COVID-19 Reveals Opportunities for Better Care of Stroke Patients

Studer, Bettina; Roukens, Robin; Happe, Svenja; Schmidt, Simone; Knecht, Stefan

doi:10.3238/arztebl.m2021.0219

Cited by 2 publications

(3 citation statements)

References 4 publications

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“…Furthermore, the results demonstrated an increase in the value of the DRG relative weight; this indicates a higher complexity of the medical treatments carried out in 2020 and therefore, more appropriate hospital access. This is also in agreement with other studies [67] confirming that from both and economic and clinical the COVID-19 outbreak has paved the way for the development of novel strategies for a better management of stroke patients. Compared with our previous analysis, where only hospitalizations for the years 2019-2020 were studied, the growth of the relative weight DRG is confirmed.…”

Section: Discussionsupporting

confidence: 92%

Machine Learning and Lean Six Sigma to Assess How COVID-19 Has Changed the Patient Management of the Complex Operative Unit of Neurology and Stroke Unit: A Single Center Study

Improta

Borrelli

Triassi

2022

IJERPH

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Background: In health, it is important to promote the effectiveness, efficiency and adequacy of the services provided; these concepts become even more important in the era of the COVID-19 pandemic, where efforts to manage the disease have absorbed all hospital resources. The COVID-19 emergency led to a profound restructuring—in a very short time—of the Italian hospital system. Some factors that impose higher costs on hospitals are inappropriate hospitalization and length of stay (LOS). The length of stay (LOS) is a very useful parameter for the management of services within the hospital and is an index evaluated for the management of costs. Methods: This study analyzed how COVID-19 changed the activity of the Complex Operative Unit (COU) of the Neurology and Stroke Unit of the San Giovanni di Dio e Ruggi d’Aragona University Hospital of Salerno (Italy). The methodology used in this study was Lean Six Sigma. Problem solving in Lean Six Sigma is the DMAIC roadmap, characterized by five operational phases. To add even more value to the processing, a single clinical case, represented by stroke patients, was investigated to verify the specific impact of the pandemic. Results: The results obtained show a reduction in LOS for stroke patients and an increase in the value of the diagnosis related group relative weight. Conclusions: This work has shown how, thanks to the implementation of protocols for the management of the COU of the Neurology and Stroke Unit, the work of doctors has improved, and this is evident from the values of the parameters taken into consideration.

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Section: Discussionsupporting

confidence: 92%

Machine Learning and Lean Six Sigma to Assess How COVID-19 Has Changed the Patient Management of the Complex Operative Unit of Neurology and Stroke Unit: A Single Center Study

Improta

Borrelli

Triassi

2022

IJERPH

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“…Dass das Bewilligungsverfahren Betroffenen, Kliniken und Kostenträgern schadet, ist mittlerweile empirisch belegt dank eines natürlichen Experimentes während der ersten Phase der SARS-Cov-2-Pandemie, als das Bewilligungsverfahren für 6 Wochen ausgesetzt wurde. Die stationäre Verweildauer im Krankenhaus verkürzte sich um 10 Tage, die stationäre Verweildauer in der Rehaklinik stieg nicht an, Patient*innen hatten nicht mehr Komplikationen, sondern erholten sich besser [ 23 ]. Ohne Bewilligungsverfahren ließe sich daher in neurologischen Kliniken die über alle stationären Patient*innen gemittelte Verweildauer von 7,6 auf unter 6,6 Tage verkürzen – auch zum Vorteil der Patienten.…”

Section: Struktureffizienzunclassified

“…€ pro Jahr senken [ 8 ]. Eine Abschaffung des Bewilligungsvorbehaltes für die Neurorehabilitation der Phase C würde bereits kurzfristig eine zusätzliche Summe von mehreren Milliarden Euro einsparen [ 23 ]. Konsequente Rehabilitation vor Pflege bei allen Krankenhausentlassungen einschließlich der zügigen Verfügbarkeit von Rehabilitationskapazitäten würde Pflegeversorgungskosten in noch höherem Umfang vermeiden [ 10 ].…”

Section: Ausblickunclassified

Slow demographic change and neurological rehabilitation—Part 2: what we can do

Knecht

Reiners²,

Siebler

et al. 2023

Nervenarzt

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ZusammenfassungIn seinem jetzigen Zustand wird das deutsche Gesundheitssystem nicht in der Lage sein, eine ansteigende Zahl alter Menschen in der Bevölkerung mit einer verminderten Zahl qualifizierter Erwerbspersonen zu versorgen. Diese Problematik betrifft besonders die postakute Versorgung von Schwerkranken, wie in einem ersten von zwei Beitragsteilen unter Situationsbeschreibung dargelegt wurde. Hier diskutieren wir Perspektiven und Handlungsmöglichkeiten. Eine führende Schlussfolgerung ist, dass akut- und rehabilitativmedizinische Maßnahmen deutlich wirksamer als bisher auf einander abgestimmt werden könnten und sollten.

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COVID-19 Reveals Opportunities for Better Care of Stroke Patients

Cited by 2 publications

References 4 publications

Machine Learning and Lean Six Sigma to Assess How COVID-19 Has Changed the Patient Management of the Complex Operative Unit of Neurology and Stroke Unit: A Single Center Study

Machine Learning and Lean Six Sigma to Assess How COVID-19 Has Changed the Patient Management of the Complex Operative Unit of Neurology and Stroke Unit: A Single Center Study

Slow demographic change and neurological rehabilitation—Part 2: what we can do

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