Improvement Story session at the 2013 Saskatchewan Health Care Quality Summit. For more information about the summit, visit www.qualitysummit.ca. Follow @QualitySummit on Twitter.
Better Care for clients and families experiencing or at risk for stroke or transient ischemic attacks (TIA's) using telehealth and multidisciplinary and inter-regional resources was realized in Sunrise Health Region over the course of a two year pilot.
Better Care
Jacquie Holzmann, Sunrise Health Region, Shannon Schmidt, Sunrise Health Region
Oct 25 CAPHC Concurrent Symposium - Sleep Disorders - Dr. Penny Corkum and ...Glenna Gosewich
CAPHC Concurrent Symposium
Sleep Disorders in Canadian Children: What Can We Do to Ensure Better Nights and Better Days for Children and their Families?
Mr Grant Brand: Lessons Learned in the First Nine Years of the Glasgow ARBD TeamAlcoholForum.org
The document summarizes lessons learned from the first nine years of the Glasgow Alcohol Related Brain Damage (ARBD) Team. It discusses how the team was set up, missed opportunities at the beginning, and what they have learned over time. Key points include broadening the referral criteria, conducting thorough multidisciplinary assessments, using legislation to help with harm reduction, providing rehabilitation services, and training other services on ARBD. It emphasizes the need for a public health approach, clear strategy, and person-centered flexible services for those with ARBD.
Evidence shows us that specialised mood disorder clinics deliver cost savings, better clinical outcomes and improved patient satisfaction. Presented to the Trent Division of the Royal College of Psychiatrists, November 2013, Sheffield.
1) Mrs. C, an 86-year-old woman with diabetes and other medical issues, presented with declining mobility and confusion to her primary care physician and out-of-hours doctor before being found fallen at home.
2) At an ambulatory care unit, her creatinine was found to be over 3 times her usual level, indicating stage 3 acute kidney injury (AKI). She was admitted to hospital where her renal function and mobility improved with treatment.
3) The presentation discusses AKI in vulnerable elderly populations in primary care and interface settings, calling for improved diagnostics, identification of at-risk groups, and guidance on suspecting and managing AKI outside of hospitals.
Improving mental health through patient and professional partnershipAmarShahELFT
Slides from the session at the International Forum on Quality and Safety in Healthcare 2016 (Gothenburg) - Improving mental health through patient and professional partnerships
The Patient's Power in Improving Health and CareHealth Catalyst
View a recording of this webinar here: https://www.healthcatalyst.com/webinar/the-patients-power-in-improving-health-and-care/
Around the globe, we are facing a trifecta of healthcare challenges: financial constraints, an aging population, and an increased burden of chronic disease. We need to turn healthcare upside down, empowering our patients to take action for their health and helping physicians, nurses, and healthcare professionals move from being sages to guides.
Patients, even those with chronic diseases, only spend a few hours each year with a doctor or a nurse, while they spend thousands of hours making personal choices around eating, exercise, and other activities that impact their health. How can we get patients to be more engaged in their care, and help physicians, nurses, and healthcare providers transition from a paradigm of “what’s the matter” to “what matters to you”?
Through her work at the Institute for Healthcare Improvement (IHI), Maureen Bisognano has worked diligently to support the IHI Triple Aim: improving the experience of patient care, improving the health of populations, and lowering costs. In this webinar she will present stories of patients and healthcare organizations that are partnering together with tools, processes, data, and systems of accountability to move from dis-ease to health-ease.
In this webinar you will learn:
- Lessons from the “flipped school” in the education system and how they can be successfully applied in healthcare to improve patient behavior.
- How increased patient engagement can help to improve healthcare outcomes and deliver a better care experience while reducing costs.
- Ways that technology can effectively improve data capture, patient accountability, and decision-making.
- The impactful stories of four patients who became innovators in their own care.
improve data capture, patient accountability, and decision-making.
Improvement Story session at the 2013 Saskatchewan Health Care Quality Summit. For more information about the summit, visit www.qualitysummit.ca. Follow @QualitySummit on Twitter.
Better Care for clients and families experiencing or at risk for stroke or transient ischemic attacks (TIA's) using telehealth and multidisciplinary and inter-regional resources was realized in Sunrise Health Region over the course of a two year pilot.
Better Care
Jacquie Holzmann, Sunrise Health Region, Shannon Schmidt, Sunrise Health Region
Oct 25 CAPHC Concurrent Symposium - Sleep Disorders - Dr. Penny Corkum and ...Glenna Gosewich
CAPHC Concurrent Symposium
Sleep Disorders in Canadian Children: What Can We Do to Ensure Better Nights and Better Days for Children and their Families?
Mr Grant Brand: Lessons Learned in the First Nine Years of the Glasgow ARBD TeamAlcoholForum.org
The document summarizes lessons learned from the first nine years of the Glasgow Alcohol Related Brain Damage (ARBD) Team. It discusses how the team was set up, missed opportunities at the beginning, and what they have learned over time. Key points include broadening the referral criteria, conducting thorough multidisciplinary assessments, using legislation to help with harm reduction, providing rehabilitation services, and training other services on ARBD. It emphasizes the need for a public health approach, clear strategy, and person-centered flexible services for those with ARBD.
Evidence shows us that specialised mood disorder clinics deliver cost savings, better clinical outcomes and improved patient satisfaction. Presented to the Trent Division of the Royal College of Psychiatrists, November 2013, Sheffield.
