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Compirion Helps Baxter Regional Medical Center Achieve Patient Satisfaction Rankings in the Top 5th Percentile Nationally
Date:5/5/2009

s get everyone in the Emergency Department on-board. The absence of a baseline for Core Measures was the first problem we uncovered relevant to wait times. They helped us determine one so we had something to measure against. Our Core Measures baseline for the first quarter was found to be 50%.

"Previously, the process for the initial handling of chest pain patients had been to call a physician from cardiology to the Emergency Department to perform an EKG. This burned up critical minutes. Now, a quick EKG is performed by an Emergency Department technician who has a printer nearby. The print is handed to the ED physician to read immediately."

Dr. Black added, "We have implemented a 'Code Stemi' where everyone is notified via overhead page. The team literally swarms on the patient. Chest pain patients are now prepped by the Emergency staff and it is the ED physician who determines whether a person goes to the Cath Lab or not."

Additionally, during peak times, a person from the Cath Lab is in the Emergency Department to expedite cardio patients. After implementing these changes, Door-to-EKG time compliance to the Core Measure rose to 78%.

"Our ambulances now have the ability to perform twelve-lead EKGs. These EKGs are sent directly from the ambulance to the ED. In this way we can have EKG results before the patient reaches the hospital, saving those critical minutes," said Pierski.

Other Core Measures initiatives for cardio patients were:

  • Aspirin on arrival added to the standard order sheet
  • Standardized procedures for Code Stemi
  • Development of Code Stemi packets containing all paperwork, Med Kits, and orders/protocol sheets
  • Realtime data sheets that flag issues immediately
  • Creation of a patient preparation board to educate ED staff on proper patient prep for cath procedures

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SOURCE Compirion Healthcare Solutions, LLC
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