Allina Hospitals and Clinics    Aftercare Proposal     Jamie Otto / Mike Borell / Emily Keenan
Start of           AftercareThe end for doctors and nurses but  the beginning for patients and             families.      ...
Allina Mission Statement       Our Mission       We serve our communities by providing exceptional care, as we       preve...
Project Purpose Statement• To explore the information provided topatients before starting at-home recovery.• In order to e...
Current Practices• Sit down before discharge• Bulky Packets• Check-in Calls• Check-in Visits• Care Guides                J...
Case StudiesJudyGender: FemaleAge: late 50sConnection: Mother to a childwho had a heart transplantand has been a patient h...
Judy“It was a stressful situation during release and it was hard to             remember what the doctor said later.”     ...
Budd"In the case of the elderly or those patients that cannot properly  take care of themselves, their support networks sh...
Dawn"They are counting on the people to be independent."           Jamie Otto / Mike Borell / Emily Keenan
Caleb“If someone is not pushing you to do your physical therapy, it’s impossible to do.”  “There’s things we don’t underst...
Insights• Information• Emotional Aspects• Disconnect• Patient Driven• Dependence• Family             Jamie Otto / Mike Bor...
Current ProposalThe Aftercare CounselorChanges to Online Care     Jamie Otto / Mike Borrell / Emily Keenan
The Aftercare Counselor      Jamie Otto / Mike Borell / Emily Keenan
The Aftercare Counselor•Medical Professional/Counselor/Friend•Bridge between home and hospital•From pre-release to end of ...
The Aftercare Counselor•Answers questions to avoid therevolving door hospital•Keeps patients accountable for theirhealth•P...
What others do  Jamie Otto / Mike Borell / Emily Keenan
Changes to Online CareCONGRATULATIONS!                                YOUR WEEKLY PROGRESS:                               ...
Future ProposalThe Aftercare Community     Jamie Otto / Mike Borrell / Emily Keenan
Technological Care Wireless heart monitors andpedometers, connected to onlinedatabase Ability to track progress on yoursma...
Structure of theAftercare Community                  CARE GUIDESUPPORT   SUPPORT        SUPPORT           SUPPORT     SUPP...
Structure of theAftercare Community                  CARE GUIDESUPPORT   SUPPORT        SUPPORT           SUPPORT     SUPP...
Structure of theAftercare Community                  CARE GUIDESUPPORT   SUPPORT        SUPPORT           SUPPORT     SUPP...
Structure of theAftercare Community                  CARE GUIDESUPPORT   SUPPORT        SUPPORT           SUPPORT     SUPP...
Services of anAftercare Community Home consultations  Group meetings with other locals inrecovery Advanced technological c...
Services in the Home Conversations about recovery Check-ups with your counselor Phone calls and online care   In-home cook...
Connections with   Local Area   Jamie Otto / Mike Borrell / Emily Keenan
Connections with   Local Area   Jamie Otto / Mike Borrell / Emily Keenan
SUPPORT                                                       NETWORKSC    CARE    GUIDE            Jamie Otto / Mike Borr...
SUPPORT                                                       NETWORKSC    CARE    GUIDE            Jamie Otto / Mike Borr...
We welcome yourcomments and feedback      Jamie Otto / Mike Borell / Emily Keenan
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Allina Hospitals and Clinics Aftercare Proposal

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Allina Hospitals and Clinics Aftercare Proposal