1) Mrs. C, an 86-year-old woman with diabetes and other medical issues, presented with declining mobility and confusion to her primary care physician and out-of-hours doctor before being found fallen at home.
2) At an ambulatory care unit, her creatinine was found to be over 3 times her usual level, indicating stage 3 acute kidney injury (AKI). She was admitted to hospital where her renal function and mobility improved with treatment.
3) The presentation discusses AKI in vulnerable elderly populations in primary care and interface settings, calling for improved diagnostics, identification of at-risk groups, and guidance on suspecting and managing AKI outside of hospitals.
Improving mental health through patient and professional partnershipAmarShahELFT
Slides from the session at the International Forum on Quality and Safety in Healthcare 2016 (Gothenburg) - Improving mental health through patient and professional partnerships
The Patient's Power in Improving Health and CareHealth Catalyst
View a recording of this webinar here: https://www.healthcatalyst.com/webinar/the-patients-power-in-improving-health-and-care/
Around the globe, we are facing a trifecta of healthcare challenges: financial constraints, an aging population, and an increased burden of chronic disease. We need to turn healthcare upside down, empowering our patients to take action for their health and helping physicians, nurses, and healthcare professionals move from being sages to guides.
Patients, even those with chronic diseases, only spend a few hours each year with a doctor or a nurse, while they spend thousands of hours making personal choices around eating, exercise, and other activities that impact their health. How can we get patients to be more engaged in their care, and help physicians, nurses, and healthcare providers transition from a paradigm of “what’s the matter” to “what matters to you”?
Through her work at the Institute for Healthcare Improvement (IHI), Maureen Bisognano has worked diligently to support the IHI Triple Aim: improving the experience of patient care, improving the health of populations, and lowering costs. In this webinar she will present stories of patients and healthcare organizations that are partnering together with tools, processes, data, and systems of accountability to move from dis-ease to health-ease.
In this webinar you will learn:
- Lessons from the “flipped school” in the education system and how they can be successfully applied in healthcare to improve patient behavior.
- How increased patient engagement can help to improve healthcare outcomes and deliver a better care experience while reducing costs.
- Ways that technology can effectively improve data capture, patient accountability, and decision-making.
- The impactful stories of four patients who became innovators in their own care.
improve data capture, patient accountability, and decision-making.
Improving Discharge Care for Children with Special Health Care Needs through...LucilePackardFoundation
Being discharged from the hospital is a vulnerable time for families and caregivers of children with special health care needs (CSHCN). Appropriate resources and support are essential for care at home and can prevent complications or readmission. The California-based Nurse-led Discharge Learning (CANDLE) Collaborative brings together interdisciplinary clinicians to improve discharge care delivery for CSHCN. Learn about two new discharge practices: closed-loop medication reconciliation and tailored medication teaching, and multidisciplinary discharge rounds with early discharge notification. Speakers share how these innovative practices can be integrated into existing clinical workflows.
This evaluation report summarizes the Community Action on Alcohol Pilot Project, which provided training to five community task forces on alcohol-related harm and mobilizing communities. The training aimed to increase knowledge of alcohol harms, develop community action plans, and promote evidence-based approaches. The evaluation found that the high-quality training increased knowledge and supported action planning. However, limited resources, lack of stakeholder engagement in some areas, and the need for ongoing support pose challenges to sustainability. The report recommends investing in community coalitions, tailoring training delivery to groups, and maintaining long-term support.
IRCM’s Centre on Rare and Genetic Diseases in Adults
Sophie Bernard, M.D., PhD.
Head of the Rare Disease Clinic, IRCM Director, Genetic Dyslipidemias Clinic, IRCM Assistant Professor, Department of Medicine, Montreal University
Rare Disease Day Conference 2020 March 9-10
Improving the prevention, recognition and management of AKI: the ‘Think Kidne...Renal Association
The "Think Kidneys" initiative aims to reduce preventable harm from acute kidney injury (AKI) through various workstreams including risk identification, education, detection, measurement, intervention, and implementation. The program will develop tools and interventions to better prevent, detect, treat, and manage AKI. It will also work to ensure patients who develop AKI receive appropriate care to avoid further deterioration, long-term issues, and death. A key goal is having various guidelines and educational resources adopted across healthcare settings to standardize AKI care.
http://westwood.belmontvillage.com/events/event_details/ucla-lecture-alzheimers-and-dementia-care/
UCLA Lecture: Alzheimer’s and Dementia Care
Tuesday, March 24, 2015 | 2:00 – 3:00 p.m.
Belmont Village Senior Living
10475 Wilshire Blvd., Los Angeles, CA 90024
Michelle Panlilio, GNP
Dementia Care Manager
Please join us for an informative presentation by Alzheimer’s and Dementia expert Michelle Panlilio. Ms. Panlilio will discuss the UCLA Alzheimer’s and Dementia Care program and how it addresses the complex medical, behavioral, and social needs of those affected by memory loss and cognitive impairment. The following topics will be discussed:
• Program background and benefits
• Key findings to date
• Challenges and solutions
• The future of dementia care
Beverages will be served.
RSVP to the Concierge on or before Friday, March 20 at 310.475.7501.
3.4 - Workforce and developing multi-disciplinary teams in primary careNHS England
The importance of the workforce needs in Beds, Luton and Milton Keynes, what does it mean to the people on the ground and how are they going to be affected. How will it improve their working lives?
