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St. Mary’s Health Care System, Inc. Joint Commission Disease Specific Certifications Advanced Primary Stroke (2004) Heart Failure (2007) Total Knee Replacement (2008). St. Mary’s Health Care System, Inc. Achieving Excellence in Patient Care Presenters: Darlene Morocco, RN, BSN, NE-BC
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St. Mary’s Health Care System, Inc. Joint Commission Disease Specific Certifications • Advanced Primary Stroke (2004) • Heart Failure (2007) • Total Knee Replacement (2008)
St. Mary’s Health Care System, Inc. • Achieving Excellence in Patient Care • Presenters: • Darlene Morocco, RN, BSN, NE-BC • Director, IMCU • Chair, Heart Failure Program • Dina Hewett, Ph.D., RN, CCRN, NEA-BC • Director, ICU
A Team Approach! • Senior Leadership • Staff • Physicians • Medical Records • Quality Department • Heart Failure Team
Performance Improvement • Identifying the HF patient with primary and/or secondary diagnosis • Standardized Order Sets and Pathways • Core Measure Checklist • Concurrent Chart Audits • Daily Reports of Hospital Census • Discharge Medication Reconciliation
Education • Staff • Monthly Heart Failure Inservices • Monthly Educational Bulletin Board (HF) • PharmD students (UGA) provide inservices • Physicians • Attend office staff meetings • Hospitalists and Cardiologists
Acute Myocardial InfarctionACEI or ARB for LVSD at Discharge
Keys to Success • Daily monitoring!! • On-going Education • Collaboration and Networking