4 Medidas para amortiguar los impactos de la generación distribuida sobre la
4.1 Cuantificación de los niveles de sobrecarga debido a la integración generación
A O H P 2 0 1 7 N a t i o n a l C o n f e r e n c e S e p t e m b e r 6 – 9 , 2 0 1 7
S h e r a t o n D e n v e r D o w n t o w n H o t e l D e n v e r , C O
PRESENTER
Mary Giovannetti, APRN, DNP, C-FNP (I graduate May 6, if you publish before then use APRN, MSN, C-FNP)
ADDRESS 913 Palmdale Court
CITY, STATE &
ZIP Boiling Springs, SC 29316
PHONE 864-497-4087 EMAIL [email protected]
CURRENT POSITION &
EMPLOYER Employee Health Manager/NP Spartanburg Regional Healthcare System
CO-
PRESENTER Stephanie Barnhill, APRN, MSN, C-FNP ADDRESS 236 Orchard Grove Road
CITY, STATE &
ZIP Campobello, SC 29322
PHONE 864-497-5089 EMAIL [email protected]
CURRENT POSITION &
EMPLOYER Employee Health NP Spartanburg Regional Healthcare System
CO-
PRESENTER ADDRESS
CITY, STATE & ZIP
PHONE EMAIL
CURRENT POSITION & EMPLOYER
CO-
PRESENTER (Please provide your full name with credentials that you prefer to show on our publications.)
ADDRESS CITY, STATE & ZIP
PHONE EMAIL
CURRENT POSITION & EMPLOYER
163
Presentation Title Tuberculosis screening in New Healthcare Employees: A Comparison of QuantiFERON®-TB Gold In-Tube Test and Tuberculin Skin Test
Presenter’s Bio (Please provide a brief bio, not CV, for each
presenter.)
Mary Giovannetti graduated with BSN (1994) and MSN (1998) from Marshall University, and DNP from University of South Carolina (2017). She worked in family practice offices providing primary care from 1998 to 2006. In 2006, she joined SRHS Employee Health providing acute care services to employees, workers’ compensation visits, fit for duties, and other occupational health exams. Dr. (or Mrs.) Giovannetti transitioned to Employee Health Manager in 2014 providing oversight of staff, employee health visits, workers’ compensation, and Employee wellness. Dr.
Giovannetti currently serves as state chapter AOHP Vice President. Stephanie Barnhill graduated with BSN (2000) and MSN (2006) from Clemson University. She is currently enrolled in the University of South Carolina’s DNP program. Mrs. Barnhill has worked in public health for the majority of her career, including tuberculosis management, adult health, and preventative medicine. In 2015, she joined SRHS employee health department working as a nurse practitioner providing acute care services, worker’s compensation visits, fit for duties, and occupations health exams.
Abstract/Presentation Overview - Describe the basic content of the proposed presentation – a minimum of 50 words and maximum of 300 words is needed.
Authors: Mary Giovannetti, DNP, APRN, BC-FNP; Stephanie Burgess, PhD, APRN, BC, FAANP; Karen McDonnell, PhD, RN, OCN; Abbas Tavakoli, DrPH, MPH, ME; Stephanie Barnhill,
MSN, APRN, BC-FNP
Background: Streamlining onboarding processes for new hires to maximize efficiency and reduce costs while meeting regulatory requirements is a constant challenge for
healthcare systems’ Employee Health staff. Health screening is a required step and includes obtaining a detailed health history, tuberculosis screening, drug screens, immunizations, fit for duty examinations, obtaining medical records, clarification of disability accommodations, pre-work screens, and other tests which are time consuming and result in delays in hire dates. Faced with a high volume of potential new employee hires a major southeast healthcare system was concerned about delays in new hire start dates. The two-step tuberculin skin test administration and follow-up process was identified as a potential area for improved
onboarding efficiency.
Method: A quality improvement study was designed and implemented to compare baseline testing for new employees with an Interferon-Gamma Release Assay (IGRA) known as QuantiFERON®-TB Gold In-Tube Test (QFT®-GIT) to the two step PPD Tuberculin Skin Test (TST) for tuberculosis screening time, overall onboarding time, compliance with screening within 10 days of hire date, and associated costs. A retrospective electronic record review included a sample of 484 new hire employees.
Results: Results showed that the QFT®-GIT for tuberculosis screening in comparison to the TST testing significantly reduced tuberculosis screening time for new hire employees (TST = 8.03 days, QFT®-GIT = 4.11 days; p<.0001) and overall onboarding time (TST = 7.92 days, QFT®-GIT = 5.07 days; p<.0001) while improving compliance with tuberculosis screening within 10 days of hire date (TST = 92.92%, QFT®-GIT =100%; p<.0001).
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Conclusions: The utilization of QFT®-GIT for tuberculosis screening of new employees significantly reduced screening and onboarding time while improving compliance with screening within 10 days of the hire date.
Implications: Healthcare systems should consider implementation of an IGRA in order to streamline processes for onboarding new employees. New processes require negotiations between healthcare systems and lab vendors, changes in policies and procedures, and employee health and laboratory staff development.
Learning Outcome:
Learners will be able to describe how implementation of an Interferon Gamma Release Assay (IGRA) can be utilized for tuberculosis screening of new healthcare workers.
Description of current state: Delays in orientation and health clearance due to long process of tuberculosis screening
Description of desired
achievable state: tuberculosis screening Reduce number of days needed to complete
Identify at least three objectives for the proposed presentation.
Provide an outline of the content for each objective. It must be more than a restatement of the objective.
1. Discuss problems with tuberculosis screening for healthcare workers
Review author’s department experience with TST’s and
onboarding and have learners interactively discuss their
experience with TST’s or IGRA’s for tuberculosis
screening. 2. Describe pros and cons
of Interferon Gamma Release Assays
Summarize the Review literature results of 23 articles including: TB screening process, cost, accuracy, conversions/reversions
3. Identify steps for implementation of IGRAs for new healthcare employees
Discuss how the healthcare system implemented the IGRA including successes and problem resolution. 4. Describe results of IGRA
implementation for tuberculosis screening and compliance
Review results of data analysis for sample of 485 subjects.
5.
What level do you consider your presentation?
Basic Intermediate Advanced
165 Workshop (2 to 8
hours): hours
x General Session (60 minute included
Q&A) x Breakout Session (60 minute included Q&A) Type of presentation, check all that apply.
x Case study Topic discussion Roundtable discussion Forum Discussion Other
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