PFCC INFOGRAPHIC: Six Steps to Patient EngagementEngagingPatients
The challenges of creating patient and family-centered care seem daunting. However, the PFCC Innovation Center of UPMC demonstrates it's easier than you think. In this infographic, you see it begins by engaging patients through a simple six step process.
evaluation is the last step of nursing process. which help to re assess the all things which is done by a health care provider for patient care and better health.
Tags: nursing process, purpose of nursing process, characteristics of nursing process, nursing process framework, importance of nursing process, components of nursing process
PFCC INFOGRAPHIC: Six Steps to Patient EngagementEngagingPatients
The challenges of creating patient and family-centered care seem daunting. However, the PFCC Innovation Center of UPMC demonstrates it's easier than you think. In this infographic, you see it begins by engaging patients through a simple six step process.
evaluation is the last step of nursing process. which help to re assess the all things which is done by a health care provider for patient care and better health.
Tags: nursing process, purpose of nursing process, characteristics of nursing process, nursing process framework, importance of nursing process, components of nursing process
Presented at the 2015 IHI International Forum byThe Royal Melbourne Hospital of Victoria,Australia, this poster,speaks to the power of Shadowing to engage patients and families in decisions of care, specifically the post-discharge planning process.
Documentation in occupational therapy services effective methods of occupational therapy documentation. Illustrates the popular means of documentation commonly used in occupational therapy. taking SOAP notes, recording clinical observation and lots more....
Closing the Loop: Strategies to Extend Care in the EDEngagingPatients
This HIMSS15 presentation discusses the challenges faced in hospital emergency departments and offers insights for implementing a process to follow up with discharged ED patients to enhance outcomes and satisfaction,while optimizing utilization and reducing risk.
Overview of Patient Experience Definitions and Measurement ToolsInnovations2Solutions
This publication will provide an overview of patient experience, how it is measured, and how to achieve it optimally within the healthcare setting. Sodexo’s definition of Patient Experience will also be explored.
Presented at the 2015 IHI International Forum byThe Royal Melbourne Hospital of Victoria,Australia, this poster,speaks to the power of Shadowing to engage patients and families in decisions of care, specifically the post-discharge planning process.
Documentation in occupational therapy services effective methods of occupational therapy documentation. Illustrates the popular means of documentation commonly used in occupational therapy. taking SOAP notes, recording clinical observation and lots more....
Closing the Loop: Strategies to Extend Care in the EDEngagingPatients
This HIMSS15 presentation discusses the challenges faced in hospital emergency departments and offers insights for implementing a process to follow up with discharged ED patients to enhance outcomes and satisfaction,while optimizing utilization and reducing risk.
Overview of Patient Experience Definitions and Measurement ToolsInnovations2Solutions
This publication will provide an overview of patient experience, how it is measured, and how to achieve it optimally within the healthcare setting. Sodexo’s definition of Patient Experience will also be explored.
Webinar - 'Drive A Customer Service Revolution'Regalix
With the advent of big data, social, mobile, network and cloud computing, customers have become the easiest and yet the most challenging elements to track, control and satisfy. How can you leverage this and use it to your advantage?
John DiJulius address these key questions:
• How to create customer service revolution?
• How to increase the service aptitude of your employees?
• How to make price irrelevant?
• How to become the brand that your customers cannot live without?
Investors evaluate teams as much as the rest of your company because teams can crash and burn or make things fly. This reviews what investors are looking for and a structured approach to whether you have what it takes to meet their expectations and more importantly, to succeed!
Presented at BIOMEDevice 2015, Dec. 2, 2015.
Weitzman 2013 Relative patient benefits of a hospital-PCMH collaboration with...CHC Connecticut
Anuj K Dalal presents information on a PCORI research grant: Relative patient benefits of a hospital-PCMH collaboration within an ACO to improve care transitions.
