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The trend in medicine is to explore nonsurgical solutions to various health problems. The same trend is occurring in the area of spine care.
SpineNevada uses written protocols that emphasize a nonsurgical approach first, and surgery is held as the last resort.
The TRUE definition of quality is reduction of variation about the mean. As quality experts note, unless you have data, you simply have no business talking about quality. New patients coming into SpineNevada completed a clinical outcome tool that measured their pain level, severity of symptoms and functional status. Three months after their first visit, an outside nurse unaffiliated with SpineNevada called a random sample of these patients and interviewed them for functional status, current symptoms and patient satisfaction. This is the most unbiased, statistically relevant method for outcomes analysis. |
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The clinical outcomes presented here are analyzed by an outside firm that specializes in tracking spine outcomes, and is involved with other spine centers across the U.S. The results show that SpineNevada receives at its front door the most complex patient base in the region. One in four new patients to SpineNevada had previous back surgery, and 96% had suffered from back or neck pain for more than four months. Half of all new patients had serious neurological symptoms like pain radiating beyond a knee or elbow, which can imply a serious disc-related problem. But even with the most complex patient base, the center had impressive outcomes. Only 18% needed surgery. As to patient satisfaction, SpineNevada averaged above 95% for all seven categories measured.
Quality is a journey, however, rather than a destination, and we are committed to continually improving. This report documents our footprints on that journey.
Patient satisfaction
A phone survey is used to audit patient satisfaction. This method is the most accurate survey method possible. That’s because mail surveys have an inherent sampling bias based on those who take the time to respond. Three months after the first visit to SpineNevada, an outside nurse unaffiliated with SpineNevada calls a random sample of patients at home. The nurse then interviews patients on their satisfaction with the doctor seen, the time the doctor spends with the patient, the medical explanation provided, etc. SpineNevada averaged over 95% for all seven categories measured, with 98% of patients saying they would recommend the clinic to a friend.
Pain relief through function
The main reason people go to the doctor is for relief of pain. But if a spine clinic focuses exclusively on pain, it can miss the target of return to function. A spine specialized physical therapist provides pain relief and then moves the patient quickly into supervised exercise. This chart shows that SpineNevada has good success relieving pain, eliminating numbness and radiating pain in legs or arms, and ultimately returning the back pain sufferer to activity — after only 3 months of care. The gains in function did not come from pills either. For example, the percent of patients relying heavily on pills for pain control declined from 20% to 8% after 3 months. Self-reported pain levels decreased, as did patient-reported limitations related to carrying groceries, climbing stairs and standing for a half hour.
SpineNevada
has a detailed clinical outcome
report card for physicians, case managers and insurance company medical directors. You
will need a password to access this report card. Contact us at 775-348-8800.
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