Quality record 2009
Structured quality record according to German law for 2009Contents
A. Structure and performance of the clinical practice
A-1 General contact details of the clinical practice
A-2 History of the clinical practice
A-3 Personell resources of the clinical practice
A-4 Case numbers of the clinical practice
B. Structure and performance of the clinical practice
B-1 Ambulant conservative therapy
B-2 Ambulant surgical therapy
B-3 In-patient surgical therapy
C. Quality assurance
C-1 Participation in the framework of the quality management procedure(DIN ISO 9001)
D. Quality management
D-1 Quality policy
D-2 Quality targets
D-3 Instruments of the quality management
A Structure and performance
A-1 General contact details of the clinical practice
Name: SPORTHOMEDIC
Street: Bonner Str. 207
Postal Code / City: 50968 Köln
Telephone: 02 21-3 98 07 98-0
Telefax: 02 21-3 98 07 98-99
Email: info@sporthomedic.de
Internet: www.sporthomedic.de
A-2 History of the Clinical practice
In the premises of the practice in 1991 Dr. Pieczykolan established a surgical practice which he managed by himself until 31 December 2000.
On 1 January 2001 Dr. Oliver Tobolski entered as a fully-entitled partner into the Clinical practice which was initially continued as a group practice.
In 2005 the practice partners separated (job sharing) so that externally a group practice appeared but internally a so-called Praxisgemeinschaft (whereby the physicians use the same facilities but work as separate economic entities) was established.
Between 2005 and 2008 there was a continuous expansion of both practice parts and since the end of 2008 Dr. Pieczykolan’s practice part including two medical specialist assistants employed on a permanent basis covers the core area foot surgery.
The part of the practice of Prof. Dr. Tobolski also expanded continuously and since 1 April 2008 the personnel has been increased and the medical specialist Dr. Lidolt was employed.
The part of the practice of Prof. Dr. Tobolski focuses in particular on the sports orthopaedic care of amateur and professional athletes.
A particular focus is the surgical treatment of knee and ankle joint injuries.
Due to Prof. Dr. Tobolski’s previous activity as advising doctor for the Cologne Police Department there is currently a large number of police officers amongst his patients.
A- Case numbers of the Clinical practice
Approx. 1,300 patients are treated ambulantly each quarter in the practice of Prof. Dr. Tobolski.
In 2009 199 ambulant and 217 in-patient surgeries were performed. With 234 interventions the focus was on arthoscopic interventions of different levels of difficulty. Surgical resonstructions of the cruciate ligament, treatment of the meniscus (suture processes and resections) and the entire spectrum of cartilage surgery in the knee joint carried out.
On the shoulder subacromial decompression and all forms of stabilising and reconstructive intervention (rotator cuff re-fixation, SLAP-re-fixation, Bankart re-fixation, capsule were performed.
Diagnostic arthroscopy, cartilage surgical intervention and adhesiolyses were carried out.
A further surgical focus is the surgical reconstruction of the forefoot in case of forefoot deformities which was regularly carried out under in-patient conditions.
Finally, there were a large number of hand-surgical interventions (annular ligament-stenosis, carpal tunnel syndrome, tendovaginitis, epicondylitis, surgery of the Achilles tendon (recent and older ruptures) and herniotomies (inguinal herniae).
B. Structure and performance of the clinical practice
B-1 Ambulant conservative therapy
The ambulant conservative therapy mainly covers the non-surgical therapy in particular of sports injuries of the shoulder, hand, knee, and upper ankle joint.
The Clinical practice is able to offer a state-of-the-art diagnostics department; in particular ultrasound diagnostics, magnetic resonance tomography and digital X-ray diagnostics allow for differenciated examination methods.
One of the core areas of treatment is the conservative arthrosis therapy (physiotherapeutic treatment, intraarticular hyaluronic acid therapy, strengthening therapy).
In the framework of the conservative process the patients are advised and supervised on a sports medical basis, so that only therapy-resistant medical conditions need to be treated by means of surgery.
Per quarter approx. 1,300 patients are examined and provided with differentiated diagnostics.
Currently there are plans for an expansion of the practice to include a training centre for athletes within the premises.
B-2 Ambulant surgical therapy
A core area within the ambulant surgical therapy is the arthroscopic treatment of injuries of the knee and shoulder joints and of the upper ankle joint.