As new payment models emerge that emphasize value over volume, providers are being compelled to look more closely at how to motivate patients—especially those with multiple chronic conditions—to actively manage their care, make better decisions and change behaviors. This editorial webinar will explore the relationships between engagement and improved health outcomes, greater patient satisfaction and better resource utilization. Our panel of experts will share proven strategies for building patients' confidence, disseminating self-management tools and making the best use of your care team.
Creating value through patient support programsSKIM
How do we become more patient-centered as an organization? How do we ensure the patient/caregiver experience is as optimal as possible?
These are the questions that are being poised to healthcare market researchers in today’s healthcare landscape. And typically healthcare market researchers are turning to methods like “patient journeys” and “patient personas” to help bring that patient-centered understanding to the organization. Problem is … in order to be truly patient-centered, you need to take this charge on from the inside out.
Experience, Design and Innovation departments are springing up in all kinds of healthcare organizations intent on facilitating the organizational shift towards patient-centricity. And, unfortunately, market researchers are intentionally not being invited to the table. If history repeats itself, that will soon change though. These Experience, Design and Innovation departments will need the rigor and breadth of method knowledge that market researchers have in order to succeed in the strategic agendas of their work.
This presentation will give market researcher pointers on which skills, methods and mindsets they’ll likely need to adopt if they are hoping to be perceived as a valued contributor to an Experience, Design or Innovation team. In essence, give attendees a blueprint for how to open up a whole new professional opportunity for themselves, with a simple reframe on whom they are and what they do.
113DNP Prospectus Comment by Cynthia Fletcher Th.docxherminaprocter
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DNP Prospectus Comment by Cynthia Fletcher: This is a good beginning Ann Marie. There are many areas that we will discuss at our meeting to improve clarity and congruence with a DNP Project.
Educating Inpatient Nurses to use Standardized Care Plans
Anne Marie Wouapet
Doctor of Nursing Practice – Nursing Informatics
A00505587
Prospectus: Educating Inpatient Nurses to use Standardized Care Plans
Problem Statement
Standardized care plans can be described as the pre-determined menu of interventions which are used for different patient situations (Monsen, Swenson & Kerr, 2016). Evidence-based care is the conscientious use of the most recent evidence to make decisions on the care of individual patients or in the delivery of health care services (Murdaugh, Parsons & Pender, 2018). The current best evidence is the most recent information which has been obtained from valid and relevant research about the effects of different types of healthcare, the accuracy of diagnostic tests, the potential for harm from exposure to different agents, or predictive power of prognostic factor (Schmidt & Brown, 2017). Standardized care plans form the main basis for the implementation of evidence-based care directly in practice and for the improvement of patient outcomes (Nussbaum et al., 2015; Yehuda & Hoge, 2016). A health care facility recently transitioned to the use of a new and better electronic health record system. The facility also purchased standardized care plans to increase efficiency in their operations. However, the compliance with using the standardized care plans was only 40 percent among the inpatient nurses. Comment by Cynthia Fletcher: ?Comment by Cynthia Fletcher: Questionable purpose.Comment by Cynthia Fletcher: Was it different for those who were not inpatient nurses?
Accordingly, the facility recently had a visit from the Joint Commission on Accreditation of Healthcare Organizations and received a negative rating because the nurses were not adding care plans based on the patients' primary problem or diagnosis in the patients' charts upon admission. This presents several specific problems in the healthcare facility. There is poor compliance from the nurses concerning the addition of standardized care plans to the charts of patients based on their diagnosis or primary problem(s). The system which the facility invested in was not being used for the improvement of patient outcomes and quality of care delivered. The focus of this project is the failure of inpatient nurses to make use of standardized care plans. The gap in nursing is the failure of delivery of evidence-based practice using the standardized care plans which result in poor patient outcomes and quality of life. One of the areas of knowledge that has not yet been explored is the cause of low rates of adoption of standardized care plans by nurses. Another gap is the lack of studies on nurses’ perception of the standardized care plans and how they affect their use in .
