Scalable, sustainable cost-effective surgical care: A model for safety and quality in the developing world, part II: Program development and quality care

Alex Campbell, Carolina Restrepo, Don Mackay, Randy Sherman, Ajit Varma, Ruben Ayala, Hiteswar Sarma, Gaurav Deshpande, William Magee

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Results: The center is open year round to offer full-time services and follow-up care. Along with surgery, GCCCC provides speech therapy, child life counseling, dental care, otolaryngology, orthodontics, and nutrition services for the cleft patients under one roof. Local medical providers participated in a model of graded responsibility commiserate with individualized skill and progress, and gradually assumed all leadership positions and now account for 92% of the workforce. Institutional infrastructure improvements positioned and empowered teams of skilled local providers while implementing systemized perioperative processes.

Methods: A team of international professionals from various disciplines served in Guwahati full time to implement and oversee patient care and training of local counterparts. Recruitment of local professionals in all disciplines began early in the scheme of the program and led to gradual expansion of all medical teams. Emphasis was placed on achieving optimal outcome for each patient treated, as opposed to treating the maximum number of patients.

Conclusion: This needs-based approach to program development in Guwahati was successful in optimization of quality and safety in all clinical divisions.

Background: The Guwahati Comprehensive Cleft Care Center (GCCCC) is committed to free medical and surgical care to patients afflicted with facial deformities in Assam, India. A needs-based approach was utilized to assemble numerous teams, processes of care, and systems aimed at providing world-class care to the most needy of patients, and to assist them with breaking through the barriers that prohibit them from obtaining services.

Original languageEnglish (US)
Pages (from-to)1680-1684
Number of pages5
JournalJournal of Craniofacial Surgery
Volume25
Issue number5
DOIs
StatePublished - Jan 1 2014

All Science Journal Classification (ASJC) codes

  • Surgery
  • Otorhinolaryngology

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