Institute of Medicine Dimensions and Institute for Healthcare Improvement Whole System Measures to set priorities for implementing the VFC
| IOM Dimension | Fracture Management Re-design | IHI Whole System Measure |
|---|---|---|
| Effective | Providing an evidence-based service to manage Orthopaedic fracture | Realiability of core measures Functional Health Outcomes Score Hospital re-admission percentage |
| Safe | By avoiding preventable harm including over-treating injuries or mismanaging complex ones, and ensuring appropriate surgical or conservative management provided by trained specialists | Rate of Adverse Events |
| Patient-centered | By providing a fracture management plan that is individually tailored to a patient's own needs and values and socioeconomic factors, and enabling the patient to take responsibility for their own care | Patient Experience Score Patient Satisfaction with Care Score |
| Timely | By providing a fracture management service in a timely manner. Orthopaedic injuries can be very painful, and there is a defined window of opportunity for surgical intervention | Days to next available appointment/specialist review |
| Equitable | Irrespective of the geographic location or the tertiary trauma capability of the hospital which the patient attends, and independent of local pressures on resources, the quality of care should not vary. Patients should be able to be transferred to super-specialist centers (e.g. poly-trauma or hand) where necessary, and the management plan should not deviate due to availability of resources or economic factors. | Equity Stratification |
| Efficient | By provideing a fracture serivce which is an efficient use of A&E and Orthopaedic department resources to provide value to the populatin which it serves | Health care cost / capita |