The emerging healthcare environment requires expanded patient access while delivering optimal outcomes and cost. As healthcare moves form a fee for service model to alternative delivery and payment models, there are opportunities for physical therapy to revolutionize the delivery of musculoskeletal medicine. Physical therapists are uniquely qualified to spearhead musculoskeletal care through direct access with the potential to improve patient satisfaction and outcomes while limiting unneeded medical care. While this model has been described in the military, there are few descriptions of this PT First approach in the private payer arena. This session will provide the attendee with a multifaceted perspective on the impact of physical therapy in emerging, collaborative healthcare models. Approaches to payers and employers with the business implications will be presented that influence these new models. Key strategies to implement a scalable, best practice model will be discussed including the logistical challenges and corollary solutions in the private arena. We will discus our experience implementing novel delivery models for management of neck, back, shoulder and knee pain. The session will deliver practical solutions to the challenges of implementing, assessing, and adapting a theoretical construct to a working viable program. Finally, the session will discuss how the use of a a large Patient Outcomes Registry and analysis of “big data” can drive best practice and inform development of the program.
EVIDENCE-BASED PRACTICE IN NURSING.docxHaraLakambini
-Evidence-based Practice in Nursing
-Steps of Evidence-Based Practice
-Hierarchy of Evidence | Quantitative Questions
-Elements of Evidence-Based Practice
-Nursing Research
-Types of Research
-Rights of Human Subject
-Comparison of Nursing Process with Research Process Table
-Performance Improvement in Nursing
-Examples of Performance Improvement Models
-Relationship between Evidence-Based Practice, Research, and Performance Improvement
-Similarities and Differences among Evidence-Based Practice, Research, and Performance Improvement
Write a 3 page evidence-based health care delivery plan for one .docxowenhall46084
Write a 3 page evidence-based health care delivery plan for one component of a heart failure clinic.
Nursing within an organization is a critical component of health care delivery and is an essential ingredient in patient outcomes (Kelly & Tazbir, 2014). The concern for quality care that flows from evidence-based practice generates a desired outcome. Without these factors, a nurse cannot be an effective leader. It is important to lead not only from this position but from knowledge and expertise.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 2: Explain the accountability of the nurse leader for decisions that affect health care delivery and patient outcomes.
Describe accountability tools and procedures used to measure effectiveness.
Competency 3: Apply management strategies and best practices for health care finance, human resources, and materials allocation decisions to improve health care delivery and patient outcomes.
Develop an evidence-based plan for health care delivery.
Competency 4: Apply professional standards of moral, ethical, and legal conduct in professional practice.
Apply professional and legal standards in support of a care plan.
Competency 5: Communicate in manner that is consistent with the expectations of a nursing professional.
Write content clearly and logically, with correct use of grammar, punctuation, mechanics, and current APA style.
In an effort to improve the patients' health literacy concerning heart failure, it is important that the clinic staff and the hospital staff present a consistent, evidence-based message on self-care to these patients and their families in order to decrease acute exacerbation and re-admissions. Review current evidence for clinical practice guides or protocols when developing your patient teaching plans and materials. Consider the following:
What does the patient know about the disease process as a baseline?
What does the patient need to do understand as far as the best self-care processes?
Can the patient identify proper medication compliance?
Is there a financial issue that affects compliance?
Who buys and prepares the food in the home?
Can the patient verbalize when to seek medical assistance?
Instructions
Deliverable:
Develop an evidence-based plan for health care delivery.
Scenario:
The hospital where you work has an issue with increased readmissions within 30 days of discharge. After examining the core measures, it was found that heart failure was the most common core measure disease process experiencing the highest rate of readmissions. The leadership team has given your team the charge of developing a nurse-run outpatient heart failure clinic. The purpose of this clinic is to ensure that discharge education is presented to the patient in an orderly, consistent manner and complies with evidence-based practice protocol.
Presentation given at Service Science Factory, Cafe october 2013. The presentation mainly deals with data/information from a user experience point of view in the healthcare settings. And suggests patient centric services based on key meta trends in the sector.
