Pediatric clinical path program development: project selection and "rollout".
Criteria-based project prioritization is key to the rational development of a clinical path program. Implementation education that emphasizes a philosophy of cost-quality balance fosters multidisciplinary participation and program "rollout," or expansion. This article explains the selection of case types based on volume, cost, physician interest, resource use variability, market opportunity, and clinical homogeneity. Also described is how implementation is facilitated by educating physicians, nurses, and other clinicians about the relationship between clinical paths, collaboration, and quality improvement.
Children's Hospital and Health Center, San Diego, CA, USA.
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Gallagher
D002140:California; D002648:Child; D002985:Clinical Protocols; D003362:Cost-Benefit Analysis; D004465:Economic Competition; D004496:Education, Continuing; D006744:Hospital Bed Capacity, 100 to 299; D006776:Hospitals, Pediatric / Q000592:standards*; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D010372:Pediatrics / Q000191:economics / Q000592:standards*; D017410:Practice Guidelines as Topic; D016730:Program Development; D011787:Quality of Health Care