Combining Minimally Invasive Thoracic Surgery Techniques and a Multidisciplinary Care Model Leads to Superior Outcomes



 

Brian Timm, PA-C; Christopher Mutrie, MD; Piotr Starosta, PA-C; Julie Faulk, PA-C;
German Collazo, PA-C; Yong Shin, MD; William Shely, MD; Thomas Lampros, MD;
David Tse, MD

https://doi.org/10.7812/TPP/19-039-17

Abstracts from the Kaiser Permanente 2019 National Quality Conference

From Northwest

Background: The mission of Kaiser Permanente (KP) is to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. Combining skilled minimally invasive surgical techniques and a multidisciplinary approach to caring for complex patients has proved successful in serving this mission, which benefits our members and the health care team that serves them.
Methods: Of the lobectomies performed in the KP Northwest Region, 96% are minimally invasive, compared with the Society of Thoracic Surgeons (STS) average of 76%. All thoracic surgery patients are cared for by a multidisciplinary team. Our team, physicians (surgeons, intensivists, internists), physician assistants, nurses, pharmacists, physical therapists, dieticians, care coordinators, and social workers, round twice daily on each patient. The commitment to skilled surgical techniques and the multidisciplinary care model has established a culture of clear communication, daily goal setting, team accountability, and group decision making, and has resulted in proven excellent outcomes including: Low mortality rate, decreased length of stay, and lower-than-average pneumonia rates.
Results: Combining our minimally invasive surgical techniques and multidisciplinary care model has led to the following excellent results: Overall mortality rate of 0.0%, postprocedure length of stay of 1 day compared with the STS average of 4 days, and postoperative pneumonia rates of 1.1% compared with the STS average of 3.7%
Discussion: Modeling the KP Northwest approach to caring for complex thoracic surgery patients will result in improved program quality and patient outcomes which further serves KP’s mission of providing high-quality, affordable health care services and improving the health of our members and the communities we serve. Quality is becoming an increasing driver of reimbursement, therefore sustainability is directly linked to quality outcomes.

Abstracts from the Kaiser Permanente 2019 National Quality Conference

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