This document summarizes the mission and services of the Autism Community Network (ACN) clinic in San Antonio, Texas. The ACN aims to maximize support for children with autism through early diagnosis, family education, and connecting families to service providers. Key services include diagnostic assessments for young children, training workshops for families and professionals, and serving as an information hub to link families with autism resources.
Objective
Introduce principles and review strategies for supporting healthcare professionals impacted by adverse patient safety events. By the end of the session the participant will be able to:
1.Relate to the impact of a patient safety adverse event on the provider, based on a personal story provided by a healthcare professional.
2.Describe the potential impact of traumatic experiences on the health and well-being of healthcare professionals.
3.Identify key elements of an effective program for supporting caregiver coping with adverse patient safety events.
4.Explain how a just culture promotes peer to peer support of the second victim.
WATCH: http://bit.ly/1HxceIf
Objectives:
1.To review the need for increased efforts to implement research evidence into bedside practice.
2.To review the need for measurement to identify gaps between best practice and actual practice.
3.To demonstrate why there is a need for increased knowledge translation efforts in critical care and how aCKTION Net proposes to fill this need.
Click the link to view the video http://bit.ly/YpJWTC
The NHS Five Year Plan-John stradling presentationmckenln
Sleep apnoea services are overwhelmed by the large number of patients requiring treatment and follow-up. New solutions are needed to manage the growing caseload. Centralized call centers using telemonitoring of CPAP machines and home sleep studies with wireless data transmission could help by allowing remote patient support and diagnosis, reducing the burden on clinic resources. These approaches aim to improve access to care for the many people affected by undiagnosed sleep apnoea.
Leadership at the Bedside – Making the Change that Needs to HappenBCCPA
The document discusses leadership at the bedside and the need for change in nursing care delivery models. It notes that current models emphasize teamwork and collaboration more than previous models. The presentation defines key terms related to nursing care delivery and leadership. It discusses progressive patient care models and the roles of licensed practical nurses and health care assistants in leading teams. It argues that LPNs and HCAs are well-educated and able to provide critical thinking and leadership at the bedside.
Implementing Post-Graduate Nurse Practitioner and Clinical Psychology Residen...CHC Connecticut
In this final webinar of the Training the Next Generation series, we featured successful postgraduate nurse practitioner and psychology residency programs from around the country. Each presenter shared their unique experiences, successes, and failures of implementing these programs at their health centers.
Dr Scott Payne & Dr Mark Owens: ARBD in the Northern Irish Context AlcoholForum.org
The document summarizes research conducted on alcohol-related brain damage (ARBD) in the Western Health and Social Care Trust area of Northern Ireland. It established a prevalence rate of 9 per 10,000 people and identified 278 individuals with ARBD through data collection from health and social care agencies. Care pathways were informed by the research findings to help improve services for individuals with ARBD.
Seven Day Services - Top tips to engage your stakeholders in the delivery of ...NHS England
This presentation describes the strategic plan and journey of how Universal Hospital Southampton NHS Foundation Trust have developed and implemented out of hours and seven day services, using innovative workforce models and supporting culture change. This has led to improvements in patient outcomes, patient and staff experience and more effective patient pathways.
Transforming End of Life Care in Acute Hospitals PM Workshop 3: Vital Signs ‘...NHS Improving Quality
Transforming End of Life Care in Acute Hospitals PM Workshop 3: Vital Signs ‘Making Measurement Better’ How well things are going and how to make it better’ presented by Sean Manning, NHS England
Person Centered Care through Integrating a Palliative Approach: Lessons from ...BCCPA
Aging adults are entering residential care facilities with more advanced disease than in the past and their length of stay is shorter. Most health care providers in these facilities do not receive targeted education and training in palliative care, nor are they confident to have crucial conversations about goals of care and end of life challenges with residents and their families. Due to limited capacity to manage predictable symptoms related to end of life and insufficient planning, many residents are transferred to hospital in crisis and die in the Emergency Department or acute care wards.
This presentation will showcase some of the initiatives by identifying common themes, unique features of each and strategies for success. Opportunity will be given for delegates to ask questions and brainstorm how lessons learned from these initiatives could inform the care provided at their own facility.
Presented by:
- Jane Webley, RN LLB Regional lead, End of Life, Vancouver Coastal Health (EPAIRS and the Daisy project)
- Dr Christine Jones, Island Health (SSC project: Improving end of life outcomes in residential care facilities: A palliative approach to care)
- Kathleen Yue, RN, BSN, MN, CHPCN (c) Education Coordinator, BC Center for Palliative Care
5C Kolstrup Integrated stepped care in psychiatry EHiN 2014IKT-Norge
Nils Kolstrup
Senior researcher, Norwegian Centre for Integrated Care and Telemedicine (NST)
A plan for integrated stepped care in psychiatry in Northern Norway
EHiN 2014, IKT-Norge og HOD
Tele-mentoring on Integrated Mental Health and Addiction for DMHP counsellors...Prabhat Chand MD
This document summarizes a feasibility study of a tele-mentoring program on integrated mental health and addiction for counselors in Chhattisgarh, India. The program utilized Project ECHO's tele-mentoring model to provide virtual training and case discussions between counselors in 11 districts and experts at NIMHANS. Over 6 months: 1) 12 counselors from 11 districts participated in the weekly tele-mentoring clinics, with 10 presenting patient cases. 2) Counselors co-managed 17 total patient cases with NIMHANS experts. 3) The program was found to be a feasible, sustainable, and replicable way to increase counseling capacity and reduce disparities in addiction and mental health treatment in remote areas through
Two nursing students conducted a mental health workshop for clients at St. Michael's Mission, which serves homeless and disadvantaged individuals, many with mental health issues. The workshop aimed to destigmatize mental health and encourage discussion of stress management and coping strategies while increasing awareness of resources. Thirteen clients attended the workshop, which included activities like stress identification and a discussion of coping strategies. An evaluation found that most clients found the workshop interesting and useful and would recall coping strategies and take an informational pamphlet. The students concluded the workshop was successful at starting a discussion around mental health and hope to make the resources sustainable for future clients and students.
