2022 Quality Summit ePosters (Non-CE) - Chest Pain-MI Registry-1. Implementation of High Sensitivity Troponin Across a Statewide Healthcare System

1. Implementation of High Sensitivity Troponin Across a Statewide Healthcare System

Pdf Summary

Indiana University Health (IUH) successfully implemented a high sensitivity troponin (hs-cTn) assay across its sixteen hospitals in July 2021. The transition aimed to improve patient triage and enable faster detection and ruling in or out of myocardial infarction. Three workgroups were assigned tasks such as securing funding, selecting a vendor, developing an algorithm-driven protocol (ADP), and embedding it into the electronic medical record system. <br /><br />Post-implementation analysis showed a decrease in average length of stay (LOS) in the emergency room for low-risk patients across the system, with a total of 3,642 patients benefiting. The average LOS improved by 1,457 hours in this patient population over a five-month period. However, three hospitals experienced an increase in average LOS, which could be attributed to fluctuations in staffing levels in the emergency room.<br /><br />Moving forward, IUH plans to review the success of hospitals with the greatest improvement in LOS and share their learnings with the rest of the system. The study also references recommendations from scientific experts in the field regarding the transition to high-sensitivity troponin testing.<br /><br />In conclusion, the implementation of the hs-cTn assay in IUH's hospital system resulted in decreased average LOS in the emergency room for most hospitals. The findings highlight the potential benefits of adopting this high sensitivity assay in improving patient care and triage.

Keywords

Indiana University Health

hs-cTn assay

patient triage

myocardial infarction

algorithm-driven protocol

electronic medical record system

average length of stay

emergency room

low-risk patients

staffing levels