LVR-Klinikum Düsseldorf Hospital of the Heinrich-Heine University ...

Team of the Research Group on quality
management and health care research
3.1.3.7 Quality management and healthcare research
Director: W. Gaebel
Assistants: B. Janssen, J. Zielasek, C. Schmidt-Kraepelin,
K. Sommerlad, M. Jänner, R. Zemlicka
Doctoral candidates: S. Mai, A. Pelzer, J. Fiege
Benchmarking in acute psychiatric treatment
(W. Gaebel, B. Janssen, M. van Brederode, R. Kukla)
Project period: 2004–2006,
Financing: Federal Ministry of Health and Social Issues
BMGS
The project, realised in a model network of the nine
psychiatric departments of the Rhineland Regional
Association (LVR), is designed to achieve the following major
targets:
1. Quality improvement in treatment strategies and
treatment results in three selected diagnosis groups
(depression, schizophrenia and alcohol dependence)
on the basis of a benchmarking-supported systematic
development process, according to a best practice
model.
2. The use of optimised treatment guidelines and treatment
paths for individuals from the diagnostic focus groups
with special consideration of persons with severely
chronified disease courses or the imminent threat of
chronification.
A detailed description of the project activities, including the
final report, can be found at www.lernen-vom-besten.de
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Optimisation of post-inpatient care of persons with
schizophrenia through guideline-supported medical,
psychoeducative and socio-therapeutic measures
B. Janssen, W. Gaebel
Project period: 2004–2006
Financing: Techniker Krankenkasse, Barmer Krankenkasse
and Deutsche Angestelltenkrankenkasse within the context
of a model project in accordance with § 63/65 Social Code
Book V
The aim of this project is to improve satisfaction and quality
of life in a “high-risk group” of persons with schizophrenia,
who have previously been hospitalised, by avoiding further
early, stressful and costly readmissions. This aim should
be achieved by means of an improved cross-sectoral
outpatient/inpatient coordination and networking in aftercare;
in addition, evaluated psychoeducative and sociotherapeutic
procedures that, hitherto, have only been
individually assessed for efficacy, will be assessed as
integrated elements of a complex therapeutic aftercare
programme. This after-care programme is made
available by a multi-disciplinary specialist team of doctors,
psychologists, nurses and social workers and can be used
in a guideline-based fashion by the office-based psychiatrist
or neurologist/psychiatrist, if the person with schizophrenia
agrees. The project is then seen, as a whole, as a model for
an integrated, guideline-assisted preventive treatment in
a politically important field of psychiatric care. In the NRW
2004 Health Prize competition, the project was awarded
the first prize and accepted into the “Healthy State of North
Rhine-Westphalia” association:
www.gesundheitspreis.nrw.de
Transfer project “Quality management schizophrenia”
Director: W. Gaebel in cooperation with M. Berger (Freiburg)
Assistants: B. Janssen, C. Schmidt-Kraepelin
Project period: 2005–2007
Financing: Federal Ministry for Education and Research
FMER (within the Competence Network on Schizophrenia)
In the quality management projects under the umbrella
of the Competence Network on Schizophrenia, a range of
instruments and methods for guideline implementation in
outpatient/inpatient treatment settings was developed and
evaluated for people with schizophrenia (e.g. electronic
quality-oriented documentation system, interactive decision
support system [Figure 22], benchmarking of treatment
outcome and guideline adherence). The objective of the third
funding period is to collate the broad experiences gathered
to date and to ensure that they are transferred fully into
routine care through the publication of a range of so-called
quality management modules. In addition to instructions