Variance Analysis Applied to a Stroke Pathway: How This Can Improve Efficiency of Healthcare Delivery

Annals of the Academy of Medicine Singapore

Volumn 31, Issue 4, 2002, Pages 425-430

  Widjaja, L S ^a   Chan, B P ^b   Chen, H ^b   Ong, B K C ^b   Pang, Y T ^b  

^a NATIONAL UNIVERSITY HOSPITAL   (Singapore)

^b NONE

Author keywords

Discharge planning; Hospitalisation costs; Length of stay

Indexed keywords

AGED; ANALYSIS OF VARIANCE; ARTICLE; CEREBROVASCULAR ACCIDENT; CLINICAL PATHWAY; COHORT ANALYSIS; FEMALE; HEALTH CARE DELIVERY; HEALTH CARE QUALITY; HOSPITALIZATION; HUMAN; LENGTH OF STAY; MALE; MIDDLE AGED; ORGANIZATION AND MANAGEMENT; OUTCOME ASSESSMENT; PROSPECTIVE STUDY; PUBLIC HOSPITAL; SINGAPORE; STATISTICS; TIME;

AGED; ANALYSIS OF VARIANCE; CEREBROVASCULAR ACCIDENT; COHORT STUDIES; CRITICAL PATHWAYS; DELIVERY OF HEALTH CARE; FEMALE; HOSPITALIZATION; HOSPITALS, PUBLIC; HUMANS; LENGTH OF STAY; MALE; MIDDLE AGED; OUTCOME ASSESSMENT (HEALTH CARE); PROGRAM EVALUATION; PROSPECTIVE STUDIES; QUALITY OF HEALTH CARE; SINGAPORE; TIME FACTORS;

EID: 0036632558     PISSN: 03044602     EISSN: 29724066     Source Type: Journal    
DOI: None     Document Type: Article

References (16)

1. Principal causes of death. Health facts 2001. Singapore: Ministry of Health. Accessed 28 March 2002 at http://www.moh.gov.sg
2. Cheah T S. Clinical pathways - a new paradigm in healthcare? Singapore Med J 1997; 38:467-8.
3. Cheah J. Clinical pathways - an evaluation of its impact on the quality of care in an acute general hospital in Singapore. Singapore Med J 2000; 41:335-46.
4. Schriefer J. Managing clinical pathways variances. Qual Manag Health Care 1995; 3:30-42.
5. Zander K. Use of variance from clinical paths: coming of age. Clin Perform Qual Health Care 1997; 5:20-30.
6. Widjaja L S, Chan B P, Ong B K C. The impact of a stroke clinical pathway in a tertiary hospital in Singapore [abstract]. Poster presentation at the Second National Healthcare Group Quality Week, Tan Tock Seng Hospital; 2001 Oct 25; Singapore.
7. Gorelick P B. Acute ischemic stroke and transcient ischaemic attack, a costly business and a strategy to reduce costs. J Stroke Cerebrovasc Dis 1995; 5:1-5.
8. Venketasubramanian N. Stroke pathways. Ann Acad Med Singapore 2001; 30(Suppl):27-35.
9. Pearson S D. Critical pathways as a strategy for improving care: problems and potential. Ann Intern Med 1995; 123:941-8.
10. Brown S W, Nemeth L S, Questions to ask: implementing a system for clinical pathway variance analysis. Outcomes Manag Nurs Pract 1998; 2:57-62.
11. Leininger S M. Building clinical pathways. Orthop Nurs 1998; 17: 75-7.
12. Gingerich B S, Ondeck D A. Discharge Planning for Home Health Care: A multidisciplinary approach. Gaithersburg, Maryland: Aspen Publishers, 1994.
13. Diringer M N, Edwards D F, Mattson D T, Akins P T, Sheedy C W, Hsu C Y, et al. Predictors of acute hospital costs for treatment of ischemic stroke in an academic center. Stroke 1999; 30:724-8.
14. Mamoli A, Censori B, Casto L, Sileo C, Cesana B, Camerlingo M. An analysis of the costs of ischemic stroke in an Italian stroke unit. Neurology 1999; 13:112-6.
15. Bowen J, Yaste C. Effect of a stroke protocol on hospital costs of stroke patients. Neurology 1994; 44:1961-4.
16. Wentworth D A, Atkinson R P. Implementation of an acute stroke program decreases hospitalization costs and length of stay. Stroke 1996; 27:1040-3.