulmonary Disease
- Congestive Heart Failure
- Dyspnea
- Neonatal sepsis, suspected
- Newborn care, after normal vaginal delivery
- Normal vaginal delivery
- Paediatric Asthma
- Pneumonia, community acquired
- Short or long-term ventilator discontinuation protocol
- Trauma alert, acute phase
- Upper GI Bleed, excluding varices
Most common surgical admission diagnoses:
- Abdominal Hysterectomy
- Cervical Discectomy with fusion and/or iliac bone graft
- Caesarean Section, elective
- Caesarean Section, unscheduled
- Colectomy
- Coronary Artery Bypass Graft/AVR/MVR
- Elective bowel resection
- Fractured neck of femur
- Laparoscopic cholecystectomy
- Lumbar laminectomy
- Micro lumbar discectomy
- Uterine and adnexa procedures with abdominal incision
- Total hip replacement
- Total knee replacement
- Transurethral resection of the prostate
- Vascular surgery – peripheral vascular disease
In addition to IPOCs for the acute care hospital stay, MADC has designed and implemented pathways for other levels of care
- Sub-acute Medical Care in Nurse Led Beds
- Intermediate Rehabilitation Care
- Clinical Home Care
Development and implementation of IPOCs and related variance documentation tools are a speciality of ModelAdvice DC Consulting.