Title : A Framework For Clinical Effectiveness In Ensuring Good Clinical Outcomes and Enhanced Patient Experience In Surgery Care Patients Using A Digital Approach 

Ilaveyini Selvaraj, Ashi Ashok, Gowri Kulkarni, Archana Prabhakar

MediBuddy, India

Introduction:

Surgery care serves as a comprehensive solution for patients to identify the right doctors & hospitals for their surgeries, support with their pre- and post-operative needs, coordinate their   insurance activities or support with financial solutions as needed, and ensure high-quality care with optimal clinical outcomes through recovery monitoring.

Aim:

• To create a framework for clinical effectiveness in surgery care, using a digital approach, for advancing healthcare practices, optimizing patient outcomes, and adapting to the digital healthcare landscape.

• To contribute to evidence-based decision-making, continuous improvement and addressing healthcare challenges while The primary objective is to develop a comprehensive PDSA(Plan-Do-Study-Act )-driven framework for Surgery Care integrating digital healthcare services and assessing their effectiveness.

• To bring focus on clinical excellence with a process-driven approach and risk stratification aimed at enhancing patient-centered care and achieving positive clinical outcomes with enhanced patient safety and satisfaction.

Methods:

The methodology adopted was Plan-Do-Study-Act (PDSA) model wherein CSAT and Clinical governance frameworks were designed to digitally optimize Surgery Care. The focus was on clinical excellencewith a process-driven approach, and risk stratification aimed at achieving positive clinical outcomes with enhanced patient safety & satisfaction.

Results :

Among 30,000 elective surgeries since April 2022, 10,000 surgeries were evaluated, achieving a consistent Customer Satisfaction (CSAT) rating of 4.8, and better clinical outcomes like reduced mortality and postoperative complications rate. Patient feedback demonstrates high satisfaction levels with CSAT >4.5 for experience with Surgeon (95%) and overall support from surgery care services (93%).

Conclusion:

In conclusion, the PDSA-based framework for Surgery Care using a digital approach demonstrates a paradigm shift towards clinical excellence, safety, and patient-centricity. With this collaborative approach, we can drive value-based care in India. Neither Traditional Hospitals nor Digital Players can achieve this on their own.

Benefits of this digital facilitation model for Patients 

Patients can receive consultations, pre-operative assessments, and post-operative follow-ups without the need for extensive travel or prolonged hospital stays.

Digital approaches at various stages of the surgery care journey enable real-time interventions, ensuring timely, efficient and personalized care.

Personalized care and monitoring capabilities enable healthcare providers to proactively identify and address potential complications or deviations from the treatment plan.

Collecting patient data throughout the surgical journey can facilitate research and quality improvement initiatives. 

By leveraging technology to enhance patient-centered, value-based care, healthcare organizations can be poised for success in an increasingly digital and patient-centric landscape.

Benefits of this digital facilitation model for Hospitals

Hospitals can adopt this digital approach and improve the patient experience and retention more efficiently

Digital automation across the patient journey can help in scaling up the business and health outcomes with a hand-in-hand approach with digital players.

Acknowledgement:

We would like to thank all our patients and service providers who trusted in our vision of “Making high quality healthcare accessible to a billion people” in making it a success.

References:

NIH/PMC-https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8196380/#:~:text=We%20found%20that%2028%25%20of,hemoglobin%20appeared%20to%20be%20protective.

CRISIL Research

WHO guidelines for Cataract surgical outcome (CSO) - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9121925/

Postoperative Outcomes Following Elective Surgery in India - https://nmji.in/postoperative-outcomes-in-patients-undergoing-elective-general-surgery-after-recovery-from-covid-19-at-a-tertiary-care-centre-a-one-year-case-series/

Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries - https://pubmed.ncbi.nlm.nih.gov/27799174/