Camden Clark Medical
Center
Barriers to Stroke
Certification
Loni Collins RN, CCRN
Stroke Coordinator
2013
Purpose
To provide an overview of some of the
barriers at Camden Clark Medical Center
related to Primary Stroke Certification
Objectives





History of St. Joseph Hospital
History of Camden Clark Medical Center
Explain Merger
Explain Cultural Differences between Campuses
Identify barriers to obtaining Stroke Certification
History of Saint Joseph Hospital
1900’s a Roman Catholic Bishop founded
hospital
 1960’s a long range plan developed
 1977 expanded to 216 beds
 1996 Sisters of Saint Joseph & HCA
had a joint venture- Sisters ended 2001.

Saint Joseph (cont.)


2007 bought by Signature
2011 joined WV United Health Systems to
become part of Camden Clark Medical
Center Saint Joseph Campus
History of Camden Clark
Memorial Hospital



1898 City Hospital with 40 beds
1918 Anne Camden dies & leaves
mansion to the City for use as
hospital
1920 moved to Camden Mansion
History of Camden (cont.)


Subsequent donation from Dr. Clark
allowed a new hospital wing
1920 in recognition of Camden &
Clark’s gifts it was dedicated as
Camden-Clark Memorial Hospital
Camden Clark Medical Center

2011 Camden Clark merged with
Saint Joseph’s to become Camden
Clark Medical Center, an affiliate of
WV United Health Systems.
2 Different Cultures
Saint Joseph’s



Saint Josephs hospital
was primarily a “for
profit” hospital
Higher Socioeconomic clientele
Lower daily census



Camden Clark
Camden Clark hospital
was a “not for profit”
hospital
Lower Socio-economic
clientele
Higher daily census
2 Different Campuses
Saint Joseph’s






CT Scanner not
available 24/7
No Residents
No Hospitalists
Avg ED visit
40-60 pts/day
Limited Tech coverage
Not trauma
designated






Memorial
CT Scanner available
24/7
Residents
Hospitalists
Avg ED visit
100-120 pts/day
Tech coverage 24/7
Designated Level 3
Trauma Center
Primary Stroke Center
Organizationally, the decision was
made to designate the Memorial
Campus to be the Disease Specific
designated Primary Stroke Center
General Barriers



Difference in level of care between
the 2 campuses
Assuring appropriate care for the
stroke patient on St. Joseph’s
campus
Ongoing state of change in
organization encompassing many
service lines
Specific Barriers




Building a case for the Stroke
Coordinator Position
Physician Engagement
(Locums)
Pushing the changes through to the
Emergency Department
Establishing appropriate policy for 2
different campuses with 2 different
procedures
Specific Barriers (cont.)




Extensive educational needs
Encouraging patients to choose
Memorial Campus without
compromising EMTALA
Ongoing challenges with house wide
EMR specific to building reports and
documentation tools
Limited Experience with Joint
Commission Process related to
Disease Specific Certification
Where We Are….




Full time Stroke Coordinator in place
Core Stroke Team of 3 members
established
Stroke Council of 21 members
established
Stroke alert policy, Stroke Alert
Algorithm both approved for use
Where We Are…(cont.)


Education in progress
Established a time line goal for
application of Stroke Certification in
March 2014
Questions?
Any questions, comments or
suggestions?