Il Day Service come strumento di riduzione dell’inappropriatezza: risultati dell’esperienza di un IRCCS romano [Poster]

Translated title of the contribution: [Autom. eng. transl.] Day Service as a tool for reducing inappropriateness: results of the experience of a Roman IRCCS [Poster]

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

[Autom. eng. transl.] INTRODUCTION - INTRODUCTION AND PURPOSE OF THE STUDY The Day Service (DS) is born at the national level from the impulse to the promotion of organizational appropriateness and is realized through the provision of Complex Outpatient Packages (PAC), in order to manage clinical cases whose solution requires the provision of multiple and multidisciplinary clinical and instrumental investigations, foreseen by a specific Diagnostic-Therapeutic Route (PDT) centered on the clinical problem of the patient and not on the single performance. The Corporate Working Group for the continuous improvement of Pre-Hospitalization activities of a Roman IRCCS has identified since 2013 the Outpatient Surgical Management activity of patients in DS, through CAP identified at regional level or special PDT. This work describes the experience of DS, comparing the results obtained in the last four months of 2013 with those of the first four months of 2014. MATERIALS AND METHODS Using the computerized database of the DS, the data concerning the number of accesses to the DS relating to the period September 1, 2013 - December 31, 2013 and January 1, 2014 - April 30, 2014. From these data, the number of DS and the total number of PACs for each of the two four quarters considered and the number of DS and the number of PACs carried out by each structure, also in this case for each of the two four-month periods considered. RESULTS The activation and implementation of the DS made it possible to reduce the number of inappropriate examinations performed under the Pre-hospitalization regime, represented mainly by CT (-74.5%), MRI (-93%), PET and scintigraphy ( -61.9%), with a positive impact not only from an organizational point of view, in terms of reduction in hospitalization duration and overall hospitalization activity, but also in economic terms. Even the mean preoperative hospitalization was reduced, going from 2.45 days in 2012 to 1.75 days in 2014. The activation of the Day Service finally allowed to obtain organizational advantages for patients who, in the experience of our IRCCS, are oncological, often elderly and in many cases coming from other regions. CONCLUSIONS In our experience, the DS confirms itself as a modality able to satisfy the criteria of appropriateness, both clinical and organizational, and shows itself fully responding to the need for assistance innovation, understood as a more efficient mode of care and satisfaction of the need , appropriate and responsive to the question. It allows you to treat complex cases and clinical situations that require an approach, oriented to the problem and not to performance, but transfers them in the outpatient setting, with lower costs and greater patient satisfaction.
Translated title of the contribution[Autom. eng. transl.] Day Service as a tool for reducing inappropriateness: results of the experience of a Roman IRCCS [Poster]
Original languageItalian
Title of host publicationAtti del 51° Congresso Nazionale della Società Italiana di Igiene, Medicina Preventiva e Sanità Pubblica (SItI) “I primi 40 anni del Servizio Sanitario Nazionale: il contributo dell’igiene alla salute e all’equità”
Pages493
Number of pages1
Publication statusPublished - 2018
Event51° Congresso Nazionale della Società Italiana di Igiene, Medicina Preventiva e Sanità Pubblica (SItI) “I primi 40 anni del Servizio Sanitario Nazionale: il contributo dell’igiene alla salute e all’equità” - Riva del Garda Centro Congressi
Duration: 17 Oct 201820 Oct 2018

Conference

Conference51° Congresso Nazionale della Società Italiana di Igiene, Medicina Preventiva e Sanità Pubblica (SItI) “I primi 40 anni del Servizio Sanitario Nazionale: il contributo dell’igiene alla salute e all’equità”
CityRiva del Garda Centro Congressi
Period17/10/1820/10/18

Keywords

  • Day Service
  • IRCCS
  • Inappropriatezza

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