veINS Track: Cost-Effective Delivery of Infusion Therapy

Recorded On: 06/06/2022

“Waste is endemic in health care” was a statement was made by Derek Foley, president and CEO of the Institute for Healthcare Improvement when he put out a call to action to reduce waste in the US health care system. All this waste is leading to a higher cost to deliver care and creating urgency for all health systems to examine this issue. At an 867-bed, level-1 trauma center in Connecticut, one vascular access specialty team (VAST) has been documenting waste reduction. As a result, this VAST has demonstrated cost reductions and is saving bedside staff nurses’ time, resulting in more quality time spent with patients. With these waste reduction initiatives, this VAST has increased their revenue budget by approximately 8 million over the past 2 years and has increased the team size by 67% since 2015. In this presentation, you will be guided through this VAST’s 7-year journey describing all the initiatives that led the growth of this VAST.

Learning Objectives: At the conclusion of this session, learners will be able to: 

  • Describe lean thinking and the importance it has in health care in reducing waste and nonvalue added activities
  • Explore all the ways a VAST can show support of key hospital objectives through the care they provide, using lean thinking to drive and sustain their improvement initiatives
  • Explain how a VAST can collect and use data to assure they are viewed as a value-added entity to their health care institution

​Lee Steere

Lee Steere has been leading the vascular access team at Hartford Hospital for 18 years, and has past experience in critical care and hyperbaric medicine. Under his leadership, during the past 5 years, Mr. Steere has tripled the size of his team while conducting clinical studies on peripheral intravenous catheters. He is a member of the hospital-acquired infection committee and is cochair of Hartford Healthcare’s Patient Care Clinical Value Team. Mr. Steere is well-known in the vascular access community through his presentations on multiple local and national infusion/vascular access conferences on central line-associated bloodstream prevention and central vascular access device occlusion management. At the 2019 Association for Vascular Access National Conference, Lee presented his team’s research on peripheral intravenous catheter insertions using a vascular access nurse and a bundled approach. The results of this study supported the expansion of the vascular access team with an increase in departmental responsibilities. Lee has also authored 3 peer reviewed articles on vascular access topics.


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