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How Correct, Easy and Simple EKG Testing Helps SNFs Scale back Hospital Readmissions

The flexibility to shortly ship correct EKG testing in a talented nursing facility is important for triaging residents to find out if they’re experiencing acute cardiac occasions. With out that functionality, hospital readmission charges spike. With it, they’ll fall by near 40%.

These are among the many key takeaways that 20 SNFs discovered following their implementation of the progressive EKG Patch Resolution from MG Medical Merchandise. The simple-to-use, diagnostic 12-lead EKG system allowed workers to amass correct EKG readings on a resident in lower than 5 minutes. After a 12 months of use, seven of the 20 services — often known as “Prime Utilizers” — have been utilizing the EKG Patch Resolution for practically all EKGs and noticed a 36.8% drop in hospital readmission charges.

Whereas services that have been frequent utilizators of the product (however utilizing it lower than the Prime Utilizers), additionally noticed a drop in readmission charges, the remaining group of SNFs that had not absolutely transformed to utilizing the EKG Patch Resolution truly noticed a rise of their readmission charges.

Here’s a take a look at the outcomes of the examine.

Understanding EKG testing in SNFs—and two key challenges

EKG testing is the commonest diagnostic take a look at utilized by physicians and clinicians in a really broad vary of widespread, specialty and subspecialty areas. Being able to triage these cardiac occasions can have a direct and optimistic impression on unwarranted readmission charges to the hospital or emergency division.

Standard 12-lead EKG testing has remained largely unchanged for over 100 years, and consists of cumbersome, outdated EKG machines with lengthy lead wires that connect to the physique by way of 10 electrodes. Placement of those electrodes on the physique is vital for take a look at high quality, accuracy and consistency, and errors in electrode lead placement stay pervasive, with as much as 10% of EKG technicians making lead placement errors.

Usually, in a talented nursing setting, EKG testing is accomplished by technicians of cellular diagnostic firms or carried out utilizing conventional EKG lead wires and machines obtainable on the facility. This presents two points:

  1. Longer turnaround occasions result in excessive readmission charges. The dearth of availability and transportation time to and from services by cellular suppliers results in longer turnaround occasions for EKGs, which might trigger extra frequent transport of residents to hospitals for potential cardiac occasions and may end up in larger readmission charges. The required visits to carry out EKG testing by cellular diagnostic firms additionally current a singular downside with current COVID-19 pointers in expert nursing services relating to limiting guests and lowering publicity to residents.
  2. Upkeep and maintenance of EKG machines is troublesome. Conventional EKG machines should be correctly maintained and calibrated to remain in working order. The maintenance of those machines may be pricey and, if not accomplished in a well timed or full method, can negatively impression EKG testing functionality. Moreover, the necessity to have a professional and skilled particular person in correct lead placement and EKG acquisition on workers and on the facility always generally is a problem.

The EKG Patch Resolution: 3 readmissions datapoints from 20 SNFs

The EKG Patch Resolution from MG Medical Merchandise is saved on-site and obtainable to be used by workers 24/7. The closed-loop EKG Patch Resolution options the novel EKG Patch, a pre-positioned electrode patch that permits for fast, constant, and correct software of electrodes each time with little technical experience wanted. The self-contained design of the EKG Patch eliminates lead placement errors and offers a constant comparability for comply with up EKG testing.

In 2021, a gaggle of 20 SNFs carried out the EKG Patch Resolution into their customary of care. After a 12 months, the SNFs ended up in three teams primarily based on utilization:

  • “Prime Utilizers” used the EKG Patch Resolution for practically all EKGs
  • “Utilizers” used the EKG Patch Resolution ceaselessly however had not absolutely switched to the system
  • “Non-Utilizers” had but to launch the conversion to the EKG Patch Resolution

Here’s what they noticed:

  • Prime Utilizers skilled a lower in hospital readmission charges from 23.9% to fifteen.1%, a discount of 36.8%
  • Utilizers had a drop in hospital readmission charges from 22.8% to twenty.8%, a discount of 9%
  • Non-Utilizers noticed elevated readmission charges from 23% to 26.7%, a rise of 16%

This information reveals that the flexibility to quickly triage acute cardiac signs in expert nursing services can cut back hospital readmissions charges. SNFs are dealing with unprecedented challenges because of the rising price of well being care, COVID-19 and entry to dependable and well timed EKG testing. Use of the EKG Patch Resolution from MG Medical Merchandise can empower services to carry out constant, high-quality EKG testing on-site and supply best-in-class care for his or her residents.

Discount of hospital readmission charges by use of the EKG Patch Resolution may assist expert nursing services obtain the inducement bonus from Medicare’s Expert Nursing Facility Worth-Based mostly Buying (SNF VBP) program. SNF VBP pays incentives to services who can cut back their re-admissions.

The truth is, as reported by Expert NursingNews Final month, the Division of Well being and Human Companies (HHS) will examine expert nursing services that had residents who had probably preventable hospitalizations on its listing of priorities over the following 12 months.

“Understanding expert nursing services’ prices is essential to understanding the components that contribute to nursing residence efficiency and the way nursing houses ship care to beneficiaries,” the Inspector Basic (OIG) famous.

This text is sponsored by MG Medical Merchandise. To study extra, go to or electronic mail [email protected].

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