This document discusses the development of an innovative program to address the complex needs of older adults. It outlines the need for such a program due to fragmented care leading to poor outcomes and high costs. The program aims to provide coordinated, longitudinal care management for complex patients through an interdisciplinary team approach and connection to health and community resources. It describes the community needs assessment conducted and evidence-based models investigated in designing the program. Implementation details are discussed, including identification of the target population, scope, governance structure, metrics to evaluate financial and clinical outcomes, and challenges in launching the new model of care. Keys to success include clear outcome measures, measuring value across the whole region, change management, and developing a culture of person-centered care.
This document provides an overview of issues facing children with special health care needs (CSHCN) in California. It discusses key focus areas like care coordination and family engagement. It notes that California ranks poorly nationally in areas like preventative care, care coordination, and family-centered care for CSHCN. The document also discusses the medical and social complexity of CSHCN, the importance of care coordination systems, and the need to better support families providing care.
Improving Discharge Care for Children with Special Health Care Needs through...LucilePackardFoundation
Being discharged from the hospital is a vulnerable time for families and caregivers of children with special health care needs (CSHCN). Appropriate resources and support are essential for care at home and can prevent complications or readmission. The California-based Nurse-led Discharge Learning (CANDLE) Collaborative brings together interdisciplinary clinicians to improve discharge care delivery for CSHCN. Learn about two new discharge practices: closed-loop medication reconciliation and tailored medication teaching, and multidisciplinary discharge rounds with early discharge notification. Speakers share how these innovative practices can be integrated into existing clinical workflows.
This evaluation report summarizes the Community Action on Alcohol Pilot Project, which provided training to five community task forces on alcohol-related harm and mobilizing communities. The training aimed to increase knowledge of alcohol harms, develop community action plans, and promote evidence-based approaches. The evaluation found that the high-quality training increased knowledge and supported action planning. However, limited resources, lack of stakeholder engagement in some areas, and the need for ongoing support pose challenges to sustainability. The report recommends investing in community coalitions, tailoring training delivery to groups, and maintaining long-term support.
IRCM’s Centre on Rare and Genetic Diseases in Adults
Sophie Bernard, M.D., PhD.
Head of the Rare Disease Clinic, IRCM Director, Genetic Dyslipidemias Clinic, IRCM Assistant Professor, Department of Medicine, Montreal University
Rare Disease Day Conference 2020 March 9-10
Improving the prevention, recognition and management of AKI: the ‘Think Kidne...Renal Association
The "Think Kidneys" initiative aims to reduce preventable harm from acute kidney injury (AKI) through various workstreams including risk identification, education, detection, measurement, intervention, and implementation. The program will develop tools and interventions to better prevent, detect, treat, and manage AKI. It will also work to ensure patients who develop AKI receive appropriate care to avoid further deterioration, long-term issues, and death. A key goal is having various guidelines and educational resources adopted across healthcare settings to standardize AKI care.
http://westwood.belmontvillage.com/events/event_details/ucla-lecture-alzheimers-and-dementia-care/
UCLA Lecture: Alzheimer’s and Dementia Care
Tuesday, March 24, 2015 | 2:00 – 3:00 p.m.
Belmont Village Senior Living
10475 Wilshire Blvd., Los Angeles, CA 90024
Michelle Panlilio, GNP
Dementia Care Manager
Please join us for an informative presentation by Alzheimer’s and Dementia expert Michelle Panlilio. Ms. Panlilio will discuss the UCLA Alzheimer’s and Dementia Care program and how it addresses the complex medical, behavioral, and social needs of those affected by memory loss and cognitive impairment. The following topics will be discussed:
• Program background and benefits
• Key findings to date
• Challenges and solutions
• The future of dementia care
Beverages will be served.
RSVP to the Concierge on or before Friday, March 20 at 310.475.7501.
3.4 - Workforce and developing multi-disciplinary teams in primary careNHS England
The importance of the workforce needs in Beds, Luton and Milton Keynes, what does it mean to the people on the ground and how are they going to be affected. How will it improve their working lives?
This document summarizes the mission and services of the Autism Community Network (ACN) clinic in San Antonio, Texas. The ACN aims to maximize support for children with autism through early diagnosis, family education, and connecting families to service providers. Key services include diagnostic assessments for young children, training workshops for families and professionals, and serving as an information hub to link families with autism resources.
Objective
Introduce principles and review strategies for supporting healthcare professionals impacted by adverse patient safety events. By the end of the session the participant will be able to:
1.Relate to the impact of a patient safety adverse event on the provider, based on a personal story provided by a healthcare professional.
2.Describe the potential impact of traumatic experiences on the health and well-being of healthcare professionals.
3.Identify key elements of an effective program for supporting caregiver coping with adverse patient safety events.
4.Explain how a just culture promotes peer to peer support of the second victim.
