Faster Registration Process Helps Heart Patients Get Quicker Care

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Faster Registration Process Helps Heart Patients Get Quicker Care

26-Oct-2017

For almost two years, medical professionals have worked collaboratively to expedite and even eliminate the registration process for those experiencing a heart attack and arriving at Regina General Hospital’s Cardiac Care Unit (CCU).

Previously, patients arriving at CCU were expected to go to the Cardiac Cath Lab but both departments, along with Emergency Medical Services (EMS) and STARS Air Ambulance, worked together to come up with a solution to see cardiac patients registered as quickly and efficiently as possible.

The project, which began in January 2015 as a quality improvement initiative, has been a success since initiation with a few minor defects that have since been worked out. The process involves pre-registering patients arriving via STARS and rural EMS to CCU between 6 a.m. and 6 p.m. Monday to Friday, excluding statutory holidays.

This expediting process is also used by Regina EMS with some other specific groups of patients, using a program called Jabber. The patient’s information is securely sent to registration staff using Jabber and paperwork is completed and ready upon arrival. This allows patients to be assessed immediately, tested and treated.

“The goal is to use the process for every EMS patient. It just makes sense,” said Cory Brossart, manager of Urban Operations for Regina EMS. “The next step is for this procedure to be rolled out for our rural EMS to use.”

The use of Jabber has recently been expanded and EMS now pre-register all patients that fall into the criteria for Trauma Level 1 and 2s, Stroke Alerts, MI alerts and Cardiac Arrests this way.

The unexpected result of this project was the collaboration that occurred amongst the various departments to break down a big problem into simplified steps in the form a work standard. The entire team is aware that if one step is not working the whole process is affected, impacting the patient who may require urgent cardiac intervention.

“It is working and making a big impact,” said Jacquie Fleury from Central Registration. Jacquie and her co-workers were part of the original quality improvement team who participated in Rapid Process Improvement Workshop 68.
The original participants have been a great support to the CCU staff, especially the unit clerks who await the paperwork necessary to initiate the admission process.

Ideally, we would like to see an expansion of the hours of operation to 24 hours a day, seven days a week. As for now, the process is working.

Submitted by: Dyneena Ruehs, Manager, RGH CCU