DATA ANALYSIS OF
REUSABLE CONSUMABLES OF CATH-LAB
• QUALITY DEPARTMENT
• DDH-CARDIAC CARE CENTER
AIM & PURPOSE OF DATA
TO FIND WAYS TOANALYSIS
REDUCE PROCEDURAL COSTS
WITHOUT ANY COMPROMISE IN QUALITY AND
PATIENT SAFETY
GET AN ACCURATE, REAL TIME VIEW OF CLINICAL
OUT COMES WITH REUSABLE CONSUMABLES IN
THE CATH-LAB
EFFECTIVELY USE CRITICAL INFORMATION AND
DATA ACCURACY TO ACHIEVE THE GOALS
SOURCE OF DATA
INDIVIDUAL CONSUMABLES DATA SHEET USED IN THE
CATH-LAB
INDIVIDUAL CATH & PTCA REPORTS
INDIVIDUAL DISCHARGE SUMMARIES
BILLING DATA
PROCUREMENT DATA
WHAT DID WE DO
Collected Consumables Data Sheets of CAG & PTCA
Period – April , June , & July 2019
Worked out on Total No. of Cases of CAGs, (Angio, Check Angio, & Graft
Angio,)
Total No. of PTCA/Stents : Primary, Rescue, Adhoc & Elective
Gathered information on Costs (Actual and Observed) from available source
Information available in the Case Sheets of the patients
Information available in the Discharge Summaries
TEAM MEMBERS
BHARGAVI, (RCM)
SRINIVAS & BENCY (CATH LAB)
KUMAR, VINOD, & ARUNA (QUALITY
DEPT)
MANDATORY CONSUMABLES FOR CATH PROCEDURES WITH COST
OBSERVED COST FOR THREE MONTHS
OBSERVED COST FOR THREE MONTHS
ANALYSIS REPORT
Note: 0.035x260 wire will be used only for adhoc Radial PTCA
WHAT NEXT
Will continue with the further analysis adding the following information
Designing the Clinical Data Collection Sheet for further enhancing the study by
Closely monitoring clinical status of the patient
Work on Pre-Procedural Clinical Data
Peri-Procedural Clinical Data
Post –Procedural Clinical Out-Come Data
Will be analyzing next 2-months data and present it
Table 1. Pre-Procedure Check List for Cardiac
Catheterization
Medications:
1. Did patient take aspirin within the past 24 hours?
Yes
No
2. Did patient take clopidogrel, prasugrel, or ticagrelor within the
past 24 hours?
Yes
No
3. Did patient take metformin within the past 24 hours?
Yes
No
Diagnostic Cardiac Catheterization (L, R, simultaneous)
Coronary Angiography
4. Did patient take sildenafil (or other PDE5 inhibitor)
within the past 24 hours?
Yes
No
Left Ventriculography
5. Did patient receive Lft WH within the past 12 hours?
If yes for LftWH, time of last dose
Yes
No
6. Did patient take anticoagulants
If yes, which agent
Yes
No
Patient Name:
ft RN:
ProcedureDate:
Planned Procedure:
(circle all that apply)
Intravascular Imaging/Hemodynamic Assessment
(IVUS, OCT, FFR)
Possible PCI
Planned PCI
and when was last dose
Informed Consent:
Other
Was informed consent obtained within 30 days?
Yes
No
History and Physical Examination:
Is there a healthcare proxy?
Yes
No
Elective Outpatient Procedures: H&P
documented within 30 days?
Is the patient DNR or DNI?
Yes
No
Yes
No
Yes
No
If yes, was it revoked forprocedure?
Inpatient Procedures:
H&P documented within 24 hours of admission?
Yes
No
Sedation, Anesthesia and Analgesia:
History of prior PCI or CABG:
Yes
No
Are ASA and ftallampati Class documented?
Yes
No
Yes
No
Is there any contraindication tosedation present?
Yes
No
Yes
No
Risk scores applied?
Yes
No
Yes
No
If yes, report/s obtained?
Stress test/ LVSF assessment:
If yes, report/s obtained?
Candidacy for Drug-ElutingStent:
Bleeding
Yes
CIN
Yes
ftortality
Yes
1. ftajor surgery in the past month or next year?
Yes
No
Laboratories and Studies:
2. Is there any clinically overt orsuspected bleeding?
Yes
No
CBC and renal profile within 30 days (outpatient) or 24 hours
(inpatient)?
3. Is patient on chronic anticoagulation (e.g., warfarin, TSOAC)?
Yes
No
4. Is there history of/anticipated medication non-adherence?
Yes
No
Allergies:
1. Contrast:
2. Aspirin:
Yes
Yes
No If yes, was the patient pre-treated?
No If yes, was the patient desensitized?
Yes
Yes
No
No
3. Heparin (HIT): Yes No If yes, consider alternative anti-thrombotic agents (DTI)
4. Latex:
Yes
No If yes, remove all latex products from procedural use
Hgb
Yes
No
No
No
No
eGFR
Was ECG performed within 24 hours?
Yes
No
PT/INR performed within 24 hours (for patients on warfarin)?
Yes
No
Yes
No
Yes
No
Does the patient require pre-procedure hydration?
Yes
No
Preferred vascular access:
R L TR TF
Same Day Discharge candidate?
Yes
INR ≤ 1.8?
Urine/serum human chorionic gonadotropin (HCG) in woman of
childbearing age?
No