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  • Federal Leaders Must Address Palliative Care: Kathy Greenlee Promotes Awareness – MediCaring.org
    to create more person centered palliative care and to ensure that such services are accessible and available and that consumers are aware of them She called for more coordinated federal efforts and challenged the aging services network to build competence in awareness and understanding of palliative care She also reported that the 2015 survey of older adults served by these agencies will include questions to probe for unmet needs in palliative care See her full remarks starting at about 5 00 key words aging services palliative care person centered care advocacy federal programs 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 Beyond Hospice End of Life Care for the 21st Century 40 Years and Counting What s Next for Advance Care Planning 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 patient care transitions FierceHealthcare April 21 2016 Dave Alfano Launches Caring Transitions of Central Connecticut PR Web press release April 19 2016 Older adults

    Original URL path: http://medicaring.org/2014/02/25/federal-leaders-must-address-palliative-care-kathy-greenlee-promotes-awareness/ (2016-04-30)
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  • aging services network – MediCaring.org
    for a meeting on the State Of Palliative Care focused on the need to include the voices of patients and families in efforts to create more person centered palliative care and to ensure that such services are accessible and available and that consumers are aware of them She called for more coordinated federal efforts and challenged the aging services network to build competence in awareness and understanding of palliative care She also reported that the 2015 survey of older adults served by these agencies will include questions to probe for unmet needs in palliative care See her full remarks starting at about 5 00 key words aging services palliative care person centered care advocacy federal programs 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 patient care transitions FierceHealthcare April 21 2016 Dave Alfano Launches Caring Transitions of Central Connecticut PR Web press release April 19 2016 Older adults with dementia face increased mortality risk due to care transitions Bel Marra Health April 14 2016 Central Wyoming Caring Transitions Owners Recognized for Pioneer Spirit PR Web press release April 4 2016 Tags advance care planning Affordable Care Act aging Altarum Institute best

    Original URL path: http://medicaring.org/tag/aging-services-network/ (2016-04-30)
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  • PEACE Trial: Effective Collaboration Between Medical Services and Social Services – MediCaring.org
    critical decisions for which they are unprepared The PEACE Trial seeks to change this dynamic by focusing on health coaching and patient activation for self management while promoting advance care planning discussions with primary care providers The target population includes new PASSPORT enrollees over the age of 60 who are living with one of 9 life limiting conditions Nurse assesssors care managers from the AAA screen patients at the time of their initial PASSPORT assessment patients are then randomized to the control or intervention group AAA nurse or social worker care managers engage with consumers in a variety of activities Care managers make two home visits for example centered on symptom assessment and advance care planning They review findings with an interdisciplinary team which makes appropriate recommendations for the patient and the primary care provider The care manager next accompanies the consumer to one visit with the primary care provider to discuss advance care goals Following this the care manager and the palliative care nurse supervisor make an additional home visit to begin to implement the care plan The consumer then receives up to one year of monthly follow up visits from the care manager Researchers are tracking outcomes measured at 3 6 9 and 12 month intervals Outcomes include symptom management quality of life death relationships patient activiation and decision making and depression and anxiety An initial challenge was in getting buy in from care managers and in changing the culture of the AAA However all care managers eventually expressed their appreciation of the value of the project for improving consumer outcomes The project is working to get more top down support from the AAA so that participating care managers receive the support they need to work with consumers including education and skills to engage them The researchers and case managers also realized they needed more formal curriculum to teach effective methods and skills for advanced care planning discussions and goal settings A second project was developed to create an online learning curriculum through the support of the First Merit Foundation and led by the University of Akron College of Nursing A key challenge has been to avoid medicalizing the care plans making sure that they attend to human emotional factors as well as health and medical status The program s strength lies in the strong working relationship among all the partners particularly in the commitment of the AAA to improve care for frail elders Partners report that they are becoming bilingual that culture sensitivity and knowledge sharing between the aging network and acute care providers has grown For more information or details contact Dr Kyle Allen at email protected or Dr Skip Radwany at email protected You may also contact Sue Hazelett Manager Health Services Research and Education Institute Summa Health System Akron at haze email protected Key words PEACE trial palliative care geriatrics AAA collaboration Tweet Pin It Leave a Reply Cancel reply Your Comment You may use these HTML tags and attributes a href title abbr