Behavioral Health Staff in Integrated Care SettingsCHC Connecticut
Webinar broadcast on Feb 27, 2019 - 3:00PM EST
Delivering behavioral health services as a part of an integrated team is crucial to providing comprehensive primary care services. Focusing on the vital role of behavioral health, experts will share the key elements that maximize the contributions of these team members through structured approaches to screening, the use of “warm hand offs” to ensure connection to primary care, and implementing a robust group of treatment programs to enhance access and improve outcomes. This session will also discuss the day-to-day operation of a behavioral health program and detail the data and clinical dashboard that supports the work of these vital team members. There has been tremendous progress from health centers across the country in the integrating behavioral health, this webinar will share how integrated behavioral health can advance the team’s capability to provide effective and high quality care to complex patient populations.
Similar to Presentation on Teamwork for Avoiding Potentially Avoidable Readmissions (20)
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Presentation on Teamwork for Avoiding Potentially Avoidable Readmissions
1.
2. KEY QUESTIONS
What are the barriers to seamless care transitions for your
patients?
In a perfect world what intervention, if implemented, would be
most effective for your patients?
What intervention can you realistically implement?
What can you contribute to the work of this coalition in
decreasing avoidable readmissions in our community?
3. Fragmentation of data
Inappropriate end of life care
Medication issues
At-risk patients not properly identified at discharge
Lack of post-discharge follow-up
Lack of disease-specific protocols
Lack of Patient Self Management
Lack of community awareness
DRIVERS OF RE-HOSPITALIZATION
4. IMPLEMENTATION: GETTING TO WORK
Invite a patient(s) / family(ies) to participate
Design metrics and evaluation strategy
Engage in staff education/outreach
Develop protocols, policies, forms, tools, etc., from intervention
model
Redesign care processes as needs identified
5. INTERVENTION SELECTION- ROOT CAUSE
ANALYSIS (RCA)
Identify patient population with highest percentage of
readmission
Identify Drivers of Readmission in this patient population
Identify potential interventions to address the identified drivers of
readmission
Evaluate Evidence-Based Intervention Models to determine the
best fit for your unique drivers
6. 1. Better Outcomes for Older Adults through Safe Transitions (BOOST) – Society
of Hospital Medicine
2. STate Action on Avoidable Re-hospitalizations (STAAR) – Institute for
Healthcare Improvement (MI, WA, MA, OH)
3. Re-Engineered Discharge (Project RED) – Boston University
4. Geriatric Resources for Assessment and Care of Elders (GRACE Team Care
Model) – Indiana University (Steven Counsell MD Medical Home Model)
INTERVENTION MODELS
7. 5. Transitional Care Model – Mary Naylor (Home Health patient coaching)
6. Best Practices Intervention Package for Transitional Care Coordination
(Home Health QI Initiative)
7. Interventions to Reduce Acute Care Transfers (INTERACT) – Florida Atlantic
University (Nursing Facility)
8. Care Transitions Intervention (CTI) – Dr. Eric Coleman (Physician Office)
INTERVENTION MODELS
8. SELECTING INTERVENTIONS
What are your primary drivers of readmission?
What driver(s) does this intervention address?
What is your goal for the intervention?
How does the selected intervention improve the quality and safety
of patient care, transitions of care, and post-acute-care follow-up?
