Features

In this feature, Dr Aymen Elfiky, MD, MSc, MBA, explains the application of first principles to clinical pathways and the concept of clinical value cycles.
A clinical pathway model for malnutrition management can be applied across many systems, such as in long-term care facilities and integrated delivery systems.
Using principles of pathways, the paper explores a framework for a restructuring health care that aligns design, delivery, governance, and administration to reconnect providers, caregivers, and patients; improve quality and safety; and continue to lower cost of care.
Implementation of a standardized multidisciplinary rounds protocol can improve care coordination, patient assessments of care quality, and patient length of stay.
Researchers show that patient navigation programs can reduce provider costs by decreasing missed colorectal cancer screening appointments.
The Levine Cancer Institute of the Carolinas HealthCare System has had a large impact on hematopoietic cell transplant outcomes.
The adoption of clinical pathways is standardizing the cancer care process, with adherence to established protocols impacting efficacy, safety, and cost of care. 
The authors share their experiences with implementing PRO collection and discuss the key considerations for success, including appropriate measure selection, achieving buy-in from health care providers, and utilizing PRO data in clinical practice.