Show simple item record

dc.contributor.authorFrossard, Laurent
dc.contributor.authorFerrada, Luciann
dc.contributor.authorQuincey, Tanya
dc.contributor.authorBurkett, Brendan
dc.contributor.authorBerg, Debra
dc.date.accessioned2020-01-22T22:11:36Z
dc.date.available2020-01-22T22:11:36Z
dc.date.issued2018
dc.identifier.issn2561-987X
dc.identifier.doi10.33137/cpoj.v1i2.31326
dc.identifier.urihttp://hdl.handle.net/10072/390756
dc.description.abstractBACKGROUND: 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 labour 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 labour 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 re-design 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.
dc.description.peerreviewedYes
dc.languageEnglish
dc.publisherCanadian Online Publication Group
dc.publisher.placeCanada
dc.relation.ispartofissue2
dc.relation.ispartofjournalCanadian Prosthetics & Orthotics Journal
dc.relation.ispartofvolume1
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchcode1117
dc.titleDevelopment of a Government Continuous Quality Improvement Procedure for Assessing the Provision of Bone Anchored Limb Prosthesis: A Process Re-design Descriptive Study
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationFrossard, L; Ferrada, L; Quincey, T; Burkett, B; Berg, D, 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 & Orthotics Journal, 2018, 1 (2)
dcterms.licensehttps://creativecommons.org/licenses/by/4.0/
dc.date.updated2020-01-22T05:38:16Z
dc.description.versionPublished
gro.rights.copyright© The Author(s) 2018. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
gro.hasfulltextFull Text
gro.griffith.authorFrossard, Laurent


Files in this item

This item appears in the following Collection(s)

  • Journal articles
    Contains articles published by Griffith authors in scholarly journals.

Show simple item record