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  • caregiving – Page 2 – MediCaring.org
    While we were there I told everyone we came in contact with that she had dementia This list of people included the registration person the admitting nurse the nurse practitioner taking her history the technician starting the IV and the procedure nurse I informed them all that she had dementia and to be aware her answers to their questions would mostly be unreliable I was amazed when the doctor completed the procedure and came out to speak to me He told me that the procedure had gone well there no changes from her last study and there was no need to do a stent Still he said he remained puzzled by her symptoms What symptoms I asked He replied that she had told him she was very short of breath and for the past several weeks had been unable to take her daily three mile walk I had to laugh just to keep my frustrations from being expose then I told him about her dementia and that she had never walked three miles daily Last spring I mentioned we had taken an occasional walk in the park His jaw almost dropped Oh was all he could say I informed him that I had told absolutely every person with whom we had come into contact that she had dementia and that I had asked each one to label her chart DEMENTIA I really wondered why he had not been told but he treaded lightly and quickly changed the subject I decided to speak to the hospital patient advocate and simply told her the situation and then I said You put a bright red armband on FALL RISK patients You clearly identify those who have drug allergies don t you She said that they did I suggested then that perhaps the hospital could do something similar to identify dementia patients perhaps to giving them a purple wristband that would identify them and note that they presented safety risks unreliable information and so on Has anyone ever considered such a universal identification system for patients living with dementia It seems to be a real safety issue for them and for their caregivers I m curious to know whether other MediCaring readers have had similar experiences and what they make of my suggestion You can contact Maryann Ingram in care of medicaring at email protected Ms Ingram an LPN with 20 years of experience in long term care is serving her second term as an appointed member of the Maryland Board of Nursing key words dementia Alzheimer s disease long term care Workforce Development Hartford Foundation blog on direct care workers Posted by Janice Lynch Schuster on October 10 2012 No Responses Tagged with caregiving direct care workers Hartford Foundation workforce development Oct 10 2012 Today s Hartford Foundation blog HealthAGEnda features a piece by one of the program officers on her family s experience of poor direct care provided to her grandmother who had Alzheimer s disease Although there is much to be

    Original URL path: http://medicaring.org/tag/caregiving/page/2/ (2016-04-30)
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  • The Feedback Circle: San Diego CCTP Listens to All Perspectives to Improve Care Transitions – MediCaring.org
    mode accuracy can become a problem And often as soon as a patient is admitted to the hospital he or she patient expresses the desire to go home and in order to get home they will say or agree to just about anything clinicians recommend I know this from my own experience as someone who believes quite sincerely that there s no place like home At the same time patients and their loved ones often are unprepared for the functional decline that is often associated with a hospital admission often not fully appreciating how depleted they are until they actually get home To respond to this CCTP has engineered a merging of the hospital and home perspectives My organization AIS is a real partner in this process we have had the opportunity to collaborate closely with each hospital One of our approaches has been to participate in bi weekly internal meetings or huddles We use these meetings to debrief one another about patients smooth work flow processes review data to ensure that we are on target to meet performance targets present success stories and conduct a root cause analysis whenever a patient is readmitted These meetings are truly multidisciplinary and include all members of the partnership assigned to a particular hospital As we go around the table and discuss our pre and post discharge interventions we have found that our feedback circle is gaining a presence of its own The feedback circle enables us to bridge the clinical to home environment in ways we have not experienced before We are able to immediately feed information back to hospitals about successes accomplishments and challenges In some cases the feedback circle has even enabled hospitals to change internal processes The home assessments conducted by our CTI Coaches and Care Enhancement Social Workers are beginning to be incorporated into the patient s hospital medical records and even into primary care physician s records We ve had physicians contact our coaches to commend the CCTP team on a job well done One particular physician was amazed in how much a patient had changed and even commented You guys have done more for this patient with your interventions than I could ever do Such feedback is almost music to our ears Carol Castillon works with AIS to manage the San Diego CCTP key words CCTP care transitions evaluation feedback loops quality improvement community partnerships San Diego Tweet Pin It Leave a Reply Cancel reply Your Comment You may use these HTML tags and attributes a href title abbr title acronym title b blockquote cite cite code del datetime em i q cite s strike strong Name required E mail required URI Solving a Puzzle Invoicing for Patient Encounters with the San Diego CCTP Shining Stars Webinar June 27 to Learn from Leaders in Improving Care Transitions MediCaring is a service of the Center for Elder Care and Advanced Illness at Altarum Institute Follow Us To receive our email newsletter send a request to email protected

