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Characteristics of Patients with Non-ST-Elevation Acute Coronary Syndrome According to Heparin Treatment During Hospitalization

Characteristics LMWH UH Crossover No H P ValueAge (median) 67.3 66.0 65.5 67.3 <.001

Age > 75 28.1 25.5 23.5 28.6 <.001

Male (%) 64.6 63.2 68.2 61.6 <.001

Body Mass Index

>30 24.6 30.1 27.8 26.1

Medical History %

MI 33.8 40.0 33.3 36.7 <.001

CABG 13.8 19.1 14.8 16.6 <.001

PCI 18.9 23.5 22.8 23.2 <.001 Diabetes 24.4 28.3 24.9 24.4 <.001

Stroke 6.8 7.7 6.8 7.9 .05

CHF 8.4 12.8 9.0 12.3 <.001

Pos. Cardiac Enzymes % 35.1 32.0 34.8 21.9 <.001

ST Segment depression 32.0 24.8 30.2 22.2 <.001

T-wave inversion 33.6 32.9 32.8 27.7 <.001

Before


Characteristics of Patients With Non-ST-Elevation Acute Coronary Syndrome According

to Heparin Treatment During HospitalizationCharacteristics LMWH UH Crossover No H PAge (median) 67.3 66.0 65.5 67.3 < 0.001Age > 75 28.1 25.5 23.5 28.6 < 0.001Male (%) 64.6 63.2 68.2 61.6 < 0.001Body mass index > 30 24.6 30.1 27.8 26.1Medical history (%) MI 33.8 40.0 33.3 36.7 < 0.001 CABG 13.8 19.1 14.8 16.6 < 0.001 PCI 18.9 23.5 22.8 23.2 < 0.001 Diabetes 24.4 28.3 24.9 24.4 < 0.001 Stroke 6.8 7.7 6.8 7.9 0.05 CHF 8.4 12.8 9.0 12.3 < 0.001Pos. cardiac enzymes (%) 35.1 32.0 34.8 21.9 < 0.001ST segment depression 32.0 24.8 30.2 22.2 < 0.001T-wave inversion 33.6 32.9 32.8 27.7 < 0.001

After


Before – Data supplied in Excel by client


Example of carboplatin rapid desensitization

Conc. in mg/ml Step #Flow rate for 15 min

interval (mL/hr)Cumulative

Dose0.027 1 2 13.5 mcg0.027 2 5 0.027 3 10 0.027 4 20 0.24 mg0.272 5 5 0.272 6 10 0.272 7 20 0.272 8 40 4.8 mg 2.632 9 10 2.632 10 20 2.632 11 40 2.632 12 75 675 mg (total dose)

Castells, et al. J Allergy Clin Immunol 2008;122:574-80.

After


Eclipsys Experience

maxIT/RHC has 30 Eclipsys Clients

Eclipsys Corporation St. Vincent Health West Penn Allegheny Health System

Health First Orlando Health Sentara Healthcare

University Health System Hoag Memorial Hospital Presbyterian Clark Memorial Hospital

New York Hospital Queens University Hospitals MaineHealth

Georgia Cancer Coalition University of Kentucky HealthCare Cancer Treatment Centers of America

Children’s Health System New York-Presbyterian Trinitas Regional Medical Center

Lenox Hill Hospital Catholic Medical Center Jefferson Regional Medical Center

University of Arkansas for Medical Sciences

The Methodist Hospital System University of California, Irvine – Healthcare

Bayshore Community Health Services

University of Michigan Health System Genesys Health System

BJC HealthCare City of Hope Calgary Health Region

Includes deep MLM, Testing and Pharmacy Experience (5 Pharmacists + Former Lead SMM Product Manager in contingency status)

Before


7

Eclipsys Experience

Eclipsys Corporation St. Vincent Health West Penn Allegheny Health System

Health First Orlando Health Sentara Healthcare

University Health System Hoag Memorial Hospital Presbyterian Clark Memorial Hospital

New York Hospital Queens University Hospitals MaineHealth

Georgia Cancer Coalition University of Kentucky HealthCare Cancer Treatment Centers of America

Children’s Health System New York-Presbyterian Trinitas Regional Medical Center

Lenox Hill Hospital Catholic Medical Center Jefferson Regional Medical Center

University of Arkansas for Medical Sciences The Methodist Hospital System University of California, Irvine – Healthcare

