CV Directions Vol. 1, No. 2 - Page 6

CODECA 6 AnInnovativeClinicalEfficiency ModeltoImprovePatient TransferforCardiac Catheterizations thus, limiting our ability to have the patient successfully arrive within the 3 hour timeframe. P rolonged wait times for cardiac catheterization patients can lead to the following: increased amounts of heart damage if a patient has a coronary blockage, patient anxiety from waiting, and vascular complications if the sheath is left. Historically, transferring patients who needed a same-day cardiac catheterization to our flagship PCI was a major issue. There were bottlenecks in our process from establishing bed assignments to obtaining transportation for patients who needed cardiac catheterizations. The “Code Cath” process was implemented to improve the transfer process of patients to the PCI center who were clinically diagnosed as needing a coronary catheterization. Overview of the Code Cath Process The goal for the Code Cath program is to improve the acceptance, transfer and Cath lab times, specifically stick times for patients that needed to be transferred to a PCI facility for same-day catheterization. The objectives for the program included: creating an efficient and prompt acceptance process; developing an enhanced transfer process through the support of in-house transport team; and enhancing communication among physicians, other providers, and Cath lab staff so that we can respond rapidly and effectively to a patient that needs same-day catheterization. A primary metric and two secondary metrics were identified to measure the success of the process. • Primary Metric: Time from Request to Patient Arrival–The goal is three hours. Historicall 䰁