    Original URL path: http://medicaring.org/2013/06/21/the-feedback-circle-san-diego-cctp-listens-to-all-perspectives-to-improve-care-transitions/ (2016-04-30)
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  • community partnerships – MediCaring.org
    for the functional decline that is often associated with a hospital admission often not fully appreciating how depleted they are until they actually get home To respond to this CCTP has engineered a merging of the hospital and home perspectives My organization AIS is a real partner in this process we have had the opportunity to collaborate closely with each hospital One of our approaches has been to participate in bi weekly internal meetings or huddles We use these meetings to debrief one another about patients smooth work flow processes review data to ensure that we are on target to meet performance targets present success stories and conduct a root cause analysis whenever a patient is readmitted These meetings are truly multidisciplinary and include all members of the partnership assigned to a particular hospital As we go around the table and discuss our pre and post discharge interventions we have found that our feedback circle is gaining a presence of its own The feedback circle enables us to bridge the clinical to home environment in ways we have not experienced before We are able to immediately feed information back to hospitals about successes accomplishments and challenges In some cases the feedback circle has even enabled hospitals to change internal processes The home assessments conducted by our CTI Coaches and Care Enhancement Social Workers are beginning to be incorporated into the patient s hospital medical records and even into primary care physician s records We ve had physicians contact our coaches to commend the CCTP team on a job well done One particular physician was amazed in how much a patient had changed and even commented You guys have done more for this patient with your interventions than I could ever do Such feedback is almost music to our ears Carol

    Original URL path: http://medicaring.org/tag/community-partnerships/ (2016-04-30)
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  • San Diego – MediCaring.org
    for the functional decline that is often associated with a hospital admission often not fully appreciating how depleted they are until they actually get home To respond to this CCTP has engineered a merging of the hospital and home perspectives My organization AIS is a real partner in this process we have had the opportunity to collaborate closely with each hospital One of our approaches has been to participate in bi weekly internal meetings or huddles We use these meetings to debrief one another about patients smooth work flow processes review data to ensure that we are on target to meet performance targets present success stories and conduct a root cause analysis whenever a patient is readmitted These meetings are truly multidisciplinary and include all members of the partnership assigned to a particular hospital As we go around the table and discuss our pre and post discharge interventions we have found that our feedback circle is gaining a presence of its own The feedback circle enables us to bridge the clinical to home environment in ways we have not experienced before We are able to immediately feed information back to hospitals about successes accomplishments and challenges In some cases the feedback circle has even enabled hospitals to change internal processes The home assessments conducted by our CTI Coaches and Care Enhancement Social Workers are beginning to be incorporated into the patient s hospital medical records and even into primary care physician s records We ve had physicians contact our coaches to commend the CCTP team on a job well done One particular physician was amazed in how much a patient had changed and even commented You guys have done more for this patient with your interventions than I could ever do Such feedback is almost music to our ears Carol

    Original URL path: http://medicaring.org/tag/san-diego/ (2016-04-30)
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  • Shining Stars Webinar Highlights Care Transitions Work – MediCaring.org
    Patient Safety South Carolina Hospital Association Event Care Transitions Learning Session webinar Date April 25 2013 Time 3 00 PM 4 00 PM ET Teleconference 866 639 0744 No pass code needed https qualitynet webex com Meeting Password community Please join us 15 minutes prior to the presentation to ensure the automatic system set up has been properly established Attendee Instructions 1 Click or Copy and Paste this to your web browser https qualitynet webex com 2 Locate the event you wish to join 3 Click on Join Now located to the right of the event title 4 Enter your name and email address as prompted 5 Enter the password community 6 Dial in to the teleconference The number is 866 639 0744 or 678 302 3564 The access code is none If you have any questions or problems accessing the meeting please call the Buccaneer WebEx Helpline at 540 347 7400 x390 Presentation slides will be posted prior to the call at http www cfmc org integratingcare learning sessions htm These calls are open to all please invite anyone who wants to learn along with us As a reminder these sessions are recorded and all previous Learning Sessions are available at http www cfmc org integratingcare learning sessions htm key words QIOs CFMC care transitions community coalition CCTP CMS Tweet Pin It Leave a Reply Cancel reply Your Comment You may use these HTML tags and attributes a href title abbr title acronym title b blockquote cite cite code del datetime em i q cite s strike strong Name required E mail required URI Today is National Healthcare Decisions Day Shining Stars Webinar June 27 to Learn from Leaders in Improving Care Transitions MediCaring is a service of the Center for Elder Care and Advanced Illness at Altarum Institute

