Core Group |
Darlene Benson
UCONN Health Center/John Dempsey Hospital |
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Cathy Coyle
Norwalk Hospital |
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Laurie Flamino
Hartford Hospital |
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Diana Luca
St. Vincent's Hospital |
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Dr. Salvador Sena
Danbury Hospital |
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Andrea Spence
Hartford Hospital |
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Hospital
Demographics |
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Survey
Results |
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Questionarrie |
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CVPOC
Home |
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Point-of-Care
Discussions
and Reflections
The
following is a recap from
our inaugural meeting at the Connecticut Hospital Association in Wallingford,
CT on September 24, 2002. |
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ATTENDEES |
-
Cindy
Dubowski, Waterbury Hospital
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Gail
Sawyer, William Backus Hospital
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Darlene
Benson, UCONN Health Center
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Cathy
Coyle, Norwalk Hospital
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Vijaykant
Kambli, Norwalk Hospital
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Diana
Luca, St. Vincent’s Medical Center
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Karen
Scorel, Yale New Haven Hospital
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Lisa
Vaccarelli, St. Mary’s Hospital
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Rose
Riordan, St. Mary’s Hospital
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Nancy
Ryan, Greenwich Hospital
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Judy
D’Amico, Middlesex Hospital
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Shala
Stickney, Charlotte Hungerford Hospital
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Marcy
Anderson, Medical Automation Systems
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12:00-12:20pm |
Sign-up for
breakout groups:
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Billing
-
QC
-
Connectivity
-
Regulatory
Compliance
Welcome and
opening remarks by:
|
12:20-12:50pm |
Lunch
courtesy of Medical Automation Systems |
12:50pm |
Ice
Breaker (Marcy Anderson):
Yarn
Activity introducing ourselves and stating the POC subject in
which we are most interested.
Back
to top |
Name
|
Issue
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Diana
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Wants limits on what ER does
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Lisa
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Documenting QC
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Paul
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Review and discuss billing of POCT
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Gail
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Just keeping track of everyone who is doing testing
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Judy
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Complete Connectivity; LIS to HIS.
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Rose
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We have a POC committee- don’t use forms.
We buy equipment without knowing all the
ramifications.
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Shala
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Upgrading glucose meters and adding connectivity.
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Cathy
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Competencies and physicians and residents documenting QC
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Barbara
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Competencies; Keeping track: What is the best way to do
this?
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Cindy
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Dating reagent test bottles and QC vials.
There is no compliance.
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Karen
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ACT instrument replacements.
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Sal Sena
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Wish nurses would think like med techs.
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Darlene
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Connectivity!!
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Dr. Kambli
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Usage of test strips and why so many are being used.
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1:00-2:00pm |
Break
Out Group Discussions – designed to help the group get
organized as to future programs to present (summaries below) |
2:00-2:15pm |
Survey of attendees conducted
(click here) |
2:15pm |
Shared
Summaries from Breakout Sessions |
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1.
A
facility POCT Committee should include:
2.
POCT
in the Emergency Room
3.
Form
used to introduce POCT in a facility/location
Purpose:
a. pinpoints
why the central lab is not meeting the testing need,
giving the laboratory an opportunity to consider
resolutions without
POCT
b.
motivates the requesting site to give serious
consideration to the POC accountability required for POC, and
to whether or not there would actually be an
improved outcome for the patients.
c.
helps the POC committee document the history
of having considered
each test, and the rationale for acceptance/denial.
d. Identifies
responsible person on the patient care unit
- attendees with
such a form offered to share with those who do not.
4.
Competency
documentation
5.
Performers
of POCT
6.
Documentation
of QC
7.
Reference
ranges on patient flow sheet
8.
Barcode wristbands
9.
Automated QC lockouts
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to top
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ADVANTAGES
-
Billing
compliance
-
Real
time QC/QM
-
critical values
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Saves
time/labor
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Data
capture
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Regulatory
compliance
-
Inventory
tracking and control
-
Report
with
reference ranges
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Electronic
medical record
-
Data
analysis (diabetes educator
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QA
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PITFALLS
-
Large
number of network connections
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Budget
considerations
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Who
is responsible?
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Maintaining network
- Troubleshooting
-
I.T.
support
-
Who
pays?
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Administrative
support
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Patient
identification issues
-
Bar-coded
wristbands
–
without the barcodes proper patient ID entry
remains manual and subject to
error
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KEY
IMPLEMENTATION STEPS
1.
Get
administrative support
-
discussions related to medical errors
2.
Form
interdisciplinary planning and implementation group
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should include Lab, Nursing, Purchasing, Information
Services, Performance Improvement Dept.
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Use all the support the vendor can offer.
3.
Budget
planning
4.
Patient
identification – standardize the process
5.
Mechanism
for error corrections
6.
Plans
Outcomes Measurements
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Also
to consider:
-
Connectivity for Non-instrumented tests
(dipstick, occult blood, etc.)
-
Standardization issues (connectivity
consortium)
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to top
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Group
would like a speaker to address questions related to
billing and reimburssement:
-
what
can
you bill for?
-
-when
should the billing occur? – Medicare
requirements within 24/48 hours?
-
how
do we verify that billing for the service has
actually occurred?
-
what
is the reimburssement rate for each test? (and
would we be reimbursed at all?)
-
what
are common reasons for payment denials?
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How
do we verify accounting balances:
# of tests performed/ # billed/ #
reimburssed?
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Billing
is different for inpatient vs. outpatient
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How
do we monitor compliance with manual
charge-posting systems
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What
references are available to us to help us with
these questions?
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Would
also like related HIPPA information - diagnosis
codes; regulations/limitations
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Recommended
speaker:
Chris
Fetters, consultant
-
Would CHA have a contact for more local billing
regulations
Back
to top
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3:00pm |
Dr.
Sal Sena shared Survey summary
(click here for results)
Suggested
speakers/ presenters:
-
Chris
Fetters, consultant
- Billing (inquire as to his fee and ask him for
recommendations regarding vendor sponsorship for his topic –
previous experience)
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Marcia
Zucker from ITC = coagulation tests
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Sharon
Ehrmeyer = regulatory Compliance
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Jim
Nichols = CIC and other POCT topics
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Lou
Dunka = Connectivity globally
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Marcy
Anderson = connectivity/Data management
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Amy
Nix = Thermobiostar has offered to sponsor our group and can
present their new POC UA analyzer, and
a rapid RSV test.
-
Steven
Kellett, Senior Products Manager, POC platform, Phillips
Medical – Contacted Diana when learning of our group
organizing and is looking for opportunities to test and
validate a series of new product concepts for a ‘next
generation POC platform.
Also consider:
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A CAP inspector from home office to come out and talk
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JCAHO inspector form home office
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CT State Inspector to come and talk
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Someone from our own institutions may be able to address cardiac markers,
pro times etc.
-
Consider
sharing meeting information with the Baystate Group (MA)
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3:00pm |
Meeting
Adjourned |
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Back to
top |
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