Abstract
The concept of establishing a hernia program has growing support within both the academic and private practice communities. There are, however, various ideas about how these programs should be implemented. This chapter will present a relatively new model for establishing a hernia program. It is based upon a complex adaptive systems approach. The core principles are care coordination with a team approach, together with continuous clinical quality improvement, defining and measuring outcomes, and adapting care processes to improve value for the patient’s entire cycle of care. This chapter will describe the implementation of a hernia program within a new academic medical center, designed in this complex adaptive system approach, and will describe how to potentially apply these principles within the community setting.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Elhauge E, editor. The fragmentation of the US health care system: causes and solutions. New York: Oxford University Press, Inc.; 2010.
Stange K (ed) The problem of fragmentation and the need for integrative solutions. Ann Fam Med. 2009;7(2):100–3.
Breen AM, Burton-Houle T, Aron DC. Applying the theory of constraints in health care: Part 1 - The philosophy. Qual Manag Health Care. 2002;10(3):40–6.
Plsek P, Greenhalgh T. The challenge of complexity in health care. BMJ. 2001;323:625–8.
Weinberg DB, etal. Beyond our walls: impact of patient and provider coordination across the continuum on outcomes for surgical patients. Health Serv Res. 2007;42(1):7–24.
Welker J, Huston M, McCue J. Antibiotic timing and errors in diagnosing pneumonia. Arch Intern Med. 2008;168(4):351–6.
Hawk MT, et al. Surgical site infection prevention time to move beyond the surgical care improvement program. Ann Surg. 2011;254:494–501.
Stahel PF, et al. Wrong-site and wrong-patient procedures in the universal protocol era. Arch Surg. 2010;145(10):978–84.
The NICE-SUGAR Study Investigators. Intensive versus conventional glucose control in critically ill patients. N Engl J Med. 2009;360:1283–97.
Pines J, Isserman J, Hinfey P. The measurement of time to first antibiotic dose for pneumonia in the emergency department: a white paper and position statement prepared for the American Academy of Emergency Medicine. J Emerg Med. 2009;37(3):335–40.
Nicholas L, et al. Hospital process compliance and surgical outcomes in medicare beneficiaries. Arch Surg. 2010;145(10):999–1004.
Drake D, Cohen A, Cohn J. National hospital antibiotic timing measures for pneumonia and antibiotic overuse. Qual Manag Health Care. 2007;18(2):113–22.
Bogner H, et al. Integrated management of type 2 diabetes mellitus and depression treatment to improve medication adherence: a randomized controlled trial. Ann Fam Med. 2012;10(1):15–22.
Edgren L. The meaning of integrated care: a systems approach. Int J Integr Care. 2008;8:e68.
Kaplan RS, Porter ME. How to Solve the Cost Crisis in Healthcare. Harv Bus Rev. 2011;89(9):46–52.
Black AD, et al. The impact of eHealth on the quality and safety of health care: a systematic overview. PLoS Med. 2011;8(1):e100387. doi:10.1371/journal pmed.100387.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer Science+Business Media New York
About this chapter
Cite this chapter
Ramshaw, B. (2013). Establishing a Hernia Program and Follow-Up Regimen: A Complex Systems Design for Care and Improvement. In: Jacob, B., Ramshaw, B. (eds) The SAGES Manual of Hernia Repair. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-4824-2_1
Download citation
DOI: https://doi.org/10.1007/978-1-4614-4824-2_1
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4614-4823-5
Online ISBN: 978-1-4614-4824-2
eBook Packages: MedicineMedicine (R0)