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Camden Clark Medical Center Barriers to Stroke Certification. Loni Collins RN, CCRN Stroke Coordinator. 2013. Purpose. To provide an overview of some of the barriers at Camden Clark Medical Center related to Primary Stroke Certification. Objectives. History of St. Joseph Hospital - PowerPoint PPT Presentation
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Camden Clark Medical Camden Clark Medical CenterCenter
Barriers to StrokeBarriers to StrokeCertificationCertification
2013
Loni Collins RN, CCRN Stroke Coordinator
PurposePurpose
To provide an overview of some of To provide an overview of some of the barriers at Camden Clark Medical the barriers at Camden Clark Medical Center related to Primary Stroke Center related to Primary Stroke CertificationCertification
ObjectivesObjectives
History of St. Joseph HospitalHistory of St. Joseph Hospital History of Camden Clark Medical CenterHistory of Camden Clark Medical Center Explain MergerExplain Merger Explain Cultural Differences between Explain Cultural Differences between
CampusesCampuses Identify barriers to obtaining Stroke Identify barriers to obtaining Stroke
CertificationCertification
History of Saint Joseph HospitalHistory of Saint Joseph Hospital
1900’s a Roman Catholic Bishop founded 1900’s a Roman Catholic Bishop founded hospitalhospital
1960’s a long range plan developed1960’s a long range plan developed 1977 expanded to 216 beds1977 expanded to 216 beds 1996 Sisters of Saint Joseph & HCA1996 Sisters of Saint Joseph & HCA
had a joint venture- Sisters ended 2001.had a joint venture- Sisters ended 2001.
Saint Joseph (cont.)Saint Joseph (cont.) 2007 bought by Signature2007 bought by Signature 2011 joined WV United Health Systems to 2011 joined WV United Health Systems to
become part of Camden Clark Medical become part of Camden Clark Medical Center Saint Joseph CampusCenter Saint Joseph Campus
History of Camden Clark History of Camden Clark Memorial HospitalMemorial Hospital
1898 City Hospital with 40 beds1898 City Hospital with 40 beds 1918 Anne Camden dies & leaves 1918 Anne Camden dies & leaves
mansion to the City for use as hospitalmansion to the City for use as hospital 1920 moved to Camden Mansion1920 moved to Camden Mansion
History of Camden (cont.)History of Camden (cont.)
Subsequent donation from Dr. Clark Subsequent donation from Dr. Clark allowed a new hospital wingallowed a new hospital wing
1920 in recognition of Camden & 1920 in recognition of Camden & Clark’s gifts it was dedicated as Clark’s gifts it was dedicated as Camden-Clark Memorial HospitalCamden-Clark Memorial Hospital
Camden Clark Medical CenterCamden Clark Medical Center
2011 Camden Clark merged with 2011 Camden Clark merged with Saint Joseph’s to become Camden Saint Joseph’s to become Camden Clark Medical Center, an affiliate of Clark Medical Center, an affiliate of WV United Health Systems.WV United Health Systems.
2 Different Cultures2 Different CulturesSaint Joseph’sSaint Joseph’s
Saint Josephs hospital Saint Josephs hospital was primarily a “for was primarily a “for profit” hospitalprofit” hospital
Higher Socio-economic Higher Socio-economic clienteleclientele
Lower daily censusLower daily census
Camden ClarkCamden Clark Camden Clark hospital Camden Clark hospital
was a “not for profit” was a “not for profit” hospital hospital
Lower Socio-economic Lower Socio-economic clienteleclientele
Higher daily censusHigher daily census
2 Different Campuses2 Different CampusesSaint Joseph’sSaint Joseph’s
CT Scanner not CT Scanner not available 24/7available 24/7
No ResidentsNo Residents No Hospitalists No Hospitalists Avg ED visit Avg ED visit
40-60 pts/day40-60 pts/day Limited Tech coverageLimited Tech coverage Not trauma Not trauma
designateddesignated
MemorialMemorial CT Scanner available CT Scanner available
24/724/7 ResidentsResidents HospitalistsHospitalists Avg ED visit Avg ED visit
100-120 pts/day100-120 pts/day Tech coverage 24/7Tech coverage 24/7 Designated Level 3 Designated Level 3
Trauma CenterTrauma Center
Primary Stroke CenterPrimary Stroke Center
Organizationally, the decision was Organizationally, the decision was made to designate the Memorial made to designate the Memorial Campus to be the Disease Specific Campus to be the Disease Specific designated Primary Stroke Centerdesignated Primary Stroke Center
General BarriersGeneral Barriers
Difference in level of care between Difference in level of care between the 2 campusesthe 2 campuses
Assuring appropriate care for the Assuring appropriate care for the stroke patient on St. Joseph’s stroke patient on St. Joseph’s campuscampus
Ongoing state of change in Ongoing state of change in organization encompassing many organization encompassing many service linesservice lines
Specific BarriersSpecific Barriers
Building a case for the Stroke Building a case for the Stroke Coordinator PositionCoordinator Position
Physician Engagement Physician Engagement
(Locums)(Locums) Pushing the changes through to the Pushing the changes through to the
Emergency DepartmentEmergency Department Establishing appropriate policy for 2 Establishing appropriate policy for 2
different campuses with 2 different different campuses with 2 different proceduresprocedures
Specific Barriers (cont.)Specific Barriers (cont.) Extensive educational needsExtensive educational needs Encouraging patients to choose Memorial Encouraging patients to choose Memorial
Campus without compromising EMTALACampus without compromising EMTALA Ongoing challenges with house wide EMR Ongoing challenges with house wide EMR
specific to building reports and specific to building reports and documentation toolsdocumentation tools
Limited Experience with Joint Commission Limited Experience with Joint Commission Process related to Disease Specific Process related to Disease Specific CertificationCertification
Where We Are….Where We Are….
Full time Stroke Coordinator in placeFull time Stroke Coordinator in place Core Stroke Team of 3 members Core Stroke Team of 3 members
establishedestablished Stroke Council of 21 members Stroke Council of 21 members
establishedestablished Stroke alert policy, Stroke Alert Stroke alert policy, Stroke Alert
Algorithm both approved for useAlgorithm both approved for use
Where We Are…(cont.)Where We Are…(cont.)
Education in progressEducation in progress Established a time line goal for Established a time line goal for
application of Stroke Certification in application of Stroke Certification in March 2014March 2014
Questions?Questions?
Any questions, comments or Any questions, comments or suggestions?suggestions?
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