112-623 / PCAI: Programa Clinico de antecion Interdisciplinar: Clinical program for the interdisciplinar care

GOP Information
Organisation sharing the GOP
Related practices from PaSQ database
The Consejeria of Sanidad ( Regional Health Authority)


Clinical guidelines or pathways
Quality improvement project

GOP Description
Implementation level
Clinical settings
Primay health care and specialized care
To provide care with the highest evidence adapted to the conditions of the region
Health care workers ( MD, nurses, psychologists, social workers) and patients
Fourteen areas susceptible of clinical improvement were indentifies as a result of the Health Care Plan 2004-2007. With the assistance of a quality consultancy 14 groups of well accepted professionals from the public sector were assembled as to develop with an explicit methodology the PCAI. Once the document was approved, the Health Authority demanded the SESPA, the health service of Asturias, to implement the PCAI. For this doing in each one of the health regions (8 in total) a responsible was designated for each PCAI and Committee inter level was created and a Quality Commission inter level. To develop the protocols working groups were assembled. For each PCAI a series quality and performance indicator was defined
Timeframe implementation
The project started in 2004 and the implementation started in 2009. This same year a revision of the PCAI was put in place, ending in 2012.
Implementation tools available
There were three plans: Operational Plan: Definition of task for each professional involved, and the resources needed for the implementation, Management Plan: definition of the organizational structure, and knowledge needs; and Communication Plan: to communicate the new work methodology and how to implement it
Implementation cost
The project cost were those of the consultancy, the edition of the PCAI. On the other side, the work done by the professinals was not renumerated.
Method used to measure the results
Measurement of results through the indicators that are included in the program contract with the center or unit.
There are too many indicators as there are 14 PCAI and too many units. There are five dimensions each one with several indicators: Accessibility and continuity of care; patient centered care; effectivity of care, security and appropriate resource utilization
Analysis of the results
Every new program contract evaluates the achievements in order to propose new goals and objectives for eacha PCAI and each clinical unit.
Implementation barriers
Did you find implementation barriers?
Please describe implementation barriers
The organizational inertia, the problems with the coordination inter level, scarcity of resources in some areas and knowledge and skill problems
Describe the strategies used to overcome the barriers (If needed)
Education. A new model of organization were primary ans specialized care are integrated was developed.
Other information
Other information about the GOP that you would like to add (Link or attached document)
The process in itself is very interesting as the participation of the professionals in the definition of goals, standards and criteria reinforces the health care system