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Door to Balloon time has been/is a departmental goal for FY
2006 2007. Evaluations of these data are comprised of ongoing
review of times among transfer and non transfers. These data reported
to Cardiac Leadership as well as CVL and Cardiac Short Stay staff.
Validation occurred with registration regarding actual Borgess
"Door" time, its location in the record for consistent
use. This was initially complete in January 2004 and revised as
of August 2006. Began participation in state level Door to balloon
time initiative as a Fast Track site since 2005. ETC staff educated
regarding the initiative and targets. Data reviewed with Cardiac
Short Stay and CVL Staff regarding the target times on a quarterly
basis. Measurements began in late 2001 are on going to present.
ASA prescribed at discharge: Discharge order sets revised in 2005
to include ASA and/or space to denote contraindications. Data
being collected since late 2001, quarterly reports shared among
cardiac leadership, Cardiology units and physicians, as well as
the Cardiology Quality Improvement Council. Scorecard data for
this variable and other Core measures shared monthly at hospital
director's council. |