WATCH: http://bit.ly/1HxceIf
Objectives:
1.To review the need for increased efforts to implement research evidence into bedside practice.
2.To review the need for measurement to identify gaps between best practice and actual practice.
3.To demonstrate why there is a need for increased knowledge translation efforts in critical care and how aCKTION Net proposes to fill this need.
Click the link to view the video http://bit.ly/YpJWTC
The NHS Five Year Plan-John stradling presentationmckenln
Sleep apnoea services are overwhelmed by the large number of patients requiring treatment and follow-up. New solutions are needed to manage the growing caseload. Centralized call centers using telemonitoring of CPAP machines and home sleep studies with wireless data transmission could help by allowing remote patient support and diagnosis, reducing the burden on clinic resources. These approaches aim to improve access to care for the many people affected by undiagnosed sleep apnoea.
Leadership at the Bedside – Making the Change that Needs to HappenBCCPA
The document discusses leadership at the bedside and the need for change in nursing care delivery models. It notes that current models emphasize teamwork and collaboration more than previous models. The presentation defines key terms related to nursing care delivery and leadership. It discusses progressive patient care models and the roles of licensed practical nurses and health care assistants in leading teams. It argues that LPNs and HCAs are well-educated and able to provide critical thinking and leadership at the bedside.
Implementing Post-Graduate Nurse Practitioner and Clinical Psychology Residen...CHC Connecticut
In this final webinar of the Training the Next Generation series, we featured successful postgraduate nurse practitioner and psychology residency programs from around the country. Each presenter shared their unique experiences, successes, and failures of implementing these programs at their health centers.
Dr Scott Payne & Dr Mark Owens: ARBD in the Northern Irish Context AlcoholForum.org
The document summarizes research conducted on alcohol-related brain damage (ARBD) in the Western Health and Social Care Trust area of Northern Ireland. It established a prevalence rate of 9 per 10,000 people and identified 278 individuals with ARBD through data collection from health and social care agencies. Care pathways were informed by the research findings to help improve services for individuals with ARBD.
Seven Day Services - Top tips to engage your stakeholders in the delivery of ...NHS England
This presentation describes the strategic plan and journey of how Universal Hospital Southampton NHS Foundation Trust have developed and implemented out of hours and seven day services, using innovative workforce models and supporting culture change. This has led to improvements in patient outcomes, patient and staff experience and more effective patient pathways.
Transforming End of Life Care in Acute Hospitals PM Workshop 3: Vital Signs ‘...NHS Improving Quality
Transforming End of Life Care in Acute Hospitals PM Workshop 3: Vital Signs ‘Making Measurement Better’ How well things are going and how to make it better’ presented by Sean Manning, NHS England
Person Centered Care through Integrating a Palliative Approach: Lessons from ...BCCPA
Aging adults are entering residential care facilities with more advanced disease than in the past and their length of stay is shorter. Most health care providers in these facilities do not receive targeted education and training in palliative care, nor are they confident to have crucial conversations about goals of care and end of life challenges with residents and their families. Due to limited capacity to manage predictable symptoms related to end of life and insufficient planning, many residents are transferred to hospital in crisis and die in the Emergency Department or acute care wards.
This presentation will showcase some of the initiatives by identifying common themes, unique features of each and strategies for success. Opportunity will be given for delegates to ask questions and brainstorm how lessons learned from these initiatives could inform the care provided at their own facility.
Presented by:
- Jane Webley, RN LLB Regional lead, End of Life, Vancouver Coastal Health (EPAIRS and the Daisy project)
- Dr Christine Jones, Island Health (SSC project: Improving end of life outcomes in residential care facilities: A palliative approach to care)
- Kathleen Yue, RN, BSN, MN, CHPCN (c) Education Coordinator, BC Center for Palliative Care
5C Kolstrup Integrated stepped care in psychiatry EHiN 2014IKT-Norge
Nils Kolstrup
Senior researcher, Norwegian Centre for Integrated Care and Telemedicine (NST)
A plan for integrated stepped care in psychiatry in Northern Norway
EHiN 2014, IKT-Norge og HOD
Tele-mentoring on Integrated Mental Health and Addiction for DMHP counsellors...Prabhat Chand MD
This document summarizes a feasibility study of a tele-mentoring program on integrated mental health and addiction for counselors in Chhattisgarh, India. The program utilized Project ECHO's tele-mentoring model to provide virtual training and case discussions between counselors in 11 districts and experts at NIMHANS. Over 6 months: 1) 12 counselors from 11 districts participated in the weekly tele-mentoring clinics, with 10 presenting patient cases. 2) Counselors co-managed 17 total patient cases with NIMHANS experts. 3) The program was found to be a feasible, sustainable, and replicable way to increase counseling capacity and reduce disparities in addiction and mental health treatment in remote areas through
Two nursing students conducted a mental health workshop for clients at St. Michael's Mission, which serves homeless and disadvantaged individuals, many with mental health issues. The workshop aimed to destigmatize mental health and encourage discussion of stress management and coping strategies while increasing awareness of resources. Thirteen clients attended the workshop, which included activities like stress identification and a discussion of coping strategies. An evaluation found that most clients found the workshop interesting and useful and would recall coping strategies and take an informational pamphlet. The students concluded the workshop was successful at starting a discussion around mental health and hope to make the resources sustainable for future clients and students.
