TY - JOUR
T1 - Scalable, sustainable cost-effective surgical care
T2 - A model for safety and quality in the developing world, part II: Program development and quality care
AU - Campbell, Alex
AU - Restrepo, Carolina
AU - Mackay, Don
AU - Sherman, Randy
AU - Varma, Ajit
AU - Ayala, Ruben
AU - Sarma, Hiteswar
AU - Deshpande, Gaurav
AU - Magee, William
N1 - Publisher Copyright:
Copyright © 2014 by Mutaz B. Habal, MD.
PY - 2014
Y1 - 2014
N2 - Results: The center is open year round to offer full-time services and follow-up care. Along with surgery, GCCCC provides speech therapy, child life counseling, dental care, otolaryngology, orthodontics, and nutrition services for the cleft patients under one roof. Local medical providers participated in a model of graded responsibility commiserate with individualized skill and progress, and gradually assumed all leadership positions and now account for 92% of the workforce. Institutional infrastructure improvements positioned and empowered teams of skilled local providers while implementing systemized perioperative processes.Methods: A team of international professionals from various disciplines served in Guwahati full time to implement and oversee patient care and training of local counterparts. Recruitment of local professionals in all disciplines began early in the scheme of the program and led to gradual expansion of all medical teams. Emphasis was placed on achieving optimal outcome for each patient treated, as opposed to treating the maximum number of patients.Conclusion: This needs-based approach to program development in Guwahati was successful in optimization of quality and safety in all clinical divisions.Background: The Guwahati Comprehensive Cleft Care Center (GCCCC) is committed to free medical and surgical care to patients afflicted with facial deformities in Assam, India. A needs-based approach was utilized to assemble numerous teams, processes of care, and systems aimed at providing world-class care to the most needy of patients, and to assist them with breaking through the barriers that prohibit them from obtaining services.
AB - Results: The center is open year round to offer full-time services and follow-up care. Along with surgery, GCCCC provides speech therapy, child life counseling, dental care, otolaryngology, orthodontics, and nutrition services for the cleft patients under one roof. Local medical providers participated in a model of graded responsibility commiserate with individualized skill and progress, and gradually assumed all leadership positions and now account for 92% of the workforce. Institutional infrastructure improvements positioned and empowered teams of skilled local providers while implementing systemized perioperative processes.Methods: A team of international professionals from various disciplines served in Guwahati full time to implement and oversee patient care and training of local counterparts. Recruitment of local professionals in all disciplines began early in the scheme of the program and led to gradual expansion of all medical teams. Emphasis was placed on achieving optimal outcome for each patient treated, as opposed to treating the maximum number of patients.Conclusion: This needs-based approach to program development in Guwahati was successful in optimization of quality and safety in all clinical divisions.Background: The Guwahati Comprehensive Cleft Care Center (GCCCC) is committed to free medical and surgical care to patients afflicted with facial deformities in Assam, India. A needs-based approach was utilized to assemble numerous teams, processes of care, and systems aimed at providing world-class care to the most needy of patients, and to assist them with breaking through the barriers that prohibit them from obtaining services.
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U2 - 10.1097/SCS.0000000000001208
DO - 10.1097/SCS.0000000000001208
M3 - Article
C2 - 25203571
AN - SCOPUS:84914094604
SN - 1049-2275
VL - 25
SP - 1680
EP - 1684
JO - Journal of Craniofacial Surgery
JF - Journal of Craniofacial Surgery
IS - 5
ER -