Diagnostic Baseline: A Review of Best Practices
The use of diagnostic baselines is a key component of modern healthcare. A diagnostic baseline is a baseline of expected and accepted clinical findings for a specific patient, determined and documented at the initial point of care. This baseline is then used to monitor changes in the patient’s condition, track trends, and inform clinical decisions. The use of such a baseline is integral to providing quality healthcare and improving patient outcomes. This review will explore the principles and best practices of diagnostic baselines, and provide evidence-based recommendations for their successful implementation.
The first step in creating a diagnostic baseline is to identify the patient’s baseline values. These values are determined through clinical examination, laboratory tests, and other relevant data. Once the baseline values have been established, they should be documented in the patient’s chart and tracked over time. This allows the healthcare provider to monitor changes in the patient’s condition, and to identify any patterns that may indicate a need for further evaluation.
Once the baseline values have been established, the healthcare provider must develop protocols for ongoing monitoring. This should include a set of standardized tests and assessments that should be performed at regular intervals. These protocols should be tailored to the individual patient, and should incorporate feedback from the patient’s primary care provider. In addition, the protocols should be regularly updated to reflect changing clinical practice guidelines and best practices.
In addition to protocols for ongoing monitoring, healthcare providers should also consider implementing protocols for proactive intervention. Proactive interventions are those that are designed to detect changes in a patient’s condition before it progresses to a critical stage. This may include the use of diagnostic tests, such as imaging studies, or physical examinations. Proactive interventions should be tailored to the individual patient and should be based on evidence-based clinical practice guidelines.
In order to ensure successful implementation of a diagnostic baseline, healthcare providers should ensure that they have a clear understanding of the process. This includes the establishment of a clear and consistent set of clinical standards, as well as a well-defined protocol for ongoing monitoring. In addition, healthcare providers should ensure that they have proper documentation of the baseline values, and that they have a system in place for tracking changes over time.
Overall, the use of diagnostic baselines is a key component of modern healthcare. By establishing a baseline of expected and accepted clinical findings, healthcare providers can monitor changes in the patient’s condition and intervene when necessary. Evidence-based recommendations for the successful implementation of a diagnostic baseline include the establishment of a clear and consistent set of clinical standards, a well-defined protocol for ongoing monitoring, and proper documentation of the baseline values.
References
Bodenheimer, T., & Grumbach, K. (2002). Understanding health policy: A clinical approach. New York: Lange Medical Books/McGraw-Hill.
Centers for Disease Control and Prevention. (2018). Clinical preventive services: Recommendations. Retrieved from https://www.cdc.gov/nccdphp/prevention/index.htm
Mann, J., & Sommers, B. (2015). Health policy and politics: A nurse’s guide. Burlington, MA: Jones & Bartlett Learning.
McGlynn, E.A., Asch, S.M., Adams, J., Keesey, J., Hicks, J., DeCristofaro, A., & Kerr, E.A. (2003). The quality of health care delivered to adults in the United States. New England Journal of Medicine, 348(26), 2635-2645.