This document discusses the development of an innovative program to address the complex needs of older adults. It outlines the need for such a program due to fragmented care leading to poor outcomes and high costs. The program aims to provide coordinated, longitudinal care management for complex patients through an interdisciplinary team approach and connection to health and community resources. It describes the community needs assessment conducted and evidence-based models investigated in designing the program. Implementation details are discussed, including identification of the target population, scope, governance structure, metrics to evaluate financial and clinical outcomes, and challenges in launching the new model of care. Keys to success include clear outcome measures, measuring value across the whole region, change management, and developing a culture of person-centered care.
This document provides an overview of issues facing children with special health care needs (CSHCN) in California. It discusses key focus areas like care coordination and family engagement. It notes that California ranks poorly nationally in areas like preventative care, care coordination, and family-centered care for CSHCN. The document also discusses the medical and social complexity of CSHCN, the importance of care coordination systems, and the need to better support families providing care.
The document summarizes the work of Calgary Urban Project Society (CUPS), a non-profit organization that provides integrated health, education, and housing services to help vulnerable Calgarians overcome poverty. It describes CUPS' proposed CUPS Coordinated Care Team, which would provide intensive case management and transitional support to vulnerable patients presenting at Emergency Departments, with the goal of improving health outcomes, reducing healthcare costs, and decreasing homelessness and substance abuse rates. The team would be funded by the Green Shield Canada Foundation through a two-year pilot project at the Foothills Medical Centre.
Cathy Seguin, Vice President, International Affairs, SickKids TorontoInvestnet
The document discusses Canada's integrated healthcare system and SickKids' role within it.
- Canada has a publicly funded healthcare system composed of 13 provincial plans that share common features like universal coverage. The federal government provides funding to provinces who are responsible for delivering services.
- SickKids is a specialized children's hospital in Toronto that provides tertiary care, research, and education. It aims to improve children's health through an integrated model across these areas.
Increased attention to children with medical complexity has occurred because these children are growing in number, consume a disproportionate share of health-system costs, and require policy and programmatic interventions that differ in many ways from the broader group of children with special health care needs. But will this focus on complex care lead to meaningful changes in systems of care and outcomes for children with serious chronic diseases?
1. Palliative care aims to improve quality of life for patients with serious illnesses through pain and symptom management and advance care planning, rather than being focused only on end-of-life care or crisis management.
2. New billing codes allow primary care physicians to be reimbursed for time spent on advance care planning discussions with patients.
3. Effective communication around prognosis, goals of care, and care coordination are important aspects of palliative care that primary care physicians can provide. Collaboration with local hospice and palliative care specialists can further support patients.
How can front-line professionals incorporate the emerging brain health ...SharpBrains
(Session held at the 2014 SharpBrains Virtual Summit; October 28-30th, 2014)
12:30-2pm. How can front-line professionals incorporate the emerging brain health toolkit to their practices?
- Elizabeth Frates, Director of Medical Student Education at the Institute of Lifestyle Medicine
- Dr. Catherine Madison, Director of the Ray Dolby Brain Health Center at California Pacific Medical Center
- Barbara Van Amburg, Chief Nursing Officer at Kaiser Permanente Redwood City
- Dr. Wendy Law, Clinical Neuropsychologist at Walter Reed National Military Medical Center
- Chair: Dr. Michael O’Donnell, Editor-In-Chief of the American Journal of Health Promotion
Learn more here:
http://sharpbrains.com/summit-2014/agenda/
Measuring Family Experience of Care Integration to Improve Care Delivery LucilePackardFoundation
The family perception of care integration is essential in identifying opportunities to improve processes of care coordination and care management. This June 15 webinar introduced the Pediatric Integrated Care Survey (PICS), a validated instrument developed by Richard Antonelli, MD, MS, Medical Director of Integrated Care at Boston Children's Hospital, and his team. The instrument assesses family experience of care integration. It asks family respondents to identify the members of their child's/youth's care team and report on their experiences with integration across disciplines, institutions, and communities.
Mental Health Policy Briefing: Raising the Priority of California Children wi...LucilePackardFoundation
Mental health services and supports for children with special health care needs (CSHCN) must be a priority for California. This briefing will provide an overview of the mental health services to which CSHCN are entitled, highlight current state policy priorities, and share ways to engage in advocacy efforts. Speakers will be available after the briefing for questions.
Home Hospital: hospital level care at home for acutely ill adultsJeffrey Lortz
Dr. David Levine, MD of Brigham & Women's Hospital presents how his home hospital pilot program resulted in a 52% cost savings by admitting emergency patients to a home-based acute care program vs. inpatient setting.
Nottingham University Hospitals- End of life care improvement collaborative p...RuthEvansPEN
This document describes a quality improvement project at NUH End of Life Care Collaborative to improve the sharing of end-of-life care plans between primary and secondary care settings using an Electronic Palliative Care Coordination System (EPaCCS). The project team implemented EPaCCS, standardized end-of-life documentation, and provided staff training. Through PDSA cycles, they increased the percentage of fast track patients discharged from Hayward House with an end-of-life care plan on EPaCCS and received positive feedback from community providers and families about improved coordination of care.
Nottingham University Hospitals- End of life care improvement collaborative p...RuthEvansPEN
This document describes a quality improvement project at NUH End of Life Care Collaborative to improve the sharing of end-of-life care plans between primary and secondary care settings using an electronic palliative care coordination system (EPaCCS). A multidisciplinary team tested interventions like standardized end-of-life care templates in EPaCCS and education. Initial results showed improved documentation of care preferences on patient discharge from Hayward House hospice. The project aims to expand EPaCCS use hospital-wide to better coordinate end-of-life care between care settings.
