Case Studies

REALIZING NETWORK-WIDE BENEFITS THROUGH POC TESTING*

The ED director at this regional medical center in Florida faced some major challenges across his six EDs:

  • ED CENSUS WAS RISING
  • PATIENT WAIT-TIMES WERE INCREASING
  • PATIENTS LEAVING WITHOUT BEING SCENE WAS AT 6%
  • PATIENT SATISFACTION SCORES WERE DECLINING
An internal assessment revealed that the process of obtaining lab results created a significant bottleneck, and it soon became evident that point-of-care (POC) testing was the solution

  473_x_350_Staff-pushing-gurney-into-ER.jpg









 

*Information presented is specific to the one healthcare facility referenced and results may differ from those achieved by other institutions. Information shown is based on this facility at the time of the study.

GOALS & Solutions

 

Goals across the six EDs were to improve patient throughput and collaboration among cross-functional teams in hopes of improving the aforementioned metrics. To achieve this, a POC testing initiative was rolled out in the six EDs using the following i-STAT System test cartridges:   

CHEM8+ (basic metabolic panel)           cTnl (troponin I)                      CG4+ (blood gas with lactate)                        BNP                                    PT/INR


KEY METRICS

AVERAGE
LENGTH OF STAY
 

arrow bottom blue27 mins.

DOOR-TO METABOLIC
PANEL RESULT
 

arrow bottom blue72%

LEFT WITHOUT
BEING SEEN
 

arrow bottom blue2%

 

DISCHARGES WITH SERIAL TROPONIN
 

arrow-top.png10%

1457x441_Busy_Ward.jpg
 
BENEFITS BEYOND THE NUMBERS:

THE IMPACT OF THE NEW INITIATIVE REACHED FAR 

BEYOND THE METRICS. THE PROGRAM WORKED 
TO FOSTER A BETTER CULTURE AND TO DRIVE
COLLABORATION AMONG TEAMS AND DEPARTMENTS,
WHILE STANDARDIZING THE POC TESTING PROCESS.

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