Implementing Nurse Driven Point of Care Testing as a Chest Pain Center Accredited within the Emergency Department  Present...
History : Who are the Sisters of St. Francis <ul><li>Congregation of the Sisters of St. Francis of Perpetual Adoration, fo...
Northern Indiana Region Facilities  St. Margaret Mercy – Dyer, IN  St. Margaret Mercy – Hammond, IN
Northern Indiana Region Facilities St. Anthony – Michigan City, IN Franciscan Physicians Hospital Munster, IN St. Anthony ...
Development of Curriculum  <ul><li>In 2005, SSFHS partnered with IUPUI School of Industrial Engineering to exchange and sh...
Project Goals  <ul><li>To reduce Turn Around Time for lab results pertaining to cardiac markers in the Emergency Departmen...
Point of Care Testing  (POCT)  in the Emergency Department   <ul><li>Steps taken to develop a Point of Care Testing Lab </...
Development  <ul><li>Contract between Biosite Instrumentations based on an executive decision to begin incorporating POCT ...
Development <ul><li>Laboratory Information Systems (LIS) design and validate the interface </li></ul><ul><li>Biosite Instr...
License <ul><li>Hospital applies and receives “CLIA License” </li></ul><ul><li>Laboratory Manuals rewritten to fulfill CLI...
Training and Competency <ul><li>Training Competency Programs Developed  </li></ul><ul><li>Proficiency testing set-up accor...
Reduction in Cost  <ul><li>Testing the five “cardiac markers” through POCT testing laboratories in the Emergency Room show...
Turn Around Time  (TAT) <ul><li>Decrease in TAT for “cardiac markers </li></ul><ul><ul><li>Reduced by 40 minutes (from 60 ...
Length of Stay <ul><li>Cardiac Patients who received POCT showed a .5/day reduction in their overall Length of Stay </li><...
Financial Impact  <ul><li>Testing the five “cardiac markers” through POCT testing laboratories in the Emergency Room show ...
Projected Savings from POCT <ul><li>With the reduction in direct costs the hospital brings in an annual savings  </li></ul...
Accreditation  <ul><li>Point of Care Testing has assisted in the hospital becoming the first Chest Pain Accredited facilit...
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Implementing Nurse Driven Point of Care Testing as a Chest Pain Center Accredited within the Emergency Department

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Implementing Nurse Driven Point of Care Testing as a Chest Pain Center Accredited within the Emergency Department