9. Driver
1. Fragmented Documentation
2. Inappropriate End-of-Life Care
3. Medication Errors
4. High-Risk Patients Poorly
Identified
5. Lack of Post-Discharge
Follow up
6. Lack of Disease-Specific Protocols
7. Poor Patient Self-Management
8. Lack of Community Awareness
Intervention
1. Standardized Transfer Forms
2. Discharge Risk Assessment Tool
3. Personal Health Record
4. Discharge Risk Assessment Tool
5. Coaching, Follow-up Scheduling
6. Protocol Improvement Project
7. Personal Health Record,
Coaching
8. Community outreach campaign
DESIGNING INTERVENTIONS TO ADDRESS DRIVERS
10. MONITORING THE WORK
Intervention Phase
Monitor interventions
Measure progress
Reassess and evaluate processes
Keep stakeholders informed
11. Think about where you will get data
Financial operations
Patient profiles/medical record/Information Services
Process information
Patient satisfaction
Patient interviews
Staff interviews
CALIBRATING TOO MUCH DATA WITH TOO LITTLE TIME
12. Think about where you will get data:
Length of Stay
Readmission rates
Payer mix
Cost-per-case and admission
Occupancy rate
Readmission by diagnosis
Denial rates for discharge readiness
Patient Satisfaction Surveys (H-CAHPS)
FINANCIAL OPERATIONS
13. Think about knowing when and from where patients
are readmitted
Medical record
Admission source
Patient interview
Discharge disposition
Discharge risk assessments
PATIENT PROFILES
14. Think about processes that impact and are impacted by readmission
Holding in ER, ICU, recovery
Denied days for delay in discharge
ER diversion rates
Discharge planning process
Bed turnover measures
Patient education
Referrals
PROCESS INFORMATION
16. Think about how staff can give you their perspective on
processes that impact their work and readmissions
Discharge process
Discharge risk factors
Patient education
Tools
Opportunities
Solutions
STAFF INTERVIEWS
17. Think about questions you can ask the patient that
will help you understand readmission
Reason for readmission
Discharge process
Discharge risk factors
Patient efficacy – response to education
Solutions
PATIENT INTERVIEWS
18. Index Admission: The initial inpatient admission within a given 30-day period.
Readmission: A patient readmitted to an inpatient bed within 30 days of
discharge from the previous inpatient hospitalization (index admission).
Outcome: An expected change that results from an intervention, reflecting an
effect on root cause.
Improvement: Meeting a benchmark set at intervention implementation or
achievement of statistical significance over a defined time period.
DEFINITIONS
19. SURVEYING THE WORK
Surveillance Phase
Analyze data
Adjust interventions
Report data to stakeholders
Monitor – Improve – Report activities
20. ”…the secret of the care of the patient is in caring
for the patient.”
Francis W. Peabody, MD (1881-1927)
REMEMBER
21. Definition: Patient Experience
The sum of all interactions, shaped by an
organization’s culture, that impact patient
perceptions across the continuum of care
TEAMWORK IN VALUE-BASED CARE
22. Patients are starting to discover that
their healthcare is not nearly as good as
it should be.
TEAMWORK IN VALUE-BASED CARE
23. Patients are starting to discover that their
healthcare is not nearly as good as it should
be.
Value-based care is the right thing to do,
and it’s not that hard.
TEAMWORK IN VALUE-BASED CARE
24. • Patients are starting to discover that their healthcare is not
nearly as good as it should be.
• Value-based care is the right thing to do, and it’s not that
hard.
• Value-based care will make any healthcare provider stand
out from the crowd.
TEAMWORK IN VALUE-BASED CARE CARE
25. 1. Providers and patients know each others’ names.
2. Patients’ opinions are actively sought, listened to and
honored where possible (a suggestion box, patient
satisfaction survey or mission statement doesn’t
constitute being value-based — if you think they are then
you aren’t value-based).
3. Patients tell you that their doctors and other team
members really listened to what they had to say (again, if
you think satisfaction surveys qualify, you aren’t there yet).
TEAMWORK IN VALUE-BASED CARE
26. 1. Patients are treated as the most important
member of the healthcare team and taught how
they can best contribute to the team’s success.
2. Providers feel that their patients are actively
involved in their own care.
3. You see a significant improvement in patient
health status, health literacy / adherence/ self-
management, engagement, level of utilization
and patient/provider experience.
TEAMWORK IN VALUE-BASED CARE
27. CALL TO ACTION
Reduction in preventable readmissions cannot be
accomplished by individuals or providers working in
isolation.
Determine which post-acute care providers readmit
patients to your facility most often and why.
28. For a free copy of this deck with
notes please contact:
CJ Fulton
618-579-9192
healthideation@gmail.com