Objectives. 4 types of transport systems. History of EMS 8/20/2013. I want to go home: Developing a pediatric palliative care transport model
|
|
- Shavonne Betty Spencer
- 6 years ago
- Views:
Transcription
1 Objectives I want to go home: Developing a pediatric palliative care transport model Vivian Broussard, RN, BSN, CPN, CHPPN Christy Dressler, RRT-NPS, C-NPT Jenni Linebarger, MD, MPH, FAAP 1. Understand the role a transport team can have in providing palliative care 2. Identify barriers to palliative care transport 3. Apply strategies to overcome barriers of palliative care transports Patient story #1 Published case reports neonates (from NICU) In the U.K.; involved senior registrar and nurse 2006 infant (from PICU) In California; hospice very involved 2009 infant (from PICU) In Oregon; PICU attending and respiratory therapist History of EMS Emergency Medical Services Systems Act Emergency Medical Services for Children (EMS-C) program Emergency Medical Treatment and Active Labor Act (EMTALA) cornerstone of transport law Commission on Accreditation of Medical Transport Systems 4 types of transport systems 1. Hospital-based Owned and operated by sponsoring institutions Designed to serve hospital needs Usually operate at a net loss but generate indirect revenue streams providing an overall profit 2. Community-based Owned and operated by private companies Depend on a mix of adult transports, high volume, and low expenses 3. EMS-based Owned and subsidized by local, regional, and state government funding (inc. tax payer revenue) 4. Hybrid 1
2 Children s Mercy Transport Team What is a critical care transport team? Interdisciplinary team Provide advanced therapies High frequency ventilation, whole-body cooling, surfactant, pain management Receive specialty training and accreditation Available 24/7 Goal of meeting the patient s care goals, often aimed at survival and most appropriate level of care What is a palliative care team? Interdisciplinary team Provide advanced care Communication, care planning, and symptom management Receive specialty training and accreditation Available 24/7 Sounds like they have the same goals, so what are the barriers? Goal of meeting the patient s care goals, often aimed at comfort and most appropriate level of care Barriers to preferred location of death Urgent need for transport due to patient s rapidly changing condition Limited time to organize transfers Management of specialist equipment Continuity and comfort level of providers Need to clarify the resuscitation status of patients Legal barriers State EMS licensing requirements Specifically about who must be on board Resuscitation orders Hospital vs. Community Who receives the patient? EMTALA requires acceptance by a receiving physician Ingleton et al. Barriers to achieving care at home at the end of life: transferring patients between care settings using patient transport services. Pall Med, 2009 Hands et al. The implication of end-of-life transfers on a transport service. Infant, 2013 Zwerdling et al. Home pediatric compassionate extubation: bridging intensive and palliative care. Am J Hosp Pall Care,
3 Staff availability Patient stability Timing barriers Getting there emotionally Mode and mileage of transport Practice barriers Going into a residence, access to the house Attitudes (general) of transport staff Medication Equipment needed in the home Safety training Funding barriers Trying to do the right thing Insurance reimbursement Support from institution Sept 2010 Nov 2010 Dolce dies Meet to discuss how to do the right thing Aug 2011 Policy written Dec 2011 Policy approved March 2012 First official palliative care transport Patient Story #2 How our policy addresses the barriers 3
4 Legal barriers Timing barriers EMS licensing requirements Attendants on transport Resuscitation orders Printed copy of hospital DNR Community DNR Who receives the patient? Hospice referral made Hospice RN meeting on arrival Staff availability Nonemergent, prescheduled for weekdays only Patient stability Accept that death en-route is possible Family readiness Mode and mileage of transport Ground only, with some exceptions Within 175 miles, with some exceptions Practice barriers Going into a residence Home assessment form Attitudes (general) Medication All prescribed medications en-route Anticipate comfort care medication needs Safety training Funding barriers Patient story #3 Insurance reimbursement Consent to Transport Ambulance Billing Authorization form Physician Certification Statement for Non- Emergency Ambulance Services Support from institution 4
5 Lessons learned More information to do this It can be done! Policy helps, but flexibility matters a lot! sportteamsdatabase.pdf Our contacts: Vivian Broussard vrbroussard@cmh.edu Christy Dressler cdressler@cmh.edu Jenni Linebarger jslinebarger@cmh.edu References Hands S, Crabtree L, Wolfenden, Harrison C. The implication of end-of-life transfers on a transport service. Infant, 2013; 9(1):30-33 Hawdon JM, Williams S, Weindling AM. Withdrawal of neonatal intensive care in the home. Arch Dis Child, 1994; 71;F142-F144 Ingleton C, Payne S, Sargeant A, Seymour J. Barriers to achieving care at home at the end of life: transferring patients between care settings using patient transport services. Pall Med, 2009; 23(8): Needle JS. Home extubation by a pediatric critical care team: providing a compassionate death outsode the pediatric intensive care unit. Pediatr Crit Care Med, 2010; 11(3): Stroud MH et al. Pediatric and neonatal interfacility transport: results from a national consensus conference. Pediatrics, 2013; 132(2): Zwerdling T, Hamann KC, Kon AA. Home pediatric compassionate extubation: bridging intensive and palliative care. Am J Hosp Pall Care, 2006; 23(3):
Jennifer Habert BHS, RRT-NPS, C-NPT Critical Care Transport Children s Mercy Kansas City
Jennifer Habert BHS, RRT-NPS, C-NPT Critical Care Transport Children s Mercy Kansas City Learning Outcomes Participants will identify important operational and safety measures in the transport environment.