  1. 1. Implementing Nurse Driven Point of Care Testing as a Chest Pain Center Accredited within the Emergency Department Presenters: Chris Vanni & Kathryn Lannon
  2. 2. History : Who are the Sisters of St. Francis <ul><li>Congregation of the Sisters of St. Francis of Perpetual Adoration, founded 1863 in Germany </li></ul><ul><li>Mother Maria Theresia Bonzel brought their mission to North America in 1875 </li></ul><ul><li>By 1940 the Sisters were operating nearly 80 hospitals, schools, nursing homes, </li></ul><ul><li>and orphanages in 11 states </li></ul><ul><li>Today, Sisters of St. Francis Health Services (SSFHS) operates 13 hospitals in Indiana and Illinois, along with many other support companies and facilities, and employs over 16,000 people </li></ul>
  3. 3. Northern Indiana Region Facilities St. Margaret Mercy – Dyer, IN St. Margaret Mercy – Hammond, IN
  4. 4. Northern Indiana Region Facilities St. Anthony – Michigan City, IN Franciscan Physicians Hospital Munster, IN St. Anthony – Crown Point, IN
  5. 5. Development of Curriculum <ul><li>In 2005, SSFHS partnered with IUPUI School of Industrial Engineering to exchange and share knowledge. </li></ul><ul><li>SSFHS learn the Lean Six Sigma philosophy and methodology. </li></ul><ul><li>IUPUI learned healthcare and how to apply Lean Six Sigma to it. </li></ul>
  6. 6. Project Goals <ul><li>To reduce Turn Around Time for lab results pertaining to cardiac markers in the Emergency Department </li></ul><ul><li>Earlier intervention by Cath Lab </li></ul><ul><li>Have an Emergency Department based lab to bring revenue back to the Emergency Department </li></ul><ul><li>Gain Chest Pain Center Accreditation </li></ul>
  7. 7. Point of Care Testing (POCT) in the Emergency Department <ul><li>Steps taken to develop a Point of Care Testing Lab </li></ul><ul><li>Licenses and Certifications Required </li></ul><ul><li>Training and Competency </li></ul><ul><li>Impact of Point of Care Testing </li></ul>
  8. 8. Development <ul><li>Contract between Biosite Instrumentations based on an executive decision to begin incorporating POCT in the Emergency Department </li></ul><ul><li>Physician studies and sits for the exam to be Laboratory Director </li></ul>
  9. 9. Development <ul><li>Laboratory Information Systems (LIS) design and validate the interface </li></ul><ul><li>Biosite Instrumentation comparison studies are completed </li></ul>
  10. 10. License <ul><li>Hospital applies and receives “CLIA License” </li></ul><ul><li>Laboratory Manuals rewritten to fulfill CLIA requirements: General Lab, Safety, Education </li></ul><ul><li>COLA inspection set up according to CLIA guidelines </li></ul>
  11. 11. Training and Competency <ul><li>Training Competency Programs Developed </li></ul><ul><li>Proficiency testing set-up according to CLIA guidelines </li></ul><ul><li>Nurses trained to be Laboratory technicians in the Emergency Department </li></ul>
  12. 12. Reduction in Cost <ul><li>Testing the five “cardiac markers” through POCT testing laboratories in the Emergency Room show a decrease in direct costs. </li></ul><ul><ul><li>Direct Cost thru Clinical Lab </li></ul></ul><ul><ul><ul><li>$12 per test $60 for five test </li></ul></ul></ul><ul><ul><li>Direct Cost thru POCT Lab in ED </li></ul></ul><ul><ul><ul><li>$4.20 per test $21 for reagent cartridge to run all five tests </li></ul></ul></ul>
  13. 13. Turn Around Time (TAT) <ul><li>Decrease in TAT for “cardiac markers </li></ul><ul><ul><li>Reduced by 40 minutes (from 60 mins to 20 mins) </li></ul></ul><ul><li>Cath Lab notified 40 minutes sooner to begin faster interventions </li></ul>
  14. 14. Length of Stay <ul><li>Cardiac Patients who received POCT showed a .5/day reduction in their overall Length of Stay </li></ul><ul><li>This reduction allows critical care beds to free up quicker giving new cardiac patients the bed </li></ul>
  15. 15. Financial Impact <ul><li>Testing the five “cardiac markers” through POCT testing laboratories in the Emergency Room show a decrease in direct costs. </li></ul><ul><ul><li>Direct Cost thru Clinical Lab </li></ul></ul><ul><ul><ul><li>$12 per test $60 for five test </li></ul></ul></ul><ul><ul><li>Direct Cost thru POCT Lab in ED </li></ul></ul><ul><ul><ul><li>$4.20 per test $21 for reagent cartridge to run all five tests </li></ul></ul></ul>
  16. 16. Projected Savings from POCT <ul><li>With the reduction in direct costs the hospital brings in an annual savings </li></ul><ul><ul><li>Savings over first 3 months </li></ul></ul><ul><ul><ul><li>$89,454 </li></ul></ul></ul><ul><ul><li>Projected Annual Savings </li></ul></ul><ul><ul><ul><li>$357,816 </li></ul></ul></ul><ul><ul><li>Projected Savings over 3 years </li></ul></ul><ul><ul><ul><li>$1,073,488 </li></ul></ul></ul>
  17. 17. Accreditation <ul><li>Point of Care Testing has assisted in the hospital becoming the first Chest Pain Accredited facility in Northern Indiana. </li></ul><ul><li>Emergency Department POCT is now being implemented at other SSFHS facilities in the Northern Indiana Region </li></ul>
  18. 18. Comments & Questions

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