This case scenario describes the Spine Center at Dartmouth-Hitchcock Medical Center, a multidisciplinary unit that offers patients suffering from spinal problems "one-stop" access to a variety of providers together with orthopedic surgeons, neurosurgeons, neurologists, medical specialists in physical medicine and pain management, mental health providers, and occupational and physical therapists. The Center was formed to deal with what its creator, James Weinstein, M.D., saw as the uncoordinated and ineffective delivery of spinal attention in the United States.
The Center accentuated using non-surgical treatments (e.g., physical therapy and exercise, behavioral modification, pain-relieving drugs) as either a complement to, or substitute for, surgical procedures, and patients were actively engaged in the process of determining what sort of care to pursue. Additionally, data collected from the Center's clinical practice to conduct academic research on the consequences and cost-effectiveness of various strategies to treatment. The case provides a chance to examine the applicability of this model in other clinical areas and allows for a critical analysis of the Spine Center's unique method of care delivery.
PUBLICATION DATE: March 11, 2009 PRODUCT #: 609016-HCB-ENG
This is just an excerpt. This case is about TECHNOLOGY & OPERATIONS