TY - JOUR
T1 - Closing the loop
T2 - a 10-year experience with routine outcome measurements to improve treatment in hand surgery
AU - Feitz, Reinier
AU - van Kooij, Yara E.
AU - Hand-Wrist Study Group
AU - ter Stege, Marloes H.P.
AU - van der Oest, Mark J.W.
AU - Souer, J. Sebastiaan
AU - Wouters, Robbert M.
AU - Slijper, Harm P.
AU - Selles, Ruud W.
AU - Hovius, Steven E.R.
N1 - Funding Information:
We would like to thank all patients who have filled out questionnaires as part of their clinical care and who have agreed that their data could be anonymously used for the present study. In addition, we would like to acknowledge the members of the Hand-Wrist Study Group, caregivers and personnel of Xpert Clinics, Xpert Handtherapy and Equipe Zorgbedrijven for assisting in the routine outcome measurements that are the basis for this manuscript.
Publisher Copyright:
© 2021. All Rights Reserved.
PY - 2021/6/28
Y1 - 2021/6/28
N2 - Routine outcome measurements as a critical prerequisite of value-based healthcare have received considerable attention recently. There has been less attention for the last step in value-based healthcare where measurement of outcomes also leads to improvement in the quality of care. This is probably not without reason, since the last part of the learning cycle: ‘Closing the loop’, seems the hardest to implement. The journey from measuring outcomes to changing daily care can be troublesome. As early adopters of value-based healthcare, we would like to share our 10 years of experience in this journey. Examples of feedback loops are shown based on outcome measurements implemented to improve our daily care process as a focused hand surgery and hand therapy clinic. Feedback loops can be used to improve shared decision making, to monitor or predict treatment progression over time, for extreme value detection, improve journal clubs, and surgeon evaluation. Our goal as surgeons to improve treatment should not stop at the act of implementing routine outcome measurements. We should implement routine analysis and routine feedback loops, because real-time performance feedback can accelerate our learning cycle.
AB - Routine outcome measurements as a critical prerequisite of value-based healthcare have received considerable attention recently. There has been less attention for the last step in value-based healthcare where measurement of outcomes also leads to improvement in the quality of care. This is probably not without reason, since the last part of the learning cycle: ‘Closing the loop’, seems the hardest to implement. The journey from measuring outcomes to changing daily care can be troublesome. As early adopters of value-based healthcare, we would like to share our 10 years of experience in this journey. Examples of feedback loops are shown based on outcome measurements implemented to improve our daily care process as a focused hand surgery and hand therapy clinic. Feedback loops can be used to improve shared decision making, to monitor or predict treatment progression over time, for extreme value detection, improve journal clubs, and surgeon evaluation. Our goal as surgeons to improve treatment should not stop at the act of implementing routine outcome measurements. We should implement routine analysis and routine feedback loops, because real-time performance feedback can accelerate our learning cycle.
UR - http://www.scopus.com/inward/record.url?scp=85123801062&partnerID=8YFLogxK
U2 - 10.1302/2058-5241.6.210012
DO - 10.1302/2058-5241.6.210012
M3 - Article
AN - SCOPUS:85123801062
VL - 6
SP - 439
EP - 450
JO - EFORT Open Reviews
JF - EFORT Open Reviews
SN - 2396-7544
IS - 6
ER -