What is Hysterectomy?

Why is hysterectomy done?

This surgery is usually suggested by your doctor as part of treatment of:

• Uterine/ cervical cancer: Depending on the type and staging of the cancer, other treatment options might include radiation or chemotherapy.
• Fibroids: Non-cancerous tumours that grow in the uterus, which can cause heavy bleeding, anaemia, pelvic pain, and bladder pressure.
• Endometriosis: Condition where tissue that is similar to tissue lining the inside of the uterus grows outside the uterus, such as the ovaries, fallopian tubes, and other nearby organs.
• Uterine prolapse: When the uterus moves out of place and slips into the vagina, it's called uterine prolapse. This condition can lead to urine leakage, pelvic pressure, and problems with bowel movements.
• Chronic pelvic pain or irregular, heavy vaginal bleeding that is not manageable by other measures.

Value-Based Health Care Benefits

What are Value Driven Outcomes (VDO)?

Value Driven Outcomes is a simple concept of improving care for patients with the aim to drive down costs. Its fundamental factors are based on overall patient wellness and preventive measures. Achieving this goal involves making adjustment in terms of how patients receive medical treatment, taking into consideration of overall wellness, quality of care, and preventive screenings. This ultimately results in better healthcare outcomes.

At Pantai Hospital Kuala Lumpur, we aim to make healthcare proactive rather than reactive, preventing problems from occurring before they start. In view of that, we had designed a Value Driven Outcomes (VDO) framework for hysterectomy, in which pre-set quality indicators were used to determine cost rationalisation.

Hysterectomy Quality Indicators (benchmarks)

1. No unplanned return to operating theatre within same episode of care

   This benchmark aims for a seamless hysterectomy procedure without the need for any unplanned returns to the operating theatre within the same episode of care. Achieving this benchmark indicates a smooth and complication-free surgical process, contributing to the overall success and efficiency of the hysterectomy.

2. No complications during hysterectomy index admission

   Having knowledge of hysterectomy complication rates is crucial for surgeons to provide an accurate depiction of the risks and benefits associated with the procedure. Effective identification of modifiable patient and surgical risk factors can help to further reduce complications.

3. No readmission for complications within 30 days post hysterectomy

   This metric is an essential indicator that measures patient clinical outcome and healthcare system performance. It reflects the goal of providing a procedure with enduring positive outcomes, reducing the likelihood of postoperative complications and the need for additional medical care shortly after the surgery.

4. No in- hospital mortality

   It is important to monitor in-hospital mortality rate to review practice patterns and to initiate improvements strategies.

5. No 20 Group-Wide Serious Reportable Events (SRE) Categories reported

   To monitor, evaluate and review the various serious reportable events occurring in the hospitals and to take corrective actions to address identified issues. This will help to prevent the recurrence of similar events, allowing for cross-learning and identifying key areas for improvement.

Where does Pantai Hospital Kuala Lumpur stand

Against International Benchmark