Tag Archives: CABG

Intalere Member Best Practice Spotlight – Coastal Connect Health Information Exchange – CABG Patient Care Intervention for Improved Patient Outcomes

Issue

In August 2017, three heart surgeons reached out to Coastal Connect Health Information Exchange (CCHIE) and requested real-time, electronic notifications for their Coronary Artery Bypass Grafting (CABG) patients that admit to the hospital emergency department to support timely care intervention in an effort to reduce preventable hospital readmissions.

Solution

CCHIE’s electronic alerting tool, NOTIFY, allows subscribers to receive a text message or email notification on encounter types: emergency room admission, emergency room discharge, inpatient admission, inpatient discharge, re-admission and death. The NOTIFY tool is powered by ADT (Admission, Discharge and Transfer) feeds CCHIE has established with stakeholder hospitals and alerts care team members on patient encounters to drive timely clinician engagement for care transition. CABG patient names are loaded into the NOTIFY system; at 31 days, patients are removed from the list. When a patient on the list admits to the hospital emergency department, the NOTIFY tool sends an electronic, real-time alert to two surgical navigators that initiate intervention by the heart surgeons while the CABG patient is in the emergency room.

Outcome

Since loading the initial CABG patient list in September 2017, 53 notifications of CABG patient admissions to the emergency room have been sent to surgical care navigators resulting in readmission avoidance. The stakeholder hospital’s Readmission Team met in November and confirmed the real-time notifications CCHIE delivered in the first two months resulted in timely patient intervention, preventing readmission for two patients, resulting in a savings of more than $26,000 using the average cost for a CABG readmission. Additional benefits of utilizing the NOTIFY tool include improved outcomes and experiences for the patient, improved workflow and more impactful use of resources for the care team.

 About Coastal Connect Health Information Exchange

Coastal Connect Health Information Exchange was established in 2009 by provider stakeholders to securely connect unaffiliated healthcare providers in southeastern North Carolina for electronic, real-time, at-the-point-of-care sharing of patient care information to support patient-centric care transition between providers, reduce redundant testing and realize efficiency in workflow.

Check out the project video and view the CCHIE page in the 2018 Intalere Best Practices Compendium.