1
The Belgian Dutch Clinical Pathway Network:
CPs and knowledge sharing on the Importance of Continuous Quality Improvement
Prof. Dr. Walter SermeusDirector Belgian Dutch Clinical Pathway Network
Board Member European Pathway AssociationCenter for Health Services and Nursing Research, Catholic University Leuven, Belgium
© Belgian Dutch Clinical Pathway Network, 2005
2
Brussels
Leuven
Town Hall University Hall
25 km
www.kuleuven.bewww.leuven.be
© Belgian Dutch Clinical Pathway Network, 2005
3
Flemish Speaking Part Belgium& The Netherlands
Prof. Dr. Walter SermeusProf. Dr. Arthur VleugelsProf. Dr. Karel De Witte
Roeland Depreitere Kris Vanhaecht
Leentje De BleserPieter Van Herck
The NetherlandsRuben Van ZelmEvelien Klokman
Mona van de SteegTheus Van Barneveld
French Speaking Part BelgiumProf. Dr. E. DarrasNathalie Chaidron
David SauwensDr. Xavier de Béthune
© Belgian Dutch Clinical Pathway Network, 2005
4
OostendeDamiaan
H. SerruysBZIO
KortrijkGroeninge
RoeselareH.Hart
BruggeSt. JanSint LucasWit gele Kruis W-VL
AalstStedelijk Ziekenhuis
OLV Ziekenhuis
Antwerpen
ZNASint Augustinus
LeuvenUniversitaire ZiekenhuizenWit Gele Kruis VL- Brabant
GenkZOLWG Kruis Limburg
HasseltVirga JesseSalvator/ Sint Ursula
BonheidenImelda
TongerenVesalius
AmsterdamAntoni Van Leeuwenhoek
AlmeloTwenteborg
SittardOrbis
St Dimpna
GentSt. Lucas
Maria Middelares
Geel
TurnhoutSt. ElisabethSint Jozef
ZottegemSint Elisabeth
St NikolausEupen
Sint NiklaasMaria Middelares
DendermondeSt Blasius
RonseZusters van Barmhartigheid
DordrechtA. Schweitzer
MalleSint Jozef
NieuwegeinSt. Antonius
Den HaagHagaziekenhuis
RotterdamOogziekenhuis
Mechelen- DuffelSint Maarten
BrusselWG Kruis
Sint TruidenSint Trudo
UZ AntwerpenHof Ter ScheldeWGK Antwerpen
BrasschaatKlina
MelsbroekMS Centrum
MaastrichtAcad. Ziekenhuis
HeerlenAtrium
MS CentrumOverpelt
Sint VincentiusDeurneVzw MonicaDeinze
St.VincentiusziekenhuisHeusden
St FransiscusIeperJ.Yperman
BeverwijkRode Kruis ZH
HerentalsSt. Elisabeth
Members Belgian Dutch Clinical Pathway Network 2005
HalleSint Maria
VilvoordeJan Portaels
5
RéseauRéseau ItinéraireItinéraire CliniquesCliniques
Bruxelles
Centre hospitakier de l’Ardennes
St Luc
GodinneCliniqueUniversitaire.Mt Godinne
Cliniques de l’Europe
Bruxelles
Libramont
NivellesCH de Tubize-Nivelles
TournaiCHR
GosseliesNotre Dame de Grâce
CHCLa LouvièreCH de Jolimont Lobbes
Liège
DelftReinier de Graaf
Ruwaard van PuttenSpijkenisse
LeidenDiaconessenhuis Amsterdam
OLV GasthuisVUMC
HoornWestfries Gasthuis
LeeuwardenMedisch Centrum
HeerenveenTjongerschans
Meander MCAmersfoort
EnschedeMedisch Spectrum
WinterswijkKoningin Beatrix
Den HaagMC Den Haag
HilversumKBCZ
TielZiekenhuis Rivierland
GroningenAcademisch Ziekenhuis
Members via CBO/UCL
6
NKP Members
505
WGK FederatieWGK Vlaams BrabantWGK West Vlaanderen
WGK LimburgWGK Antwerpen
Primary Care Organisations
404BZIO, Hof Ter Schelde, MS Melsbroek
MS Overpelt
RehabCentres
732548
38 Flemish Speaking9 French Speaking1 German Speaking
Acute Hospitals
TOTALThe
NetherlandsBelgium
July 2005
82© Belgian Dutch Clinical Pathway Network, 2005
7
Hospital:-Steering Group
-Co-ordinator-Facilitator
CZV/CBO/UCL-Co-ordination
-Methods-Networking
GENERAL ASSEMBLY
DAILY MANAGEMENT TEAM
EDUCATION:- 3 day introduction
- 10 day facilitator course- 3 monthly introduction (1/2 day)- 6 monthly introduction for MDs’
- In house training
MEETINGS:-Co-ordinators
-Facilitators-Ad Hoc (specific topics)
TASK FORCES:-Clinical (benchmarking)
-Peer review: rehab, palliative, psychiatry, primary care-Strategic Management
-Financing-ICT (Ad Hoc)
-Survey development (Ad Hoc)
RESEARCH:-CP Self Evaluation Tool-Management Accounting-Operations Management-Link Patient Safety & Risk
-EBM-ICT
-Teamwork
Activities of Belgian Dutch Clinical Pathway Network
8
1 CPW Definition for 82 organisations in 2 countries
• It is a collection of methods and tools to guide themembers of a multidisciplinary andinterdisciplinary team towards patient focussedcollaboration for a specific patient population. It isa way of identifying and defining the differenttasks of the different team members.
• The goal is to assure qualitative and efficient care.• It is a tool to systematically plan and follow-up a
patient focussed care programme. Sermeus & Vanhaecht, 2003
© Belgian Dutch Clinical Pathway Network, 2005
9
Plan Phase:
identify patient population, team, first version, expected
outcomes
Do Phase:
facts and figures on actual care and best-practice
Check/Study Phase:
interpreting data (do phase) developing second version of CPW
based on findings
Act Phase:
evaluation
implementation
1 Scenario toDevelop, Implement and Evaluate Clinical Pathways
30 step P-D-C-A cycleVanhaecht & Sermeus, 2003
© Belgian Dutch Clinical Pathway Network, 2005
10
1 Framework to evaluate CPLeuven Clinical Pathway Compass
Vanhaecht & Sermeus, Journal of Integrated Care Pathways, 2003, 7, 2-7
Bill of ServicesABC
Variance TrackingProcess analysis
Fry: goals, roles, procedures and relations
Patient satisfaction
Clinical pathwayspecific outcomes
Clinical Domain
Service Domain
FinancialDomain
ProcessDomain
Team Domain
© The Leuven Clinical Pathway Compass, CZV-KULeuven, 2002a
© Belgian Dutch Clinical Pathway Network, 2005
12
1 Strategy• Strategic Level of BDCPW Network
– Contract between partners– Contract Healthcare Organisation – University
• Signed by CEO of organisation• Signed by Director of Partner (CZV-CBO-UCL)
– 3 year contract– Annual fee of 5500€
• Win – Win relation– University has methodological know-how– Joint Venture between CZV-CBO-UCL– Organisations have know-how in clinical field
© Belgian Dutch Clinical Pathway Network, 2005
Top Related