    Original URL path: http://medicaring.org/2013/04/24/shining-stars-webinar-highlights-care-transitions-work/ (2016-04-30)
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  • Southeast Michigan CCTP Tests New Approaches to Reduce Readmissions – MediCaring.org
    The coach also works with the participant and caregiver to complete the personal health record modified for the SNF and encourages them to participate in the care plan meeting The coach also engages hospital and nursing facility partners to increase communication and improve shared processes Tailoring these strategies to the five distinctive categories of patients allows AAA 1 B to provide high value transitions coaching to virtually everyone Many of the coaches say people have been dealing with chronic conditions so long and no one has asked them their opinion on their plan of care says Barbra Link director of care transitions for AAA 1 B Coaches help them to get tools to self activate That s the most powerful thing That s the foundation of the program Participants in the program must be referred from AAA 1 B s partner hospitals have traditional Medicare and either have one of the targeted conditions chronic obstructive pulmonary disease heart attack pneumonia or congestive heart failure or any condition with a readmission within the last 90 days The AAA 1 B Care Transitions Coach assigns each beneficiary to a category using a risk assessment completed by the hospital s care management team The program also allows Strategy 1 Coaches to refer the participant to a Specialty Coach Strategy 2 Strategy 4 and Strategy 5 when appropriate All coaches provide Strategy 1 and Strategy 3 Coaching but may consult with Specialty Coaches whenever needed The AAA 1 B project is about 10 months into its initial two years with the possibility of renewal for the following three years All five strategies are operating and 650 beneficiaries have enrolled Although the first strategy has the highest volume of people 67 percent the other strategies are proving to be just as important for elders who need more support The CCTP team quickly recognized that project leaders and staff must watch for problems that call for different remedies For example when AAA 1 B leaders observed that many of the program s vulnerable elders did not understand their nutrition needs they reached out to a nutritionist at a partner hospital to develop simple accessible one page flyers for patients regarding nutrition One flyer explained how to cut back on dietary sodium and how to calculate sodium intake from a nutrition facts label Through close interactions with the patients coaches were able to identify and respond to specific nutritional problems that would not have otherwise been apparent In its CCTP AAA 1 B has a coalition with three local hospitals that had some of the highest readmissions rates in the state Creating these coalitions while ultimately quite beneficial did present some initial challenges Before implementing the program AAA 1 B leaders had to help all stakeholders understand the benefits of the program Once this had been done referrals from the hospitals took a major upswing According to Barbra Link We found that each hospital is unique and lots of relationship building was required Once we established greater

    Original URL path: http://medicaring.org/2013/04/23/southest-michigan-cctp-tests-new-approaches-to-reduce-readmissions/ (2016-04-30)
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  • Hear Dr. Joanne Lynn Discuss Care Transitions – MediCaring.org
    and Advanced Illness at the Altarum Institute Dr Lynn a geriatrician quality improvement advisor and policy advocate is a member of the Institute of Medicine and the National Academy of Social Insurance a fellow of the American Geriatrics Society and The Hastings Center and a master of the American College of Physicians The webinar aims to provide a fresh perspective on the increasingly important challenge of reducing hospital re admissions including The importance of educating and empowering older patients and caregivers The role senior care and aging service professionals can play in providing needed support services and other resources to older persons returning home following a hospital stay Resources you may find helpful in your own community practice or organization The April 4 webinar is free with registration on a first come first served basis To register follow this link https www1 gotomeeting com register 581843281 Key words Joanne Lynn care transitions quality improvement patient activation Tweet Pin It Leave a Reply Cancel reply Your Comment You may use these HTML tags and attributes a href title abbr title acronym title b blockquote cite cite code del datetime em i q cite s strike strong Name required E mail required URI Medicaring Imperative A Week of Sharing Our Ideas for Reshaping Care Care Transitions 101 Dr Joanne Lynn on the Basics MediCaring is a service of the Center for Elder Care and Advanced Illness at Altarum Institute Follow Us To receive our email newsletter send a request to email protected Tweets by medicaring Care Transitions News Ringling Bros circus elephants set for final act Sunday USA TODAY April 29 2016 PMH announces Annette Schnabel as president CEO Bureau County Republican April 29 2016 College baseball Weekend Preview April 29 May 1 NCAA com April 29 2016 AbbVie Doubles Down on

    Original URL path: http://medicaring.org/2013/04/02/hear-dr-joanne-lynn-discuss-care-transitions/ (2016-04-30)
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  • Readmissions, frail elders, communities: So much to learn and know – MediCaring.org
    Health thanks to the Commonwealth Fund for the link So much to understand about how to get communities to work together to improve care transitions and reduce readmissions Our JAMA work read more at www altarum org qiopaper offers insights on building coalitions Learn more here about the STAAR project http www commonwealthfund org Publications In the Literature 2013 Feb Turning Readmission Reduction Policies into Results aspx omnicid 20 As ever we like to hear from our readers who often give insights leads and stories we would not otherwise find Be sure to comment And like us on Facebook follow us on Twitter and share your own successes challenges and stories key words frail elders readmissions IHI Commonwealth Fund Joanne Lynn STAAR Tweet Pin It Leave a Reply Cancel reply Your Comment You may use these HTML tags and attributes a href title abbr title acronym title b blockquote cite cite code del datetime em i q cite s strike strong Name required E mail required URI QIO Care Transitions in JAMA Join Dr Joanne Lynn for April 4 Webinar on Care Transitions MediCaring is a service of the Center for Elder Care and Advanced Illness at Altarum Institute Follow Us To receive our email newsletter send a request to email protected Tweets by medicaring Care Transitions News Ringling Bros circus elephants set for final act Sunday USA TODAY April 29 2016 PMH announces Annette Schnabel as president CEO Bureau County Republican April 29 2016 College baseball Weekend Preview April 29 May 1 NCAA com April 29 2016 AbbVie Doubles Down on M A Bloomberg April 29 2016 Aspen Valley Hospital reaps awards for patient experience Aspen Times April 29 2016 Optimizing care transitions the role of the community pharmacist Dove Medical Press April 26 2016 3 lessons to improve

    Original URL path: http://medicaring.org/2013/03/05/readmissions-frail-elders-communities-so-much-to-learn-and-know/ (2016-04-30)
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