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Implementing a cardiac resynchronization therapy program in a county hospital.

Karen Merchant¹, Ann Laborde

¹Dominican Hospital, Santa Cruz, CA, USA. karenmerchant@yahoo.com

The Journal of Nursing Administration

|October 4, 2005

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Implementing cardiac resynchronization therapy and implantable cardioverter defibrillator devices improves heart failure patient quality of life. Strategic planning for in-house introduction can lead to cost savings and revenue generation.

Area of Science:

Cardiology
Medical Device Technology
Health Services Research

Background:

Clinical evidence supports cardiac resynchronization therapy (CRT) and implantable cardioverter defibrillator (ICD) devices for heart failure management.
These devices improve quality of life in selected heart failure patients.
Translating research findings into clinical practice presents implementation challenges.

Purpose of the Study:

To describe the strategic planning and implementation process for introducing CRT and ICD therapies.
To outline the practical steps for integrating these advanced cardiac procedures into a hospital setting.
To highlight the potential benefits of in-house implementation, including cost savings.

Main Methods:

A strategic planning process was developed and executed.

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The implementation focused on establishing these therapies within a cardiac catheterization laboratory.

The process involved detailed logistical and operational considerations for a county teaching hospital.

Main Results:

The introduction of CRT and ICD therapies was successfully planned and implemented.
The described process provides a model for other institutions seeking to adopt these cardiac interventions.
In-house implementation offers potential for financial benefits alongside improved patient care.

Conclusions:

Successful integration of CRT and ICD therapies is achievable through careful planning.
In-house implementation can optimize resource utilization and financial outcomes.
This initiative enhances the capacity of a county teaching hospital to manage complex heart failure cases.