Clinical Transformation Through Change Management Case Study: Chest Pain in the Emergency Department

Figures

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  Fig. 1. AdventHealth Clinical Transformation (ACT) cycle. Design •Demonstrate change needed now (evidence, data) •Assemble guiding team, powerful coalition of active clinicians (written consensus algorithm) •Develop motivating vision (best for patient) •Communicate vision (urgency, honesty, clarity, passion) •Identify and remove/mitigate barriers/obstacles (key measures) Pilot •Short run win (results, deviations, iterate) Implement •Maintain focus, build (education) Sustain •Institutionalize into culture (behaviors, attitudes, processes, ongoing measures) Performance •Continual feedback

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  Fig. 2. High level chest pain algorithm*. *This high level algorithm is an abdriged version of the full interdisciplinary algorithm.

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  Fig. 3. Patient count and Disposition Decision Rate Breakdown for adults with chest pain/angina presenting to the emergency department from January 1, 2014 to Dec 31, 2018.