Please complete this ESR Certification Assessment on the topics of: ESR Process (Assess, Align) Program ToolsPassing score is 90% correct.
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Build Core Team
Choose a Hemodynamic Monitoring Platform
Assess Current Morbidity Rate and/or LOS
Train and Develop Competencies
Estimate Potential Clinical and Economic Benefits of PGDT
Select Surgical Procedures
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Sell, Align, Apply, Measure
Assess, Align, Apply, Measure
Sell, Apply, Align, Assess
Align, Assess, Apply, Measure
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Select Surgical Procedures
Build Core Team
Choose PGDT Treatment Protocol
Choose a Hemodynamic Monitoring Platform
Train and Develop Competencies
Quantify and Track Compliance
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Enhanced practice efficiency and improved profit margins
High operating costs and patient readmissions
Increased post-surgical complications and enhanced recovery
Preventable complications and avoidable costs
Standardized care and improved outcomes
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Applicable Procedures List
Hospital Data Form
PGDT Benefit Estimator
PGDT Protocol Summary
Sample Checklist
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30-day readmissions
Length of stay
Morbidity
Reimbursement per case
Variable cost per case
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Anesthesiologist
CRNA
Colorectal surgeon
Quality officer
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True
False
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Advanced hemodynamic monitoring capital
Advanced hemodynamic monitoring disposables
Team member time
Other resources (e.g. trigger build in IT systems, etc)
All of the above
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Documentation of program goals, scope, team member responsibilities, business case, and milestone plan
Documentation of clinical workflow including interactions, decisions, handoffs, and triggers
Documentation of appropriate messaging, target audience, and timing for program communications
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Scheduling
Pre-screen
Registration / Admission
Pre-Op
Intra-Op
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To kick-start the implementation process with a core team of stakeholders
To identify appropriate candidates for hemodynamic optimization using PGDT
To automate the PGDT protocol so all patients receive the same amount of fluid
To eliminate the clinicians who do not believe in the benefits of PGDT
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Any consulting or education, including meeting scheduling, protocol selection, and team alignment
Education on safe and effective use of Edwards products only
Education on PGDT and the benefits of using a protocol for fluid management only
Product sales, education on safe and effective use of Edwards products, education on therapy awareness (i.e. PGDT); other consulting services may be allowable under signed service agreement
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Plan, Prospect, Investigate
Investigate, Evaluate, Implement
Evaluate, Implement, Support
None of these, the two processes are completely separate
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Abdominal Aortic Aneurysm
Aorto-iliac and Peripheral Bypass
Colectomy
Coronary Artery Bypass
Femur and Hip Fracture Repair
Gastrectomy
Partial Hepatectomy
Resection of Rectum
Hip Replacement
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All ASA scores
ASA 1b-2b + 1 comorbidity
ASA 2b + 1 comorbidity or higher
ASA 3-5
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To estimate the clinical and economic benefit of PGDT
To identify specific opportunities for improvement
To publicly report regional rankings
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Set measurable program goals at the start of the project
Establish achievable targets using documented baseline data and published study results
Set different goals for each department
Align program goals with organizational priorities
Build stakeholder alignment with program goals
Measure progress to goals periodically
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Executive Sponsor
Clinical Champion
Project Coordinator
Surgeons
Anesthesia Providers
Quality
All of the above
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Communication Plan Template
PGDT Protocol Summary
Procedure Flowchart Example (Sample Workflow Map)
Project Charter Template
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To determine which surgical procedures will be targeted to apply PGDT
To designate the monitoring platform(s) across the target population based on risk profile
To identify which anesthesia providers will be included in the ESR Program
To understand the unique value proposition of the ccNexfin technology
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Enhanced Surgical Recovery Program Brochure
FloTrac High Risk Surgery Brochure
PGDT Protocol Summary
Right Patient Right Device handout
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