دورية أكاديمية

Enhancing the quality of international orthopedic medical mission trips using the blue distinction criteria for knee and hip replacement centers

التفاصيل البيبلوغرافية
العنوان: Enhancing the quality of international orthopedic medical mission trips using the blue distinction criteria for knee and hip replacement centers
المؤلفون: Dempsey, Kyle E, Ghazinouri, Roya, Diez, Desiree, Alcantara, Luis, Beagan, Carolyn, Aggouras, Barbara, Hoagland, Monica, Thornhill, Thomas S, Katz, Jeffrey N
بيانات النشر: BioMed Central Ltd.
سنة النشر: 2013
المجموعة: BioMed Central
مصطلحات موضوعية: Total joint replacement, International medical mission, Dominican, Arthroplasty, Program evaluation
الوصف: Background Several organizations seek to address the growing burden of arthritis in developing countries by providing total joint replacements (TJR) to patients with advanced arthritis who otherwise would not have access to these procedures. Because these mission trips operate in resource poor environments, some of the features typically associated with high quality care may be difficult to implement. In the U.S., many hospitals that perform TJRs use the Blue Cross/Shield’s Blue Distinction criteria as benchmarks of high quality care. Although these criteria were designed for use in the U.S., we applied them to Operation Walk (Op-Walk) Boston’s medical mission trip to the Dominican Republic. Evaluating the program using these criteria illustrated that the program provides high quality care and, more importantly, helped the program to find areas of improvement. Methods We used the Blue Distinction criteria to determine if Op-Walk Boston achieves Blue Distinction. Each criterion was grouped according to the four categories included in the Blue Distinction criteria— “general and administrative”, “structure”, “process”, or “outcomes and volume”. Full points were given for criteria that the program replicates entirely and zero points were given for criteria that are not replicated entirely. Of the non-replicated criteria, Op-Walk Boston’s clinical and administrative teams were asked if they compensate for failure to meet the criterion, and they were also asked to identify barriers that prevent them from meeting the criterion. Results Out of 100 possible points, the program received 71, exceeding the 60-point threshold needed to qualify as a Blue Distinction center. The program met five out of eight “required” criteria and 11 out of 19 “informational” criteria. It scored 14/27 in the “general” category, 30/36 in the “structure” category, 17/20 in the “process” category, and 10/17 in the “outcomes and volume” category. Conclusion Op-Walk Boston qualified for Blue Distinction. Our analysis highlights areas of ...
نوع الوثيقة: article in journal/newspaper
اللغة: English
العلاقة: http://www.biomedcentral.com/1471-2474/14/275Test
الإتاحة: http://www.biomedcentral.com/1471-2474/14/275Test
حقوق: Copyright 2013 Dempsey et al.; licensee BioMed Central Ltd.
رقم الانضمام: edsbas.FC4A4E46
قاعدة البيانات: BASE