title: Cerebrovascular accident clinical pathway.
abstract: The cerebrovascular accident (CVA) clinical pathway project was selected to complement the work already underway within the West Moreton Health Services District such as the development of a continuum of care model, revision of work practices to complement the new hospital redevelopment and encouraging team and evidence-based approaches to problem solving. Specific objectives were set for the project along with a detailed evaluation plan. A steering group was convened to run the project and a full time project officer was appointed. At the end of the 12 month period all the objectives were met. Specific achievements included a reduction in the overall average length of stay for those patients who experience CVA, improved clinical outcomes and a more effective use of resources. Quality of care has been improved through the preparation of specialized clinical pathway documentation, education packages, patient surveys, focus groups, independent reviews and benchmarking. Complementing these measures has been a series of process changes and environmental modifications. Furthermore, good working relationships have been established with private sector providers of health care and other external bodies. The development of the CVA clinical pathway at the Ipswich Hospital has meant timely referrals and a streamlined assessment and referral process to get patients into rehabilitation sooner. It has promoted good communication between, and recognition of, the professional roles of various team members and has put the patient back at the centre of the care process.
authors.affiliation: Ipswich Hospital, Brisbane, Australia.
authors.forename: G
authors.initials: G
authors.lastname: Wilkinson
authors.forename: M
authors.initials: M
authors.lastname: Parcell
authors.forename: A
authors.initials: A
authors.lastname: MacDonald
mesh_terms: D019091:Critical Pathways; D006801:Humans; D007902:Length of Stay; D008962:Models, Theoretical; D015397:Program Evaluation; D011787:Quality of Health Care; D000071939:Stroke Rehabilitation; D017749:Total Quality Management / Q000379:methods*