  1. 1. Allina Hospitals and Clinics Aftercare Proposal Jamie Otto / Mike Borell / Emily Keenan
  2. 2. Start of AftercareThe end for doctors and nurses but the beginning for patients and families. Jamie Otto / Mike Borell / Emily Keenan
  3. 3. Allina Mission Statement Our Mission We serve our communities by providing exceptional care, as we prevent illness, restore health and provide comfort to all who entrust us with their care. Our Vision We will: put the patient rst; make a di erence in people’s lives by providing exceptional care and service; create a healing environment where passionate people thrive and excel; and lead collaborative e orts that solve our community’s health care challenges. Our Values INTEGRITY We match our actions with our words. RESPECT We treat everyone with honor, dignity and courtesy. TRUST We act in the best interests of our patients, physicians, communities and one another. COMPASSION We create a caring environment for our patients and one another. STEWARDSHIP We use our resources wisely. Jamie Otto / Mike Borell / Emily Keenan
  4. 4. Project Purpose Statement• To explore the information provided topatients before starting at-home recovery.• In order to empower the patient, connectthem to caregivers, and make them moreindependent and goal-driven in theiraftercare.• So that Allina can facilitate and encouragetheir patients’ aftercare habits and increasetheir quality service ratings. Jamie Otto / Mike Borell / Emily Keenan
  5. 5. Current Practices• Sit down before discharge• Bulky Packets• Check-in Calls• Check-in Visits• Care Guides Jamie Otto / Mike Borell / Emily Keenan
  6. 6. Case StudiesJudyGender: FemaleAge: late 50sConnection: Mother to a childwho had a heart transplantand has been a patient herselfWhat worked in the past?The personal connection between doctors, extended stay patient, and nurses has been greatfor her. It became a real community dedicated to the wellbeing of her daughter. She andher daughter used MyChart to show the multiple doctors they were in contact with whatmedications the other practitioners had her daughter on and keep everything in one place.What would Judy like to see in aftercare?The family should be included if they will have a large part in the patient’s care, and patientswho aren’t frequent hospital visitors should know what questions to ask.What would Judy like to see inside of the hospital?There should be room for family to go and visitors to stay inside of the rooms. There shouldalso be information about how to take charge of your own care.How was the communication with the care team?Fantastic, because she took the initiative and learned how to ask the right questions. Afterspending so much time in medical facilities, she has learned how they function and how tonavigate them.What were some obstacles in aftercare Judy has experienced?Sometimes, working with a hospice nurse is necessary and other times it is not. She hasexperienced both good and bad ones. Also, there needs to be support for people getting outof surgery since, while she and her daughter did, some people do not have that.How much access should family or support networks be given?If it is a child, the parents or guardian should have total access. Otherwise, the patientshould be able to hand pick what information people are given.Other Comments:She believes that a patient needs to advocate for themselves and learning how to do that isreally how someone successfully takes charge of their own care. Jamie Otto / Mike Borell / Emily Keenan
  7. 7. Judy“It was a stressful situation during release and it was hard to remember what the doctor said later.” Jamie Otto / Mike Borell / Emily Keenan
  8. 8. Budd"In the case of the elderly or those patients that cannot properly take care of themselves, their support networks should be the focus of the aftercare instruction. Either that, or the family and loved ones should speci cally have a place to go with their questions." Jamie Otto / Mike Borell / Emily Keenan
  9. 9. Dawn"They are counting on the people to be independent." Jamie Otto / Mike Borell / Emily Keenan
  10. 10. Caleb“If someone is not pushing you to do your physical therapy, it’s impossible to do.” “There’s things we don’t understand as patients, but doctors need to know.” Jamie Otto / Mike Borell / Emily Keenan
  11. 11. Insights• Information• Emotional Aspects• Disconnect• Patient Driven• Dependence• Family Jamie Otto / Mike Borell / Emily Keenan
  12. 12. Current ProposalThe Aftercare CounselorChanges to Online Care Jamie Otto / Mike Borrell / Emily Keenan
  13. 13. The Aftercare Counselor Jamie Otto / Mike Borell / Emily Keenan
  14. 14. The Aftercare Counselor•Medical Professional/Counselor/Friend•Bridge between home and hospital•From pre-release to end of aftercare Jamie Otto / Mike Borell / Emily Keenan
  15. 15. The Aftercare Counselor•Answers questions to avoid therevolving door hospital•Keeps patients accountable for theirhealth•Position can be lled by medical students,psychology students, social work students,and retired doctors and nurses. Jamie Otto / Mike Borell / Emily Keenan
  16. 16. What others do Jamie Otto / Mike Borell / Emily Keenan
  17. 17. Changes to Online CareCONGRATULATIONS! YOUR WEEKLY PROGRESS: 50 Time(mins) 40 Miles 30 20 10 0 Time Vs Miles Ran You’ve reached your weekly fitness goal! Celebrate with a Fruit and Yogurt Parfait. 30 This week 25 Last Week 20 Because you performed at 15 least 15 minutes of Cardio 5 10days this week, you’ve reduced 5 your risk of heart disease by 0 25%. Miles Ran Jamie Otto / Mike Borell / Emily Keenan
  18. 18. Future ProposalThe Aftercare Community Jamie Otto / Mike Borrell / Emily Keenan
  19. 19. Technological Care Wireless heart monitors andpedometers, connected to onlinedatabase Ability to track progress on yoursmartphone or personal computer Retain phone services for thosewithout Internet access Jamie Otto / Mike Borrell / Emily Keenan
  20. 20. Structure of theAftercare Community CARE GUIDESUPPORT SUPPORT SUPPORT SUPPORT SUPPORTNETWORK NETWORK NETWORK NETWORK NETWORK Jamie Otto / Mike Borrell / Emily Keenan
  21. 21. Structure of theAftercare Community CARE GUIDESUPPORT SUPPORT SUPPORT SUPPORT SUPPORTNETWORK NETWORK NETWORK NETWORK NETWORK Jamie Otto / Mike Borrell / Emily Keenan
  22. 22. Structure of theAftercare Community CARE GUIDESUPPORT SUPPORT SUPPORT SUPPORT SUPPORTNETWORK NETWORK NETWORK NETWORK NETWORK Jamie Otto / Mike Borrell / Emily Keenan
  23. 23. Structure of theAftercare Community CARE GUIDESUPPORT SUPPORT SUPPORT SUPPORT SUPPORTNETWORK NETWORK NETWORK NETWORK NETWORK Jamie Otto / Mike Borrell / Emily Keenan
  24. 24. Services of anAftercare Community Home consultations Group meetings with other locals inrecovery Advanced technological care Personalized support connected toyour own existing community, supportnetwork, and home caregivers Jamie Otto / Mike Borrell / Emily Keenan
  25. 25. Services in the Home Conversations about recovery Check-ups with your counselor Phone calls and online care In-home cooking lessons with alicensed dietitian or nutritionist Jamie Otto / Mike Borrell / Emily Keenan
  26. 26. Connections with Local Area Jamie Otto / Mike Borrell / Emily Keenan
  27. 27. Connections with Local Area Jamie Otto / Mike Borrell / Emily Keenan
  28. 28. SUPPORT NETWORKSC CARE GUIDE Jamie Otto / Mike Borrell / Emily Keenan
  29. 29. SUPPORT NETWORKSC CARE GUIDE Jamie Otto / Mike Borrell / Emily Keenan
  30. 30. We welcome yourcomments and feedback Jamie Otto / Mike Borell / Emily Keenan

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