Measuring the Quality of Care at the Cedars-Sinai Sinus Center
To continually improve the care given to patients at the Cedars-Sinai Sinus Center, a number of factors that lead to a high quality of care are monitored. These include:
- The volume of procedures done.
- The percentage of procedures done on an outpatient basis. Procedures done on an outpatient basis tend to be minimally invasive. Outpatient procedures are usually easier to recover from and present less disruption to a patient's daily activities.
- Training leads to improved skills thus improved outcomes. The Sinus Center participates in advanced courses in sinus surgery.
- Education for physicians. Members are required to participate in educational forums.
- All patients undergo quality assurance evaluations to assure high quality care.
The chart below shows the volumes of all sinus surgeries.
The Sino-Nasal Outcome Test (SNOT-22) is a tool that asks patients at three months, six months and 12 months after surgery to rate the severity of their symptoms, physical problems, functional limitations and the emotional impact they experience. It asks such questions as how much of a problem are sneezing, blockages in the nose, ear fullness, loss of smell or taste, facial pain or pressure, difficulty sleeping or emotional impacts such as embarrassment, frustration or irritability.
It has been deemed reliable with three aspects of validity and widely accepted as a measure of efficacy for both medical and surgical therapy. Efficacy evaluations have been found to be statistically significant at three, six and 12 months post treatment. It is easy for the patients to respond to and usually takes five to 10 minutes to complete.
The chart below shows the percent improvement of symptoms for patients after balloon sinuplasty at three, six and 12 months after treatment.