Integrated Care Pathways:Changing Clinical Pathways

Chapter 1: Introduction, The need to monitor, evaluate and change clinical practice: The NHS Plan, Clinical Governance, CHI Chapter 2: Delivery of Evidence Based Healthcare, Operationalising guidelines, Research findings, NICE, NSF, HimPs, Standards, Informed decision-making, Difficulties encountered, Gaining consensus, Reducing variations in practice Chapter 3: Do ICPs facilitate adherence to guidelines: a research study Chapter 4: Monitoring clinical practice, What is an ICP and how does this differ from Care Planning and the Care Programme Approach? What is audit?What is a variation and how does this support audit? Compliance audit of ICP, Patient involvement, What is research? The role of I.T. Chapter 5: Case Study: demonstrating how variations can make monitoring clinical practice a simple task Chapter 6: Evaluating and Changing Care Delivery, Analysis of variations, Closing the audit loop, Proactive management of clinical risk, Benchmarking, Outcomes, Length of stay/contact, Cost effective care Chapter 7: Evaluation of patients with complex care needs: case study Chapter 8: Patient Journeys, Process rethink, Changing practice, Integration, Primary, secondary, community, social, private, nursing home sectors Chapter 9: Patient experiences: case study Chapter 10: Continuing Professional Development, Competency, Organisational/practice professional development plans, personal development plans, Monitoring of Performance through Appraisal, Teambuilding & training Chapter 11: Staff Experiences: case study, staff perceptions Chapter 12: Changing Clinical Practice, use of variations to change clinical practice, stroke patients in acute assessment unit Chapter 13: Conclusion