Micro analysis of orthopaedic outpatient fracture pathway design

Research output: Contribution to conferenceAbstract

Abstract

The aim of this work was to retrospectively evaluate the redesign of the fracture pathway in a major NHS hospital, focusing on cost effectiveness at a micro level. The processes contain multiple points of variation at the input and at various stages throughout, which were considered in the evaluation. Discrete event simulation was used to model a major part of the redesign, a virtual fracture clinic, and the results compared with a model of a traditional clinic. Resource utilisation and cost was reported for each of the models. An important element of the costing was the family and patient resource or the societal cost of the redesign. This was evaluated using questionnaires to determine the number of clinic visits that patients make and the inconvenience this causes them in terms of time and out-of-pocket expenses. This work shows that there are savings from implementing the fracture redesign process, at least within the test hospital and from the perspective of health board and government funding. If this redesign were to be rolled out further across Scotland it could result in significant effectiveness and efficiency savings. It is envisaged that the simulation model could be further used as a tool to support the process roll-out to other hospitals across Scotland.

Conference

Conference27th European Conference on Operational Research (EURO XXVII)
CountryUnited Kingdom
CityGlasgow
Period12/07/1515/07/15

Fingerprint

Orthopedics
Outpatients
Scotland
Costs and Cost Analysis
Ambulatory Care
Health Expenditures
Cost-Benefit Analysis
Health
Pathway
Outpatient
Redesign
Savings
Costs
Surveys and Questionnaires

Keywords

  • fracture pathway
  • orthopaedics
  • discrete event simulation
  • cost effectiveness
  • societal cost
  • NHS
  • Scotland

Cite this

Anderson, G., van der Meer, R., & Morton, A. (2015). Micro analysis of orthopaedic outpatient fracture pathway design. 264. Abstract from 27th European Conference on Operational Research (EURO XXVII), Glasgow, United Kingdom.
Anderson, Gillian ; van der Meer, Robert ; Morton, Alec. / Micro analysis of orthopaedic outpatient fracture pathway design. Abstract from 27th European Conference on Operational Research (EURO XXVII), Glasgow, United Kingdom.1 p.
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Anderson, G, van der Meer, R & Morton, A 2015, 'Micro analysis of orthopaedic outpatient fracture pathway design' 27th European Conference on Operational Research (EURO XXVII), Glasgow, United Kingdom, 12/07/15 - 15/07/15, pp. 264.

Micro analysis of orthopaedic outpatient fracture pathway design. / Anderson, Gillian; van der Meer, Robert; Morton, Alec.

2015. 264 Abstract from 27th European Conference on Operational Research (EURO XXVII), Glasgow, United Kingdom.

Research output: Contribution to conferenceAbstract

TY - CONF

T1 - Micro analysis of orthopaedic outpatient fracture pathway design

AU - Anderson, Gillian

AU - van der Meer, Robert

AU - Morton, Alec

PY - 2015

Y1 - 2015

N2 - The aim of this work was to retrospectively evaluate the redesign of the fracture pathway in a major NHS hospital, focusing on cost effectiveness at a micro level. The processes contain multiple points of variation at the input and at various stages throughout, which were considered in the evaluation. Discrete event simulation was used to model a major part of the redesign, a virtual fracture clinic, and the results compared with a model of a traditional clinic. Resource utilisation and cost was reported for each of the models. An important element of the costing was the family and patient resource or the societal cost of the redesign. This was evaluated using questionnaires to determine the number of clinic visits that patients make and the inconvenience this causes them in terms of time and out-of-pocket expenses. This work shows that there are savings from implementing the fracture redesign process, at least within the test hospital and from the perspective of health board and government funding. If this redesign were to be rolled out further across Scotland it could result in significant effectiveness and efficiency savings. It is envisaged that the simulation model could be further used as a tool to support the process roll-out to other hospitals across Scotland.

AB - The aim of this work was to retrospectively evaluate the redesign of the fracture pathway in a major NHS hospital, focusing on cost effectiveness at a micro level. The processes contain multiple points of variation at the input and at various stages throughout, which were considered in the evaluation. Discrete event simulation was used to model a major part of the redesign, a virtual fracture clinic, and the results compared with a model of a traditional clinic. Resource utilisation and cost was reported for each of the models. An important element of the costing was the family and patient resource or the societal cost of the redesign. This was evaluated using questionnaires to determine the number of clinic visits that patients make and the inconvenience this causes them in terms of time and out-of-pocket expenses. This work shows that there are savings from implementing the fracture redesign process, at least within the test hospital and from the perspective of health board and government funding. If this redesign were to be rolled out further across Scotland it could result in significant effectiveness and efficiency savings. It is envisaged that the simulation model could be further used as a tool to support the process roll-out to other hospitals across Scotland.

KW - fracture pathway

KW - orthopaedics

KW - discrete event simulation

KW - cost effectiveness

KW - societal cost

KW - NHS

KW - Scotland

UR - https://www.euro-online.org/web/pages/420/last-activity-reports

M3 - Abstract

SP - 264

ER -

Anderson G, van der Meer R, Morton A. Micro analysis of orthopaedic outpatient fracture pathway design. 2015. Abstract from 27th European Conference on Operational Research (EURO XXVII), Glasgow, United Kingdom.