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Policy Proposal Verde Valley Medical Center

A policy proposal to improve cardiac care at Verde Valley Medical Center by meeting benchmarks for faster ECG and aspirin delivery to enhance patient outcomes.

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    Policy Proposal: Verde Valley Medical Center 1 Policy Proposal: Verde Valley Medical Center Elisa McGinnis Capella University NHS-FPX6004: Healthcare Law and Policy Dr. Tiffani Armstrong February 5, 2025

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    Policy Proposal: Verde Valley Medical Center 2 Abstract Verde Valley Medical Center (VVMC) is the local hospital servicing all of the Verde Valley. The Verde Valley is located in the heart of Arizona and consists of 9 towns; CampVerde, Clarkdale, Cornville, Cottonwood, Jerome, Lake Montezuma, Rimrock, Sedona, and the Village of Oak Creek (Mitropoulos, 2022). Over the years VVMC has undergone many changes including a name change, it was once known as Marcus J. Lawrence (MJL). VVMA was purchased by Northern Arizona Healthcare (NAH) and given a facelift and its new name of Verde Valley Medical Center. It was during this time that the reputation began to change and a more positive light was shone on the organization. Part of the changes meant that new departments and specialties were brought in to help change the poor reputation that MJL had on the community for so long. One of the biggest changes was the cardiology department, until this point anyone who came to the ER with chest pain was transferred to a nearby hospital (Northern Arizona Healthcare, 2025). Bringing on a cardiology department meant that those who experienced chest pain or have some sort of heart related issue can now be seen locally and quickly. Bringing on a new department has not been without its share of problems and learning experiences. According to the dashboard VVMC has some room for growth and improvement as to how quickly they are providing those experiencing chest pain with an ECG and aspirin. Benchmarks for cardiology related issues have specific goals that are identified by local, state, and federal governments in order to improve cardiac patient outcomes. These benchmarks are necessary to help cardiac patients achieve their optimal levels of health while identifying the onset of a heart attack. In order to ensure that benchmarks are met new policies will need to be made.

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    Policy Proposal: Verde Valley Medical Center 3 Verde Valley Medical Center cardiac evaluation Hospital Arizona Nationwide Aspirin within 24 hrs of arrival NA 95% 95% Average time to receive ECG 10 min 8 min 7 min The healthcare compare website looks at each hospital and analyzes their benchmarks against other hospitals both on a state and national level. This report analyzed the benchmarks for cardiac care. You can see in the chart above that W M C is right in line with the administration of an ECG according to federal guidelines but is not as quick as other hospitals. When it comes to the administration of aspirin they do not show their time, this does not necessarily mean that they are not providing aspirin within the federal timeline. It can mean that their documentation is lacking or that there is not enough data for them to get an accurate time. Cardiac issues are critical and when they are not caught quick enough and can lead to serious complications and oftentimes death. When a person comes to the ED stating that they are experiencing chest pain it is crucial that they be taken seriously and receive an ECG within 10 minutes and aspirin quickly after that. Patients should receive their initial ECG within 10 minutes of arrival (Buelt et al., 2023). Out of those that receive their initial ECG up to 6% with cardiac ischemia are discharged from the ED, in order to prevent this a second ECG needs to be given with a higher index of suspicion in order to ensure that the patient is safe to discharge home. Proposed Policy It is necessary to create a policy that will ensure that a process is in place for quality assurance for patients experiencing chest pain. It is vital that a policy be put into effect and implemented in order to improve cardiac care by meeting benchmark goals. Evidence shows that the door-to-ECG time (DTE) of cardiac emergencies is crucial for diagnosing ST- segment elevation myocardial infarction (STEMI)(Maliszewski et al., 2020). For example,

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