HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Download to citation manager Google Scholar Articles by Nolen, A. L. Articles by Rodes, W. D. PubMed Articles by Nolen, A. L. Articles by Rodes, W. D., II

AGATHA L. NOLEN, M.S., FASHP, is Director, OPPS, Hospital Corporation of America, Corporate Offices, Nashville, TN, and Ph.D. student (public administration), Tennessee State University, Nashville; at the time of this study she was Director of Pharmacy, Centennial Medical Center (CMC), Nashville. W. DYER RODES II, M.D., is Chairman, Board of Trustees, and Member, Department of Anesthesiology, CMC.

Address correspondence to Ms. Nolen at Hospital Corporation of America, Corporate Offices, 2515 Park Plaza, Building II-3W, Nashville, TN 37203 (agatha.nolen{at}hcahealthcare.com).

Purpose. The effects of using a new bar-code medication administration (BCMA) system for anesthetics to automate documentation of drug administration by anesthesiologists were studied. Methods. From October 1, 2004, to September 15, 2005, all medications administered to patients undergoing cardiac surgery were documented with a BCMA system at a large acute care facility. Drug claims data for 12 targeted anesthetics in diagnosis-related groups (DRGs) 104–111 were analyzed to determine the quantity of drugs charged and the revenue generated. Those data were compared with claims data for a historical case–control group (October 1, 2003, to September 15, 2004, for the same DRGs) for which medication use was documented manually. From October 1, 2005, to October 1, 2006, anesthesiologists for cardiac surgeries either voluntarily used the automated system or completed anesthesia records manually. Results. A total of 870 cardiac surgery cases for which the BCMA system was used were evaluated. There were 961 cardiac surgery cases in the historical control group. The BCMA system increased the quantity of drugs documented per case by 21.7% and drug revenue captured per case by 18.8%. The time needed by operating-room pharmacy staff to process an anesthesia record for billing decreased by eight minutes per case. After two years, anesthesiologists voluntarily used the new technology on 100% of cardiac surgery patients. Conclusion. Implementation of a BCMA system for anesthetic use in cardiac surgery increased the quantity of drugs charged by 21.7% per case and drug revenue per case by 18.8%. Anesthesiologists continued to use the automated system on a voluntary basis after conclusion of the initial study. Index terms: Anesthetics; Automation; Billing; Codes; Documentation; Drug administration; Hospitals