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LRC Experience in Implementing Clinical Practice Protocols for Quality Improvement

LRC Experience in Implementing Clinical Practice Protocols for Quality Improvement. Lala Alieva Joint City Hospital #6 Baku/Richmond Partnership. Date: 10 / 07 / 03. The Binagadi District Health Administration in Baku, Azerbaijan. Virginia Commonwealth University , Richmond, VA.

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LRC Experience in Implementing Clinical Practice Protocols for Quality Improvement

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  1. LRC Experience in Implementing Clinical Practice Protocols for Quality Improvement Lala Alieva Joint City Hospital #6 Baku/Richmond Partnership Date:10/07/03

  2. The Binagadi District Health Administration in Baku, Azerbaijan Virginia Commonwealth University, Richmond, VA The Partnership Established in April 2000 With the overall goal to improve the health status of the Binagadi District population, including IDP/refugees, through community-based Primary Care services

  3. The Binagadi District Area: 174 sq km Population: 209 300 Health care settings 13 Health care settings in IDP/refugee communities 12

  4. LRS History and Facilities • ESTABLISHED IN FEBRUARY 2001 AT JOINT CITY HOSPITAL #6 • LAN INCLUDING 3 PCs AND INTERNET ACCESS • TV AND VIDEO EQUIPMENT, OVERHEAD PROJECTORS • PRINTERS AND COPIERS • TEACHING MATERIALS • ROOM FOR WORKSHOPS AND TRAININGS

  5. Strategy • Choosing Standards • Information Search • Analysis • Choosing the most acceptable Clinical Practice • Implementation of a new standard • Evaluation of outcomes

  6. Search Engines and Databases • Medline • Pub Med • Cochrane Library • Ovid • National Medical Library • Russian Health Server • Electronic Medical Library • The International Medical Practice Journal

  7. CPGs • General Practice • Hypertension • Gastric and Duodenal Ulcer • Bronchial Asthma

  8. CPGs • PEDIATRICS • Infectious Diseases. Immunization • Rheumatic Fever • Bronchial Asthma

  9. CPGs • GYNECOLOGY • Use of prostaglandins in the treatment of atonic and hypertonic hemorrhages • Use of combined Femoston and Klimaktoplan therapy to mitigate manifestations of the climacteric syndrome • Treatment of women with immune-incompatible pregnancies

  10. CPGs • ANESTESIOLOGY • Beta-Blockers dozing principles in the most acute stage of myocardial infarction • Action Algorithm for complicated (unsuccessful) intubations • Revised methods of prolonged spinal and epidural anesthesiaduring surgeries on lower extremities and small pelvis

  11. CPGs • SURGERY • Use of antibiotics and antiseptics in abdominal surgery • Use of hyperthermia for peritonitis • Wide use of tension methods of repair in hernioplastics for patients with giant hernias of different localizations

  12. Outcomes • A 30% decrease in the number of patients hospitalized for arterial hypertension; • A 20% decrease in the number of patients hospitalized for aggravations of gastric and duodenal Ulcer; • A 15% drop in the number of complicated deliveries; • Controlled bronchial asthma status achieved in 70% of the BA patients; • A one-third decrease in the number of complication and mortality cases in Joint City Hospital #6 Intensive Care Unit. • About 65% of physicians and health workers surveyed said that the use of new clinical practice guidelines had assisted them in making the treatment more efficient. • The percentage of patients assessing the quality of medical care that received as “good” and “very good” increased from 20% to 65%.

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