Case Studies

Transforming Critical Care: Enacting Changes in Policy
& Protocol

A greater New York City hospital tasked staff to review the existing processes in critical care and implement needed changes. The hospital formed a Critical Care Committee comprised of key hospital stakeholders to ensure patients admitted to all critical care units and beyond received the best possible care. The committee radically improved patient outcomes, drove collaboration at the bedside, created workflow efficiencies, and reduced care costs by:

  • Leading a Culture Change
    To Push expectation & Create Excitement over positive Change
  • Integrating Departments
    Through Formation of a Critical Care Committee
  • Involving Administration
    To Align Initiatives with Institutional Goals

 critical-care-transformation.jpg

With-Patient Solutions

 

As part of the process, the director of cardiac surgery established strategies to meet the hospital's objectives. One area of change was laboratory testing. The traditional blood analysis process can be slow, complex, and inefficient—delaying clinical decision-making when time is crucial. One potential solution was implementing with-patient testing, also termed point-of-care or bedside testing. With-patient testing with the i-STAT System provided simple, portable diagnostic testing at the patient’s bedside, allowing the facility to streamline processes and realize its objectives.

Total Cost of Care
 

arrow bottom blue47%

Length of Stay

arrow bottom blue44%

Lab Results TAT
 

arrow bottom blue2.5 hrs

TAT=turnaround time

CTICO Prescription Costs

arrow bottom blue$1,933

CTICU=cardiothoracic intensive care unit

*The results shown here are specific to this health care facility and may differ from those achieved by other institutions.

heart monitor Ghosted
 

Conclusion

Our experience shows that improving quality of care and workflow and decreasing costs can be achieved in the most expensive and resource-intensive areas of medical care: critical care departments. The impact of these results goes far beyond the walls of critical care, as the improvement in quality of care and efficiency as well as the costs savings are felt throughout the entire institution and, most importantly, by the patients themselves.

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