Implementation and evaluation of stroke clinical pathways and the impact on cost of stroke care.
Saint Luke's Hospital is a 642-bed urban, tertiary, teaching hospital in metropolitan Kansas City, Missouri. In 1992, Saint Luke's developed a "Collaborative Care" program supported by tools such as clinical paths as a means to assure quality stroke care and to continually improve outcomes. This article describes the development of a comprehensive Collaborative Care Program for stroke patients, highlights the development of a dedicated stroke unit, and stroke clinical path, and describes the clinical and fiscal outcomes from these efforts.
Saint Luke's Hospital of Kansas City, Missouri, USA.
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Soper
D002561:Cerebrovascular Disorders / Q000191:economics / Q000628:therapy*; D003299:Cooperative Behavior; D019091:Critical Pathways / Q000458:organization & administration*; D017048:Health Care Costs; D006801:Humans; D008923:Missouri; D017063:Outcome Assessment, Health Care; D017060:Patient Satisfaction; D016730:Program Development; D015397:Program Evaluation; D011785:Quality Assurance, Health Care / Q000458:organization & administration*; D019984:Quality Indicators, Health Care