In 2006, concerned by a trend in healthcare where the increase in medical expenditures seemed to be outstripping both the health benefits and the nation’s financial underpinning to pay, clinicians in the Cardiology Department at Boston Children’s Hospital began investigating ways to reduce the cost of care delivered to their patients. The group’s focus turned to standardization of care, working toward improved efficiency and, ultimately, cost savings through reduction of unnecessary utilization.
Traditional tools to study and standardize care had been somewhat ineffective in many ways including a lack of accounting for the fact that healthcare standards are constantly changing. To compensate for the deficiencies of the traditional tools, the group decided to develop a new methodology to accomplish their goals. In developing this new tool, the following assumptions were used:
With these considerations in mind, Standardized Clinical Assessment and Management Plans (SCAMPs) were created. SCAMPs outline a data-backed, consensus-based, care pathway for a diverse patient population with a particular diagnosis or condition. Data is collected on the treatment and outcomes of that population, analyzed, and then used to improve upon the care pathway. The three main goals of SCAMPs are to:
With their proven success in meeting these goals in many different clinical settings (adult, pediatric, multiple disciplines, inpatient, outpatient, etc.), SCAMPs garnered interest from institutions across the world. The Institute for Relevant Clinical Data Analytics (IRCDA) was started in 2010 to spread and promote SCAMPs to interested institutions. IRCDA is a 501(c)(3) organization focused on informing and improving healthcare delivery through the use of SCAMPs at its 11 member institutions.