June 1999

Evidence-based clinical pathway improves outcomes at St. Francis in Wilmington


An evidence-based clinical pathway with 18 guidelines for the diagnosis and treatment of congestive heart failure has reduced lengths of stay and readmissions at St. Francis Hospital, Wilmington, Del. The pathway, available on St. Francis’ intranet site, includes signs and symptoms of congestive heart failure, exam findings, historical clues and guidelines for triaging patients. Physicians led the pathway creation team, which consisted of cardiologists, internal medicine and family practice physicians, nurses, care managers and laboratory clinicians. St. Francis has also developed an award-winning evidence-based pathway for nutritional care. CARITAS in Louisville offers sports acceleration program CARITAS Health Services, Louisville, Ky., is offering the state’s first sports acceleration program. The six- to eight-week program, which is suitable for athletes of any age and in any sport, uses unique equipment and specially trained professionals to improve athletic performance. The results show an average increase of two to four inches in vertical jump and a decrease of .2 seconds in the 40-yard dash, as well as an increase in sport-specific strength.