Bayshore Community Health Services University of Michigan Health System Genesys Health System

BJC HealthCare City of Hope Calgary Health Region

Includes deep MLM, Testing and Pharmacy Experience (5 Pharmacists + Former Lead SMM Product Manager in contingency status)

maxIT/RHC has 30 Eclipsys Clients

After


8

CPOE Effort Hours - Sample

Key Deliverables (not including end user training or interfaces*)

Duration (mths)

Effort Units

Unit Effort (Low)

Unit Effort (High)

Total (Low)

Total (High)

Assistance Possible %

Assistance Possible

(Low)

Assistance Possible

(High)

Risk Assessment 0.25 2 40 80 80 160 50% 40 80 Report Needs Analysis (including Meaningful Use) 3 1 200 400 200 400 75% 150 300 Order Set Facilitation/Building (outlines/iforms) 12 350 60 80 21,000 28,000 60% 12,600 16,800 Rules/Alerts 12 30 40 80 1,200 2,400 50% 600 1,200 CPOE Workflow (Future State Input to Training/Build) 12 1 400 800 400 800 70% 280 560 Policy and Procedures 12 1 200 400 200 400 50% 100 200 Training Materials 12 1 300 450 300 450 50% 150 225 Test Plan (includes scripts for each speciality roll-out) 12 1 200 400 200 400 80% 160 320 Unit Test 12 1 300 400 300 400 50% 150 200 Integrated Test 12 1 400 600 400 600 50% 200 300 Stress/Volume Test 12 1 160 240 160 240 50% 80 120 Clinical Liasons 12 21 40 80 840 1,680 10% 84 168 Activation Plan 12 1 40 80 40 80 50% 20 40 Activation Readiness Assessment 12 1 80 120 80 120 50% 40 60 Activation Support (1 nurse/unit/shift - 2 weeks) 12 21 336 336 7,056 7,056 50% 3,528 3,528

Total Core Team Hours 32,456 43,186 18,182 24,101 Total Core Team FTEs (1800 hours/FTE) 18.0 24.0 10.1 13.4 Project Management Hours(15% of core team effort) 4,868 6,478 2,434.2 3,239.0 Project Management FTEs 2.7 3.6 1.4 1.8

Total 37,324 49,664 20,616 27,340

Before


9

CPOE Effort Hours – Sample

Key Deliverables(not including end-user training or interfaces)

Duration(mos)

EffortUnits

Unit Effort(Low)

Unit Effort(High)

Total(Low)

Total(High)

AssistancePossible %

AssistancePossible (Low)

AssistancePossible (High)

Risk Assessment 0.25 2 40 80 80 460 50% 40 80

Report Needs Analysis (including Meaningful Use) 3 1 200 400 200 400 75% 150 300

Order Set Facilitation/Building (outlines/iforms) 12 350 60 80 21,000 28,000 60% 12,600 16,800

Rules/Alerts 12 30 40 80 1,200 2,400 50% 600 1,200

CPOE Workflow (Future State Input to Training/Build) 12 1 400 800 400 800 70% 280 560

Policy and Procedures 12 1 200 400 200 400 50% 100 200

Training Materials 12 1 300 450 300 450 50% 150 225

Test Plan (includes scripts for each specialty roll-out) 12 1 200 400 200 400 80% 160 320

Unit Test 12 1 300 400 300 400 50% 150 200

Integrated Test 12 1 400 600 400 600 50% 200 300

Stress/Volume Test 12 1 160 240 160 240 50% 80 120

Clinical Liaisons 12 21 40 80 840 1,680 10% 84 168

Activation Plan 12 1 40 80 40 80 50% 20 40

Activation Readiness Assessment 12 1 80 120 80 120 50% 40 60

Activation Support (1 nurse/unit/shift – 2 weeks) 12 21 336 336 7,056 7,056 50% 3,528 3,528

Total Core Team Hours 32,456 43,186 18,182 24,101

Total Core Team FTEs (1800 hours/FTE) 18 24 10.1 13.4

Project Management Hours (15% of core team effort) 1,868 6,478 2,434 3,239

Project Management FTEs 2.7 3.6 1.4 1.8

Total 37,324 49,664 20,616 27,340

After


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