Description of the Best Practice
Our Lady of Lourdes Medical Center is developing a dedicated Heart Hospital.
This facility will be state-of-the-art in clinical pathways and protocols,
technology (equipment and facility) and training of staff. The Cardiology
program at our Lourdes has reached its maximum capacity due to the physical
limitations of the Camden facility (See data below for
open heart volumes). Lourdes annually performs 6000 cardiac
catheterization diagnostic and interventional procedures, 2000
electrophysiology studies, 1300 open heart surgeries, 40,000 non-invasive
procedures and has 4,400 cardiac rehabilitation visits. The quality reputation
of the cardiology program is well known throughout the region, as cardiology
has the broadest geographic patient base of any program at Lourdes (See data on patient origin below). With the proposed
new facility, the Cardiology program will be able to serve New Jersey patients
who are currently served by the Philadelphia hospitals (2800 cases in the
Camden-Burlington-Gloucester county area in 1995) as well as future patients
that are projected from the aging of the population.
Implementation
The heart hospital will contain 121 beds (10 intensive care cardiac recovery,
15 cardiac critical care, and 96 medical/surgical); 3 open heart operating
rooms, 3 cardiac catheterization labs, 1 electrophysiology lab, 2 nuclear
medicine rooms, a CT scanner, 2 stress test rooms, 1 Rad/Fluro room and 1
special procedure room.
Time Frame
This project requires a Certificate of Need from the State of New Jersey. This,
plus design, construction, mobilization and licensure, projects operation by
the end of the year 2000.
Financial Profile
The proposed heart hospital is planned to be a three story facility with
149,572 square feet with a construction cost of $34,353,750 ($229.68/square
foot).
Outcome
This dedicated heart hospital achieves substantially lower costs, operating
efficiency and more favorable outcomes by: Capturing efficiencies and economies
available with a facility designed for the diagnosis and treatment of a single
disease category, including eliminating unnecessary overhead frequently
associated with a conventional hospital facility which is designed to provide a
wide range of health care services; Replace labor with capital by designing the
heart hospital to improve patient flow, incorporating advanced technology to
create efficiency, reduce transportation costs, use clinical pathways and
documentation by exception; Emphasizing labor savings through flex nursing and
other optimal staffing patterns; Designing cardiac facilities with an emphasis
on patient-focused care which eliminate or dramatically reduce non direct
patient care staff; Utilize state-of-the-art technology to reduce labor costs;
Crosstrain personnel; and Minimizing supervisory personnel.
Best Practice Narrative is limited to a one page summary.
Supporting data is limited to one page.
Supporting Data Cardiac Program Volume
Open Heart Surgery
| 1992 |
882 |
| 1993 |
908 |
| 1994 |
945 |
| 1995 |
1,133 |
| 1996 |
1,293 |
| 2000 (estimated) |
1,300 |
| 2004 (estimated) |
1,900 |
Origin of Cardiac Patients Cared for at Our Lady of
Lourdes Medical Center
1996 Cardiac Care Discharges
(n=5080)
| Camden County |
Camden City |
466 |
Northern Camden County |
1,314 |
Southern Camden County |
1,129 |
Total Camden County |
2,909 |
| Burlington County |
Northwestern Burlington County |
232 |
Southwestern Burlington County |
381 |
Eastern Burlington County |
63 |
Total Burlington County |
676 |
| Gloucester County |
676 |
| Cumberland County |
409 |
| Salem County |
109 |
| Atlantic County |
95 |
| Mercer County |
55 |
| Cape May County |
43 |
| Other New Jersey |
75 |
| Philadelphia |
33 |
|