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Oct 24 CAPHC Lunch Symposium - Sponsored by Stantec
1. 1
Caring for the Whole Child:
Three Projects, One Shared
Vision for Child and Youth
Wellness
2016 CAPHC Annual Conference
Lunch Symposium #2
Halifax, Nova Scotia
Monday, October 24, 2016
2. 2
Our speakers
Alena
Fisher
Senior Associate,
Stantec
Jeanette Hay
Connolly
Director,
Wood Street
Centre Secure
Care
Deborah
Grisko
President and
Executive
Director, Almost
Home Kids
Robert
Hofmann
Principal
Hofmann PM inc
and Sr. Project
Manager,
ErinoakKids
Centre for
Treatment and
Development.
Barbara
Miszkiel
Senior Principal,
Specialty
Healthcare
Leader
Stantec
Brenda
Bush-Moline
Principal,
Healthcare
Leader,
Stantec
5. 5
10%
Physical Environment
20%
Clinical Care
30%
Health Behavior
40%
Socio-Economic
Factors
Graphic from Lauren Valdez and Carla Saporta, Community Benefit and Missed Opportunities.
A Case Study Of Three San Francisco Hospitals. T he Greenlining Institute. October 2014
8. Almost Home Kids
Naperville (opened 1999)
• 12-Bed facility on 2 acres
Chicago (opened 2012)
• 12-Bed facility, 6th floor RMHC
Mission: to provide transitional care in a home-like setting for children with
complicated health needs, as well as training for their families and respite
care.
Vision: opening new facilities to service the needs of children with complex medical
conditions and their families in other communities throughout the country.
Peoria (to open 2018)
• 12-Bed facility on 2 acres
9. Transitional Care
• Bridge from Hospital to Home
• Parent/Caregiver training
• Up to 120 day stay
• Community Supports – Home
Nursing, DMEs, Foster Care
• Adapt/revise Discharge Plan
• Subspecialty & PCP
Community Coordination
• Newborn – age 22
Respite Care
• Mission driven program keeping
families whole
• Planned or Emergency Short term
stay (up to 2 weeks)
• Opportunity to review Home
Medical Plan
• Respite Transportation
• Newborn – age 22
11. AHK Team
• On Site Medical Directors
• Director of Nursing Services
• Advanced Nurse
Practitioners
• Clinical Educator
• Social Workers
• Case Management Team
• Clinical Managers
• Direct Care RN’s 3-1 ratio
• Certified Nurses Aides
• Volunteers (1-2.5 FTE)
13. Programs Responding to Children’s Needs
Sleep Medicine: AHK Chicago
• Improve the quality of life for children who
have sleep difficulties or have outgrown the
need for medical technology.
• Significant cost savings over the child’s life.
• Free up ICU beds
Pediatric Surgery APN & Nutrition Consultations:
• Frees up clinical space and time
• Billed as outpatient
• Transportation costs reduced
Physical Therapy
Dental Consults
Telemedicine
Medical Education
14. Transition: Training the Next Generation
Keith Veselik
MD Medical Education Program
Most doctors can complete entire 7-10 yrs.
of training and never learn directly how to
serve and care for a child with medical
complexities in a community setting.
AHK has partnered with 5 Medical Centers
and 116 Residents and Medical Students
enrolled in first year of program
Loyola University Medical Center is offering
a 4-week elective at Almost Home Kids.
15. 15
Transition: Child and Caregiver Timeline
Pediatric Hospital admit
identified as Child with
Medical Complexities
Parent’s view AHK video
and Hospital Case
Management Team
introduces parents to AHK
Case Management Team
Parent’s visit AHK, meet
with Case management
team onsite
Child is stabilized in
hospital and is ready to
transfer home, but factors
exist that prevent a safe
transition home
Parents works in partnership with
AHK to learn necessary care in
120 days. Child is transported to
AHK via ambulance or medi-van
Child at AHK while parents trained
on child’s home technology, home-
health nursing staffed, DME supplier
identified, Government Agencies
and services are secured
Child safely transitions
home
Child is able to return
to AHK for Respite –
giving parents a
much needed rest
17. “You guys are amazing! You love the kids like they
are your own! I am certain Caitlyn will miss you all”
- Caitlyn’s mom
“I really want people to know how
important Almost Home Kids is; it
truly changes lives and sets parents
up with the knowledge and medical
support necessary to take care of
their child at home.”
