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  • Author: Mark J. W. van der Oest x
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Reinier Feitz Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands
Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Plastic, Reconstructive and Hand Surgery, Nijmegen, The Netherlands

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Yara E. van Kooij Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands
Department of Plastic, Reconstructive, and Hand Surgery, Rotterdam, The Netherlands
Department of Rehabilitation Medicine, Rotterdam, The Netherlands

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Marloes H. P. ter Stege Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands

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Mark J. W. van der Oest Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands
Department of Plastic, Reconstructive, and Hand Surgery, Rotterdam, The Netherlands
Department of Rehabilitation Medicine, Rotterdam, The Netherlands

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J. Sebastiaan Souer Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands

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Robbert M. Wouters Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands
Department of Plastic, Reconstructive, and Hand Surgery, Rotterdam, The Netherlands
Department of Rehabilitation Medicine, Rotterdam, The Netherlands

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Harm P. Slijper Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands
Department of Plastic, Reconstructive, and Hand Surgery, Rotterdam, The Netherlands
Department of Rehabilitation Medicine, Rotterdam, The Netherlands

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Ruud W. Selles Department of Plastic, Reconstructive, and Hand Surgery, Rotterdam, The Netherlands
Department of Rehabilitation Medicine, Rotterdam, The Netherlands

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Steven E. R. Hovius Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands
Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Plastic, Reconstructive and Hand Surgery, Nijmegen, The Netherlands

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Hand–Wrist Study Group RAM Blomme, BJR Sluijter, DJJC van der Avoort, A Kroeze, J Smit, J Debeij, ET Walbeehm, GM van Couwelaar, Guus M Vermeulen, JP de Schipper, JFM Temming, JH van Uchelen, HL de Boer, KP de Haas, K Harmsen, OT Zöphel, R Koch, TM Moojen, X Smit, GJ Halbesma, R van Huis, PY Pennehouat, K Schoneveld, YE van Kooij, RM Wouters, JJ Veltkamp, A Fink, WA de Ridder, J Tsehaie, R Poelstra, MC Janssen, PO Sun, VJMM Schrier, L Hoogendam, JS Teunissen, Jak Dekker, M Jansen-Landheer

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  • Routine outcome measurements as a critical prerequisite of value-based healthcare have received considerable attention recently. There has been less attention for the last step in value-based healthcare where measurement of outcomes also leads to improvement in the quality of care. This is probably not without reason, since the last part of the learning cycle: ‘Closing the loop’, seems the hardest to implement.

  • The journey from measuring outcomes to changing daily care can be troublesome. As early adopters of value-based healthcare, we would like to share our 10 years of experience in this journey.

  • Examples of feedback loops are shown based on outcome measurements implemented to improve our daily care process as a focused hand surgery and hand therapy clinic.

  • Feedback loops can be used to improve shared decision making, to monitor or predict treatment progression over time, for extreme value detection, improve journal clubs, and surgeon evaluation.

  • Our goal as surgeons to improve treatment should not stop at the act of implementing routine outcome measurements.

  • We should implement routine analysis and routine feedback loops, because real-time performance feedback can accelerate our learning cycle.

Cite this article: EFORT Open Rev 2021;6:439-450. DOI: 10.1302/2058-5241.6.210012

Article Type:
Review Article
Category:
Research
DOI:
https://doi.org/10.1302/2058-5241.6.210012
Volume/Issue:
Volume 6: Issue 6
Open access