The role of clinical pathways in reducing the economic burden of stroke

PharmacoEconomics

Volumn 14, Issue 2, 1998, Pages 151-158

  Lanska, Douglas J ^a,b,c  

^a UNIVERSITY OF KENTUCKY MEDICAL CENTER   (United States)

^b LEXINGTON VA MEDICAL CENTER   (United States)

^c VETERANS AFFAIRS MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; ASPIRATION PNEUMONIA; CLINICAL PATHWAY; HEALTH CARE QUALITY; HEALTH CARE UTILIZATION; LENGTH OF STAY; MORTALITY; PATIENT SATISFACTION; PRIORITY JOURNAL; RESOURCE ALLOCATION; STROKE; TREATMENT PLANNING; URINARY TRACT INFECTION;

CEREBROVASCULAR DISORDERS; CRITICAL PATHWAYS; HUMANS;

EID: 0031826487     PISSN: 11707690     EISSN: None     Source Type: Journal    
DOI: 10.2165/00019053-199814020-00003     Document Type: Article

References (22)

1. Epstein AM. The outcomes movement: will it get us where we want to go? N Engl J Med 1990; 323: 266-70
2. Lanska DJ. Length of stay for patients admitted with stroke in the United States: Professional Activity Study, 1963-1991. J Neurol Sci 1994; 127: 214-20
3. Romito D. A critical path for CVA patients. Rehabil Nurs 1990; 15: 153-6
4. Odderson IR, McKenna BS. A model for management of patients with stroke during the acute phase: outcome and economic implications. Stroke 1993; 24: 1823-7
5. Falconer JA, Roth EJ, Sutin JA, et al. The critical path method in stroke rehabilitation: lessons from an experiment in cost containment and outcome improvement. Qual Rev Bull 1993; 19: 8-16
6. Bowen J, Yaste C. Effect of a stroke protocol on hospital costs of stroke patients. Neurology 1994; 44: 1961-4
7. Hydo B. Designing an effective clinical pathway for stroke. Am J Nurs 1995; 9 (3): 44-50
8. Duryee R, Calanchini P, Miller R. The impact of a stroke clinical pathway: measuring effectiveness [abstract]. Neurology 1996; 46: A428
9. Ramachandran TS, Culebras A, Hainsworth D. Development and implementation of a clinical pathway for stroke in acute care [abstract]. Neurology 1996; 46: A319
10. Anderson Consulting. Clinical path survey: a study of clinical path trends in healthcare. Dallas (TX): Anderson Consulting, 1995
11. Setting new directions for stroke care: proceedings of National Symposium on Rapid Identification and Treatment of Acute Stroke. Bethesda (MD): National Institute of Neurological Disorders and Stroke, 1997
12. Lockyer K, Gordon J. Critical path analysis and other project network techniques. 5th ed. London: Pitman Publishing, 1991
13. Woolf CR, Cass W, McElroy J. The use of 'program evaluation and review technique' (PERT) in the design and control of a medical research project. Comput Biomed Res 1968; 2: 176-86
14. Luttman RJ, Laffel GL, Pearson SD. Using PERT/CPM to design and improve clinical processes. Qual Manage Health Care 1995; 3 (2): 1-13
15. Pearson SD, Goulart-Fisher D, Lee TH. Critical pathways as a strategy for improving care: problems and potential. Ann Intern Med 1995; 123: 941-8
16. Goldman RS, Hartz AJ, Lanska DJ, et al. Results of a computerized screening of stroke patients for unjustified hospital stay. Stroke 1996; 27: 639-44
17. Lansku DJ and the Task Force on Hospital Utilization for Stroke, American Academy of Neurology. Review criteria for hospital utilization for patients with cerebrovascular disease. Neurology 1994; 44: 1531-2
18. Lanska DJ. A public/private partnership in the quest for quality: development of cerebrovascular disease practice guidelines and review criteria. Am J Med Qual 1995; 10: 100-6
19. Berwick DM. Continuous improvement as an ideal in health care. N Engl J Med 1989; 320: 53-6
20. Lanska DJ. Medicare hospital utilization review for ischemic cerebrovascular disease. Neurology 1993; 43: 650-4
21. Tilley BC, Lyden PD, Brott TG, et al. Total quality improvement method for reduction of delays between emergency department admission and treatment of acute ischemic stroke. Arch Neurol 1997; 54: 1466-74
22. Marder RJ. The interface of clinical paths and continuous quality improvement. In: Spath PL, editor. Clinical paths: tools for outcomes management. Chicago (IL): American Hospital Publishing Inc., 1994: 57-78