    Original URL path: http://medicaring.org/2012/06/19/peace-trial-effective-collaboration-between-medical-services-and-social-services/ (2016-04-30)
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  • Dr. Joanne Lynn on the Role of Palliative Care in Improving Care Transitions – MediCaring.org
    Lynn explains how the hospice palliative care model can improve patient care offering 24 7 support excellent symptom management and wraparound services People will need to realize what they re up against and turn to these important resources Key Words care transitions palliative care hospice quality improvement 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 CMS Announces First Awards for CCTP Funding Conference Call to Follow Southwest Ohio Care Transitions Collaborative Talks to Medicaring about CCTP Award 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 patient care transitions FierceHealthcare April 21 2016 Dave Alfano Launches Caring Transitions of Central Connecticut PR Web press release April 19 2016 Older adults with dementia face increased mortality risk due to care transitions Bel Marra Health April 14 2016 Central Wyoming Caring Transitions Owners Recognized for Pioneer Spirit PR Web press release April 4 2016 Tags advance care planning Affordable Care Act aging Altarum Institute best practices caregivers

    Original URL path: http://medicaring.org/2011/11/28/dr-joanne-lynn-on-the-role-of-palliative-care-in-improving-care-transitions/ (2016-04-30)
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  • Room to Grow: Palliative Care’s Place in Care Transitions – MediCaring.org
    used in palliative care has been recognized by the National Quality Forum Although it has been slower to develop outside the hospital s four walls the number of hospital based palliative care services has steadily grown to 1 568 63 percent of all hospitals with 50 or more beds The same way that hospitals and hospital medicine groups are coming to recognize their responsibility for the outcomes of their discharge plans after the patient leaves the hospital palliative care teams are now exploring their role post discharge So why isn t palliative care with its specialty recognition and demonstrated positive outcomes more front and center in current national efforts to improve care transitions across the health care system thereby contributing to preventing unnecessary rehospitalizations Some places like the Hospital Association of Southern California have acknowledged the connection Others have given palliative care representatives a seat at the table when cross setting teams meet to work on improving care transitions in their communities But Dr Diane Meier director of the Center to Advance Palliative Care tells AAHPM s Quarterly that the biggest barrier is the absence of research demonstrating the impact of palliative care consultations in the hospital on 30 day readmission rates in contrast to data that convincingly demonstrates palliative care s value equation within the hospital I think that is an urgent high priority research question for our field Dr Meier says I am concerned that we are going to miss this window of opportunity even though our patients are a big part of the readmission problem For more information on palliative care see the Center to Advance Palliative Care Key words palliative care care transitions discharge planning readmissions Tweet Pin It Leave a Reply Cancel reply Your Comment You may use these HTML tags and attributes a href

    Original URL path: http://medicaring.org/2011/10/27/room-to-grow-palliative-cares-place-in-care-transitions/ (2016-04-30)
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  • Larry Beresford – MediCaring.org
    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 patient care transitions FierceHealthcare April 21 2016 Dave Alfano Launches Caring Transitions of Central Connecticut PR Web press release April 19 2016 Older adults with dementia face increased mortality risk due to care transitions Bel Marra Health April 14 2016 Central Wyoming Caring Transitions Owners Recognized for Pioneer Spirit PR Web press release April 4 2016 Tags advance care planning Affordable Care Act aging Altarum Institute best practices caregivers caregiving care plans care transitions CCTP CFMC CMS coalition building Coleman Model community based discharge planning elder care eldercare

