page > What is ICP
IS AN INTEGRATED CARE PATHWAY?
Integrated Care Pathway is an interdisciplinary plan of care, which
outlines the optimal timing and sequencing of of interventions for
patients with a particular diagnosis.
did the idea of ICPs come from?
The idea originally
came from the USA in the 1980's. Until then the delivery of healthcare
had been fragmented, characterised by
Long length of stay in hospital
Variable practice among clinicians
Sometimes unnecessary use
Uncoordinated discharge planning
Poor continuity of care
The idea of standardising
patient care using protocols was introduced to improve the quality of
care, to contain the cost of care (in the USA) and as a tool for implementing
clinical governance (in the UK).
the main features of an ICP?
include the following 4 features:
- A statement of desired
outcome, or goal
- A timeline for sequencing
- Interdisciplinary collaboration
- Inclusion of comprehensive
aspects of care
examples of these 4 features.
or goals may be daily, weekly or discharge goals. Eg 'Patient will remain
continent of urine today' or 'Patient will be able to walk 10 metres with
a stick, by the time of discharge'
will specify the timescale for particular interventions.Eg A table will
indicate the appropriate laboratory and radiological tests for the first
5 days of admission
is jointly developed by multiple healthcare professionals.Eg the plan
for continence management is developed by the doctor and the nurse working
together to combine the information from the doctor's diagnosis and the
nurse's 24-hour monitoring, to arrive at the optimum plan; or the physio
and occupational therapist work together in developing the patient's wheelchair
of care include items of care which are tracked throughout the admission,
such as nutrition, diagnostic tests, teatment, mobility, patient and carer
teaching and discharge planning.
patients whose illness does not go according to the plan?
with a particular diagnosis are started on the 'generic' pathway for
who develop complications a variance record
is created. This is kept alongside the generic pathway and allows the
clinicians to document the complications fully, still keeping the guidelines
for the main condition in mind.
use an Integrated Care Pathway?
Copyright ©Nikki Devitt
2002, on behalf of
the WAHT Stroke Pathway Group
Date of last review: 25th
Date of next review:25th