- Audrey’s mom
Parent Quotes
18. Reduced Costs, Improved Care
• Less than 2% of our children were
re-admitted
• 75% of parents report a reduction of
stress
• In Illinois, AHK has saved the
Medicaid system $10million per site
per year
• IRB Longitudinal follow-up study of
children and caregivers –
Describing the caregiver
experience of transitional care –
measuring caregiver competency
and stress levels – Sarah Sobotka
MD, University of Chicago
19. Our Kids are Medically Complex
19Source: 2010-2015 AHK Program Committee Outcomes Report
Infantile cerebral palsy,
unspecified
36%
Trisomy 21 (Down's
syndrome)
5%
Spinal muscular atrophy,
unspecified
2%
Other specified disorders of
brain
2%
Spina bifida without mention
of hydrocephalus (Chronic)
6%
Arhinencephaly
6%
Other congenital
malformations of
musculoskeletal system
2%
Chromosomal abnormality,
unspecified
2%
Chronic respiratory disease
arising in the perinatal
period
27%
Unspecified convulsions
12%
20. Medical Complexities Data
Source: 2015 AHK Program Committee Outcomes Report
21% on Vent
47%
36%
17%
Medication Complexity
Complex >=7 Moderate 3-6 Simple 1-2
Tracheostomy
Yes No
55%45%
Tube Fed
Bolus Continuous None
63%
15%
22%
Medical Complexities
1-3 Diagnosis 4-6 Diagnosis 7+ Diagnosis
28%
17%
55%
21. Lowering the Hospital Length of Stay
0
50
100
150
200
250
300
Kylie Gabe Jamri Alexis
Average Length of Stay
Actual Length of Stay
Tracheostomy Cardiac
Procedures
Premature Premature
Number
of Days
Hospital stays for
children with
complex medical
conditions can
exceed APR-DRG
National Average
Length of Stay
(ALOS)
233 excess days
$1,025,000
109 excess days
$304,000
142 excess
days
$395,000
199 excess
days
$610,000
Based on actual $/day
22. Recognized for Excellent Health Outcomes
An extraordinary place for healing and family-
centered care, evidence-based design and
advanced technology:
• Ranked 6th over-all in the US News & World
Report Survey and the only pediatric hospital
in Illinois to be ranked in all 10 specialties
• First children’s hospital in country to earn
Magnet Award for Nursing Excellence –
Received 4th re-designation in Sept. 2015
• Almost Home Kids program received
Magnet Exemplar 2015
• 9 out of 10 parents would recommend our
hospital
24. Guiding Principles – Almost Home Kids in Peoria
• Enhance brand identity
• Community focused setting
• Immediate connection to
nature
• Infection Control
• Privacy
• Ample natural light
• Adjust and “flex”
• Access to nature
25. Almost Home Kids in Peoria
• 12 private bedrooms -
with parent
accommodations
• 9 Bathrooms
• Open Concept Great
Room & Kitchen
• Welcoming Family
Receiving Area
• Ample Storage
26. Almost Home Kids in Peoria
• Administration offices
& amenities
• Private Consultation
and Conference
Rooms
• Refection/Meditation
Area
• Healing Garden
27.
28.
29.
30.
31. 31
Wood Street Centre Campus, Level 3 Program
CAPHC Conference October 2016
Jeanette Hay Connolly, WSC Campus
Alena Fisher, Stantec
33. 33
Deliver an interdisciplinary
residential treatment service
model for youth in the care of the
Minister of Community Services
• Capacity
• Age group
• Length of stay
Goal
38. 38
Desired Outcomes
• Develop/increase social
competency or functioning
• Decrease emotional and
behavioural issues
• Reduction in need for
restraint and isolation
• Readiness for transition to
community
42. 42
Purpose Designed
and Built
• Building program and residential
treatment needs
• Classrooms and computers
• Psychoeducational
programming including;
• Aggression Replacement
Training (ART)
• Experiential Education
• Mindfulness
• Dialectical Behaviour Therapy
43. 43
Purpose Designed
and Built
• Therapy counseling and
psychological
assessments services
• Recreation, leisure
activities
• Youth self-regulation
activities
45. 45
ErinoakKids Centre for Treatment
and Development
3 Sites, One Vision
Oakville
Mississauga
Brampton
CAPHC Conference – October 2016
Robert Hofmann, EOK
Barbara Miszkiel, Stantec
46. 46
The Project Partners
• ErinoakKids
• Infrastructure Ontario (IO)
• Ministry of Children and
Youth Services (MCYS)
• Design Compliance - Parkin
• Architect of Record - Stantec
47. 47
We are . . . . .
• Ontario’s largest children’s
Treatment Centre
• Wide range of services
• Day treatment(10 sites)
• Overnight respite – 1 site
• 650+ staff serving 15,000 kids
annually
always Learning . . . . . .
48. 48
Existing
• Mississauga site– end of life
cycle
• 9 other leased sites
• converted office buildings,
accessibility, space and
code issues
• Lack of exterior therapeutic
play areas (two for all the sites)
• Demand for services increasing
10-20% annually
49. 49
Design Philosophy
• Building as therapy tool
• Landscape as therapy tool
• Technical therapy tools
• Positive staff environment
51. 51
Design Philosophy
• Consistency across all 3 sites
• Each child is unique but must have
similar opportunities
• Equal access to medical, therapy,
support services
• Celebrate Joy in their successes
• Respond to all physical and
behavioural challenges
• All ages: child-friendly vs. child-like
130. 130
Final slide is actually a short fly-through. Great last impression….
131. 131
Q & A
Deborah A. Grisko, RN, President & Executive Director
Almost Home Kids
dgrisko@almosthomekids.org
Jeanette Hay Connolly, Director,
Nova Scotia Department of Community Services
jeanette.HayConnolly@novascotia.ca
Robert Hofmann, Sr. Project Manager,
ErinoakKids, Ontario
rhofmann@erinoakkids.ca
Alena Fisher, Sr. Associate
Stantec Architecture Ltd.
Alena.fisher@stantec.com
Brenda Bush-Moline, Principal , Healthcare Leader
Stantec Architecture Ltd.
Brenda.bush-moline@stantec.com
Wood Street Centre
Barbara Miszkiel, Sr. Principal, Specialty Healthcare Leader
Stantec Architecture Ltd.
Barbara.miszkiel@stantec.com
Article on Design for kids with ASD, (Erinoak):
Go to dimhn.org October 2016 Issue