    Original URL path: http://medicaring.org/author/larryberesford/ (2016-04-30)
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  • palliative care – Page 2 – MediCaring.org
    in assuri ng smooth transitions among settings in health care The Partnership for Patients adds substantial funding and organization to that initiative and the upcoming QIO contracts provide some help to communities trying to get work underway https www fbo gov index s opportunity mode form id c9758e6861085718832064025f15d75f tab core cview 1 Hospitals are up against serious penalties for high rehospitalization rates in three years under Section 3025 of the ACA What is especially important for geriatrics and palliative care is that most of what one needs to do to move patients safely from one setting to another is also at the core of our competencies having a good care plan making sure the medications are right motivating patients and families to take an active role in treatment coordinating social and medical services providing supportive care enabling patients to live at home through death standardizing procedures across multiple providers and getting information to the right place at the right time So we can work toward care plans that reflect the medical and social situation and continue across time and settings without having to take on the distortions of those who focus only on living wills We can work on community based supportive services without apology to those who focus upon aggressive interventions There is even a strong role for supporting family caregivers Hospitals and health plans are taking the incentives and penalties seriously creating an opening for good comprehensive care for our sickest and most disabled patients Often we know the community based organizations that could take the lead in seeking funding for the Community Based Care Transitions program We can also take a strong hand in shaping these initiatives Right now the quality measures for the Accountable Care Organizations are up for comment The measures proposed start on about p 19569 at http edocket access gpo gov 2011 pdf 2011 7880 pdf You will note that there is no specific measure of the quality of the care plan or its continuity across settings and you might comment to ask that this be developed and added asap You might also note that measure 9 is quite misleading and should not be used having a physician visit before readmission or within 30 days of hospital discharge Another clear target is the oppressive antitrust rule which mostly bars progression to ACO for most geographically based organization of services This is much more complicated but probably deserves at least a push back on behalf of our patients for whom the distribution of the market for surgeries and other interventional treatments is not determinative of good policy The instructions on how to submit a comment is on the first page of the proposed regulations http edocket access gpo gov 2011 pdf 2011 7880 pdf So what should you do First spread the word that Care Transitions is quite an opportunity for real growth in the quality and reliability of care that we can provide Second check on whether your community might propose a Community

    Original URL path: http://medicaring.org/tag/palliative-care/page/2/ (2016-04-30)
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  • Patient Activation Measure: An Effective Way to Promote Self-Management – MediCaring.org
    to the hospital With those goals in mind clinicians can begin to understand just where a patient is and where she d like to be Hayes said it could be that a patient does not have a lot of positive emotion and is not ready to start setting a lot of goals Standard operating procedure is to give everyone sheets of paper lots of instructions and phone numbers It s just useless for someone whose PAM is a Level One Instead patients and clinicians need to establish small goals that can be achieved and that are meaningful in the patient s life From there patients gain the confidence they need to achieve higher activation scores And that Hibbard s research shows can lead to better health and health outcomes She has found that people are more likely to get preventive care screening and immunizations to eat a healthy diet and to exercise regularly Different indicators such as body mass index and cholesterol levels are more likely to be in the normal range Having increased knowledge and confidence is especially important for older patients who have multiple chronic conditions those nurse Elaine Cannon calls the sickest of the sick In her experience as a visiting nurse in Rochester New York Cannon says her role has changed As a nurse it was always a do to type position In coaching you lead the patient to take more ownership of the situation Melissa Wendland of the Finger Lakes Health Systems Agency in upstate New York says that patient activation changes the health care dynamic Patients are being supported in their autonomy They re recognizing their competencies It s a very different approach for health care Danny Sands a physician who founded the Society for Participatory Medicine concurs You have to be a participant in your own health care it s not a spectator sport When patients are more engaged in their health they follow the plan they have better outcomes and everyone is happier Hibbard suggests that those looking to be more engaged try a few simple things Break things down into smaller steps Take a focus on one thing at a time and don t feel overwhelmed by all clinicians are asking you to do Mary Minniti of the Institute for Patient and Family Centered Care suggests that any time you leave a doctor s appointment you should be able to answer three questions What s the problem medically What can I do about it And are there danger signs or things that mean I should get back in contact with you If you can t answer those three questions by the time you leave the office you need to know it s not a failure on your part or the clinician s part it s the system s fault It s valid to say I m not ready to leave yet Who besides the doctor can help me to know what I need to know key words patient activation measure patient

    Original URL path: http://medicaring.org/2012/12/04/patient-activation-measure-an-effective-way-to-promote-self-management/ (2016-04-30)
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