Print Email Facebook Twitter Designing a care pathway model Title Designing a care pathway model: A case study of the outpatient total hip arthroplasty care pathway Author Oosterholt, R.I. (TU Delft OLD Management and Organisation) Simonse, LWL (TU Delft OLD Management and Organisation) Boess, S.U. (TU Delft Applied Ergonomics and Design) Vehmeijer, S.B.W. (Reinier de Graaf Gasthuis) Date 2017 Abstract Introduction: Although the clinical attributes of total hip arthroplasty (THA) care pathways have been thoroughly researched, a detailed understanding of the equally important organisational attributes is still lacking. The aim of this article is to contribute with a model of the outpatient THA care pathway that depicts how the care team should be organised to enable patient discharge on the day of surgery. Theory: The outpatient THA care pathway enables patients to be discharged on the day of surgery, shortening the length of stay and intensifying the provision and organisation of care. We utilise visual care modelling to construct a visual design of the organisation of the care pathway. Methods: An embedded case study was conducted of the outpatient THA care pathway at a teaching hospital in the Netherlands. The data were collected using a visual care modelling toolkit in 16 semi-structured interviews. Problems and inefficiencies in the care pathway were identified and addressed in the iterative design process. Results: The results are two visual models of the most critical phases of the outpatient THA care pathway: diagnosis & preparation (1) and mobilisation & discharge (4). The results show the care team composition, critical value exchanges, and sequence that enable patient discharge on the day of surgery. Conclusion: The design addressed existing problems and is an optimisation of the case hospital’s pathway. The network of actors consists of the patient (1), radiologist (1), anaesthetist (1), nurse specialist (1), pharmacist (1), orthopaedic surgeon (1,4), physiotherapist (1,4), nurse (4), doctor (4) and patient application (1,4). The critical value exchanges include patient preparation (mental and practical), patient education, aligned care team, efficient sequence of value exchanges, early patient mobilisation, flexible availability of the physiotherapist, functional discharge criteria, joint decision making and availability of the care team. Subject Care modelCare pathway model designIntegrated careOutpatient total hip arthroplastyPathway organisationVisual modelling To reference this document use: http://resolver.tudelft.nl/uuid:44df48fb-bbc4-491e-a908-b91acbbab83c DOI https://doi.org/10.5334/ijic.2429 ISSN 1568-4156 Source International Journal of Integrated Care, 17 (1), 1-14 Part of collection Institutional Repository Document type journal article Rights © 2017 R.I. Oosterholt, LWL Simonse, S.U. Boess, S.B.W. Vehmeijer Files PDF 2429_11898_2_PB.pdf 1.29 MB Close viewer /islandora/object/uuid:44df48fb-bbc4-491e-a908-b91acbbab83c/datastream/OBJ/view