There is a pressing need for standardized clinical protocols development due to the lack of consistency in primary healthcare management among the various health providers. ICTPH’s contribution to this developmental process was the provision of evidence based clinical protocols that are uniform across every care delivery centre. In partnership with the University of Pennsylvania, School of Nursing, these protocols were developed using the SOAP (Subjective, Objective, Assessment, Plan) Methodology – a widely accepted method for designing healthcare delivery based on Subjective data obtained from the patient or family, Objective data acquired by observation, inspection or testing, Assessment of patient’s past, present and future prognosis that contributes to the actual patient care Plan. The Sughavazhvu care delivery model currently operates within the framework of 100 such medical protocols related to primary healthcare conditions, including basic emergencies, with the aim of delivering ethical, rational and evidence based treatment to our patients.
Our protocols were developed using a systems based approach, starting with the respiratory system all the way to the musculoskeletal system. The review of systems from head to toe during physical assessment has been adopted from the Bates' Guide to Physical Examination and History-Taking. The recommended treatments on the protocols are based on recent evidence-based research studies and reputed guidelines like NICE guidelines. The diseases selected for protocol development are based on disease burden in the community, proven effectiveness by early diagnosis and intervention and areas of clinical uncertainty as evidenced by wide variation in practice or outcomes. These protocols encompass algorithms and clinical pathways to make them more prescriptive and evidence based. Because protocols need to be based on the best available evidence, they are reviewed regularly and modified where necessary to take into account new research, new technologies, and the results of evaluation of protocol outcomes.