The necessary ambulant surgical therapies are carried out at the surgery center St. Marien-Krankenhaus, Ambulantes OP-Zentrum Köln Innenstadt, Kunibertskloster 11 – 13, 50668 Köln, www.Aoz-koeln.de.
Following intensive diagnostics the patients are introduced into the ambulant surgical therapy at the hospital St. Marien-Krankenhaus. After the intervention at the ambulant surgery centre the further after-treatment is provided in the clinical practice within the framework of the consultation hours.
The permanent availability of the surgeons is guaranteed by means of an emergency number handed out to the relevant patients.
B-3 In-patient therapy
More complex surgeries or surgeries in cases where an after-treatment at home cannot be guaranteed are carried out at the consiliar department of the hospital Wesseling. In particular complex knee treatments, shoulder operations and the entire surgical forefoot reconstruction surgery in case of forefoot deformities are carried out here.
The cruciate ligament surgery and the forefoot reconstruction are amongst the core areas of the surgical therapy at the hospital Wesseling. The patients are received as in-patients in the hospital on the day of surgery and are treated postoperatively for approx. 2 to 3 days as in-patients.
Both the surgical therapy and the after-treatment are performed by the surgeons of the clinical practice.
D-1 Quality policy
Quality management is positioned in the business strategies and is very important in the clinical practice.
The clinical practice provides a quality management which gives priority to the patients’ interests and their well-being.
The safeguarding of a high-quality medical, nursing and therapeutic care of the patients is the first and most important task.
We constantly check the quality of our performance in order to maintain a high level and to improve it if necessary.
The following five organisation principles are the linchpins of the business philosophy which follow a decentral concept:
- Patient-orientation
- Employee-orientation
- Innovative surgical/orthopaedic therapy
- Maintenance of health and prevention
- Integrity
- The patients’ and referring doctors’ satisfaction shall continuously be developed. There will be regular interviews in order to assess our patients’ and referring doctors’ contentment and to be able to purposefully improve our performance according to our needs.
- Quality management measures aimed at increasing our patients’ contentment have top priority.
- We encourage and kindly ask our patients to express wishes and complaints (e.g. via continuous patient interviews).
- Referring doctors are regularly and comprehensively informed about the service offer of the clinical practice, e.g. about events and written information. There are competent contact partners for all referrers in case they have any questions.
- The patients receive a high-level treatment. Standards for diagnostic and therapeutic measures ensure the uniform and competent approach of all staff members according to most recent scientific findings.
- A high-quality medical treatment of our patiens with a high quality of the results is the ultimate ambition in quality management. The clinical practice takes part in external quality assurance measures exceeding what is legally required and makes use of the results for the continuous improvement and adaptation of the medical care.
The quality targets are part of the practice’s annual target planning.
They must take into account the medical service offer, the clinical practice’s overall concept, our patients’ expectations and the legal framework as well.
On the basis of the whole pratice’s quality targets annual quality targets and measures are fixed.
Instruments of the quality management:
- Continuous advancement of the practice’s internal quality management system
- Organisation development
- Adequate handling of resources and risks
- Alignment of all quality management measures with a view to the patient-orientation
- Continuous improvement of operational procedures
- Systematic identification of potential for improvement
- Sustained implementation of measures for improvement
- Increase of the patients’, the referrers’ and the staff members’ contentment
- Establishment of a quality-supporting infrastructure
The process-orientation allowed to transparently and comprehensibly describe all processes within a clinical practice. The processes are subdivided into 3 groups:
- Core process: All processes relating to the patients from admission to discharge
- Management process: All processes concerning the management of the clinical practice
- Support process: All processes relating to the provision of service
In order to guarantee a permanent availability and up-to-dateness of all written rules, a document management has been implemented in the clinical practice within the practice software (Medistar). All documents relevant for the quality management have been structured in a manual and published within the practice data processing for all members of staff.
The quality management is assessed at regular intervals by means of the following instruments:
- Self assessment
- Assessment by third parties
- Methods of internal quality assurance
- External quality assurance
- External and internal audits
Practice owner Prof. Dr. med. Oliver Tobolski
Bonner Str. 207
50968 Köln
Tel. 02 21-3 98 07 98-0
info@sporthomedic.de
Quality management:
Ms. Christiane Auras
Tel. 02 21-3 98 07 98-33
auras@sporthomedic.de
www.sporthomedic.de
