Advocate Health Care
Oak Brook , IL
2566 staffed beds
Based in Oak Brook, Advocate Health Care has more than 200 sites of care, including 9 acute care hospitals and 2 children's hospitals
STEEEP
Equitable - All outpatients are now wrist-banded, in addition to all inpatients and patients presenting in the ED.
Patient Centered - Patients are asked to show photo identification and verify their identity to protect against identity theft.
Safe - Patients are assigned a medical record number and wristband before they are treated, to ensure that previous medical history is carried forward.
Team Members
Nancy Caldario, Director Patient Access, Christ Medical Center, Process Owner
Susan Clarke, Director Patient Access, Good Shepherd Hospital, Process Owner
Rozanne Hickok, Director Patient Access Good Samaritan Hospital, Process Owner
Donna Jordan, Director Patient Access, Condell Medical Center, Process Owner
Karen Livaich, Manager Patient Access, Trinity Hospital, Process Owner
Darla Lopez, Director Patient Access, South Suburban Hospital, Process Owner
Nichia McDowald, Director Patient Intake, Lutheran General Hospital, Process Owner
Dominic Nakis, Chief Financial Officer, Advocate Support Center, Executive Sponsor
Michael Sciarabba, Director Patient Access, Illinois Masonic Medical Center, Process Owner
The Right Patient All The Time
The Problem
Incorrect patient identification through the registration process increases the potential for patient harm in the short term, with long-term downstream effects that include increased financial liability, diminished reputation, and decreased physician loyalty and associate satisfaction.
- 7 million entries currently in system
- 10 to 15 percent of those entries are incorrect, resulting in increased potential to create duplicate medical record numbers
- Currently, system-wide 80 to 640 duplicate medical records are created per month
- Duplicate medical records can result directly in patient harm
The Solution
Advocate decided on a system-wide initiative at: Christ Medical Center, Condell Medical Center, Illinois Masonic Medical Center, Lutheran General Hospital, Good Samaritan Hospital, Good Shepherd Hospital, South Suburban Hospital and Trinity Hospital
The goal was to create a consistent, standardized, system-wide process for patient identification during registration and intake that accurately identifies patient at point of registration with accurate subsequent verification to provide the right care to the right patient in all settings 100 percent of the time.
Frontline staff was actively involved in a series of facilitated events to create solutions to root cause issues in the patient identification process. After multiple events, standard work was created and a four-hour, instructor lead course was developed. The course covers standardized naming conventions, search guidelines, wrist-banding and verification procedures, as well as the FTC Red Flag Rules. Best practices were incorporated to address process issues, such as the implementation of stat registration in the ED.
The Results
Since implementation began in January 2009, Good Samaritan Hospital has seen a 64 percent reduction in the percentage of duplicate medical records created per total registrations. The hospital has sustained a defect rate below the baseline for 7 consecutive months.
Illinois Masonic Medical Center has had a 36 percent reduction in the percentage of duplicate medical records created per total registrations. The hospital has sustained a defect rate below the baseline for 5 consecutive months.
Good Shepherd Hospital has had a 43 percent reduction in the percentage of duplicate medical records created per total registrations. The hospital has sustained a defect rate below the baseline for 4 consecutive months.
Team Members by Hospital
Christ Medical Center
Mary Burciaga, OP Registration Manager
Mary Jo Cavanaugh. ED Clinical Manager
Beth Griffin, ED Registration Manager
Mary Mottl, Patient Access Supervisor
Mary Smith, Business Associate ED Registration
Mary Swanson, Project Manager Patient Access
Laticia West, Business Associate OP Registration
Condell Medical Center
Debbie Drake, ED Patient Access Manager
Good Samaritan
Lyle Belcina, Systems Analyst – Patient Access
Susan Brown, RN, Nurse Clinician
Cathy Budach, Radiology Manager
Maureen Burck, RN, ED Nurse
Pam Carlson, Coordinator CT Technician
Cheryl Coleman, Ultrasound Technician
Usha Dunn, Coordinator Ultrasound
Jill Hamann, RN, Nurse Clinician
Rozanne Hickok, Director Patient Access
Judy Kepshire, Mammography Technician
Meaghan Conway Markus, Supervisor Financial Counseling and Education
Debra Petersen, ED Patient Access Manager
Jorge Verduzco, Pre-Access Manager
Good Shepherd
Rick Cornwall, OP Systems Analyst
Lori Davis, Patient Intake Educator
Carol Gitze, Patient Intake Representative
Joan Grossman, Coordinator Radiology Informatics
Samantha Joyce, ED Patient Access Manager
Mary Linsner, Manager Patient Access
Kimberly Mescha, Patient Intake Representative
Illinois Masonic
Linda Berdecia, Cancer Center Coordinator Business Services
Mercy Cendana, Same Day Surgery Patient Representative
Latosha Green, Patient Access Representative
Carmen Martinez, Patient Access Financial Services Representative
Judy Roberts, Patient Access Manager/Educator
Philip Quick, ED Patient Access Manager
Lutheran General
Marcia Campbell, Central Scheduling Representative
Marshalla Chandler, Patient Intake Manager
Matthew Laitala, Patient Intake Supervisor
Pamela Lang, ED Patient Access Manager
Mary Jane Mangan, ED Patient Access Staff
Antonella Rio Salerno, Patient Intake Supervisor and Educator
Sandy Thomas, Medical Records Specialist
Oak Brook Support Center
Beth Buttliere, Patient Accounts Specialist
Beth Halperin, Patient Safety Consultant
South Suburban
Jean Corsiglia, Scheduling Analyst
Faye Jones, Patient Access Educator
Kathy Smallwood, Registration Representative
Karl Storch, ED Information Systems Coordinator
Susan Tavrides, Patient Registration Coordinator
Jane Robinson, Patient Access Educator
Trinity
Octavius Jones, Patient Access Coordinator
Karen Tabola, Reservation Ambassador


