Development of a government continuous quality improvement procedure for assessing the provision of bone anchored limb prosthesis: A process re-design descriptive study | QUT ePrints QUT Home Contact Home Browse About Login Development of a government continuous quality improvement procedure for assessing the provision of bone anchored limb prosthesis: A process re-design descriptive study Frossard, Laurent, Ferrada, L., Quincey, Tanya, Burkett, Brendan, & Berg, Debra (2018) Development of a government continuous quality improvement procedure for assessing the provision of bone anchored limb prosthesis: A process re-design descriptive study. Canadian Prosthetics and Orthotics Journal (CPOJ), 1(2), Article number: 4. Preview Published Version (PDF 931kB) Art-CPOJ-CQI for BAP-ePrint 03.pdf. Available under License Creative Commons Attribution 4.0. Open access copy at publisher website Description BACKGROUND. Evidences of sustainable clinical benefits of bone-anchored prosthesis (BAP) using osseointegrated fixation over typical socket-suspended prostheses are becoming more probing. This influx of individuals to be fitted with BAP has pressed government organisations to adjust their policies. However, the appraisal of consumer’s experience for the provision of BAP founded by government organisation is yet to be developed. This descriptive study shares the experience gained by a government organisation, namely the Queensland Artificial Limb Service (QALS), while developing a specific BAP-inclusive continuous quality improvement (CQI) procedure. OBJECTIVE(S). The primary objective was to present the methods and outcomes of key steps required to plan and create this CQI procedure. The secondary objective was to highlight key barriers and facilitators of the transition from a socket-focused to the proposed BAP-inclusive CQI procedure. METHODOLOGY. The re-design process of the CQI procedure for 65 current QALS’s consumers with BAP involved a two-step process for the planning (e.g., case-mix, stakeholder) and creation (e.g., diagnosis, technical options, cost). FINDINGS. Prosthetists labor toward CQI procedure represented 1.3 hrs out of 22 hrs and AUD$213 out of AUD$3,300 or 6% of the whole procedure for the provision of BAP. The time spent by a prosthetist, consumer and QALS staff represented 24%, 24% and 53% of the time of the CQI procedure, respectively. The cost of prosthetist and QALS staff labor represented 70% and 30% of the CQI procedure, respectively. CONCLUSIONS. This descriptive study shares the workings and methodology that government organisations, such as QALS, can use to redesign a CQI procedure for comprehensive appraisal of the provision of prosthesis that could be inclusive of BAP and affordable while minimally time-consuming for prosthetists. The transition from a socket-focused to the proposed minimally disruptive BAP-inclusive CQI procedure was facilitated by prior knowledge of BAP treatment, early identification of the stakeholders and adaptation of current CQI procedure. Impact and interest: 8 citations in Scopus Search Google Scholar™ Citation counts are sourced monthly from Scopus and Web of Science® citation databases. These databases contain citations from different subsets of available publications and different time periods and thus the citation count from each is usually different. Some works are not in either database and no count is displayed. Scopus includes citations from articles published in 1996 onwards, and Web of Science® generally from 1980 onwards. Citations counts from the Google Scholar™ indexing service can be viewed at the linked Google Scholar™ search. Notify us of incorrect data How to use citation counts More information Full-text downloads: 120 since deposited on 14 Dec 2018 34 in the past twelve months Full-text downloads displays the total number of times this work’s files (e.g., a PDF) have been downloaded from QUT ePrints as well as the number of downloads in the previous 365 days. The count includes downloads for all files if a work has more than one. More statistics... ID Code: 123763 Item Type: Contribution to Journal (Journal Article) Refereed: Yes ORCID iD: Frossard, Laurent orcid.org/0000-0002-0248-9589 Measurements or Duration: 14 Keywords: Amputation, Artificial limb, Bone-anchored prosthesis, Osseointegrated implants, Osseointegration, Procedure, Prosthesis, Quality improvement, Reimbursement DOI: 10.33137/cpoj.v1i2.31326 ISSN: 2561-987X Pure ID: 33382746 Divisions: Past > QUT Faculties & Divisions > Faculty of Health Past > Institutes > Institute of Health and Biomedical Innovation Current > Schools > School of Exercise & Nutrition Sciences Copyright Owner: 2018 Canadian Online Publication Group Copyright Statement: This work is covered by copyright. Unless the document is being made available under a Creative Commons Licence, you must assume that re-use is limited to personal use and that permission from the copyright owner must be obtained for all other uses. If the document is available under a Creative Commons License (or other specified license) then refer to the Licence for details of permitted re-use. It is a condition of access that users recognise and abide by the legal requirements associated with these rights. If you believe that this work infringes copyright please provide details by email to qut.copyright@qut.edu.au Deposited On: 14 Dec 2018 00:15 Last Modified: 15 Dec 2021 11:29 Export: EndNote | Dublin Core | BibTeX Repository Staff Only: item control page Home Browse research About CRICOS No. 00213J ABN 83 791 724 622 Accessibility Copyright Disclaimer Privacy Right to Information
