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Updated protocols, smart pumps help with Goal #3E anticoagulant compliance

Accreditation Connection, July 3, 2008

A pending survey led one four-hospital system to take a hard look at its anticoagulation therapy policies and procedures. The fact that those facilities ranged in size from 25 to 250 beds simply made the process more complicated.

Jim Lile, BS, PharmD, clinical pharmacy supervisor at MidMichigan Health (composed of Gratiot Medical Center in Alma, MI, and MidMichigan Medical Center hospitals in Midland, Gladwin, and Clare), helped update existing protocols to make them consistent across the four different facilities. “We’re probably more on the same page than I would’ve thought, considering our 25-bed acute care hospital uses the same protocol we do, and we’ve adapted that protocol to the others,” says Lile.

The system consists of a 25-bed critical access hospital and a 64-bed community hospital (both with eight-hour service), and a 142-bed hospital and 250-bed hospital (both 24/7 service facilities). MidMichigan knew it had its upcoming Joint Commission (formerly JCAHO) survey pending in 2007. Prior to the survey, the system began looking for areas in which specific, demonstrable improvement could be made.

Access the full story in the July issue of Briefings on The Joint Commission. Access is free for BOJ subscribers; nonsubscribers can purchase a copy of the story for $10 by clicking here.

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