The Virtual TIA Clinic Protocol was developed as part of the Partners Care Redesign
effort to reduce costs and increase quality in the care of patients presenting with symptoms of
transient ischemic attack, through risk stratification, triage, and follow-up based on factors
including the ABCD2 score. The work presented here is a small N, pilot cross-sectional study
which compares actual practice in the MGH ED to what the protocol would suggest, in an effort
both to validate the components of the protocol and to better understand further opportunities to
create value in the care of this patient population. It was found that actual practice resulted in
triage patterns similar to what would have been dictated by the protocol in question. This
suggests that full implementation of the protocol – with the costs associated – may not be
justified. Further work could involve refinement of the protocol to achieve the desired effect on
triage, with future, similar studies made more effective by a code to designate patients in whom
TIA is possible but who do not ultimately receive the code for such under the current
documentation system.
| Identifer | oai:union.ndltd.org:harvard.edu/oai:dash.harvard.edu:1/17295888 |
| Date | 13 July 2015 |
| Creators | Boyle, Brian William |
| Publisher | Harvard University |
| Source Sets | Harvard University |
| Language | English |
| Detected Language | English |
| Type | Thesis or Dissertation, text |
| Format | application/pdf |
| Rights | open |
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