More informationVariables that impact the cost of delivering SB 1004 palliative care services. Kathleen Kerr, BA Kerr Healthcare Analytics September 28, 2017
Variables that impact the cost of delivering SB 1004 palliative care services Kathleen Kerr, BA Kerr Healthcare Analytics September 28, 2017 SB 1004 Palliative Care SB 1004 (Hernandez, Chapter 574, Statutes
More informationKuban Naidoo Department of Critical Care Chris Hani Baragwanath Academic Hospital SAMA Conference, Johannesburg, 2016
Kuban Naidoo Department of Critical Care Chris Hani Baragwanath Academic Hospital SAMA Conference, Johannesburg, 2016 No financial conflict of interests I am a paediatrician Food for thought Intensive
More informationExpanding Pediatric Care with Telemedicine. James Marcin, MD, MPH, FAAP, FATA Pediatric Critical Care - UC Davis Children s Hospital Sacramento, CA
Expanding Pediatric Care with Telemedicine James Marcin, MD, MPH, FAAP, FATA Pediatric Critical Care - UC Davis Children s Hospital Sacramento, CA Disclosures I have no financial relationships or conflicts
More informationCritical Care, Critical Choices: The Case for Tele-ICUs in Intensive Care
Critical Care, Critical Choices: The Case for Tele-ICUs in Intensive Care April 29, 2011 Waltham, MA Presented by Lisa Payne Simon, MPH Cheryl H. Dunnington, RN, MS 1 FAST Initiative Overview 2004-2010
More informationPOLICIES AND PROCEDURE MANUAL
POLICIES AND PROCEDURE MANUAL Policy: MP017 Section: Medical Benefit Policy Subject: Ambulance Transport Service I. Policy: Ambulance Transport Service II. Purpose/Objective: To provide a policy of coverage
More informationRoyal Liverpool Children s NHS Trust Alder Hey Rapid Discharge Pathway for End of Life Care
Royal Liverpool Children s NHS Trust Alder Hey Rapid Discharge Pathway for End of Life Care Pathway for patients where a consensus decision has been made by the child s / young person s family & multi-professional
More informationEnd of Life Option Act ( The Act )
End of Life Option Act ( The Act ) Susan L. Penney, JD UCSF Medical Center End of Life Option Act (previously referred to as Physician Assisted Suicide) ABX2 15 After decades of California rejecting prior
More informationTHURSDAY, MARCH 26, 2015
THURSDAY, MARCH 26, 2015 This presentation contains certain forward-looking statements concerning financial and operating plans and results which involve known and unknown risks and uncertainties. Various
More informationAdvanced Care Planning and Advanced Directives: Our Roles March 27, 2017
Advanced Care Planning and Advanced Directives: Our Roles March 27, 2017 2017 NPSS Asheville, NC Overview History of Advanced Directives Importance of Advanced Care Planning for Quality care Our Role in
More informationSARASOTA MEMORIAL HOSPITAL STANDARDS OF CARE STANDARDS OF PRACTICE NEONATAL TRANSPORT TEAM
UNIT: SARASOTA MEMORIAL HOSPITAL STANDARDS OF CARE STANDARDS OF PRACTICE NEONATAL TRANSPORT TEAM STANDARD #: EFFECTIVE DATE: REVISED DATE: STANDARD TYPE: 11/93 3/18 DEPARTMENTAL INTERDEPARTMENTAL DEPARTMENTS
More informationTransport of the Critically Ill Children
2015. 08. 31 WFSICCM, Seoul Emergency Medicine and Transport Transport of the Critically Ill Children Naoki Shimizu, MD, PhD Department of Paediatric Emergency & Critical Care Medicine Tokyo Metropolitan
More informationHOSPICE CONTRACTING CHECKLIST FOR INPATIENT SERVICES, RESPITE CARE AND VENDOR AGREEMENTS
HOSPICE CONTRACTING CHECKLIST FOR INPATIENT SERVICES, RESPITE CARE AND VENDOR AGREEMENTS The following checklist can be used to verify that the regulatory requirements are addressed in hospice contracts
More informationSimulation and Skills Training: A New Way to Teach and Practice High-Stakes End of Life Skills
Simulation and Skills Training: A New Way to Teach and Practice High-Stakes End of Life Skills Naomi Goloff, MD FAAP, Anne Woll, MS, Erik Norbie University of Minnesota Disclosures All planners, presenters,
More informationof the respiratory checklist from July1, April 30, Measures were evaluated monthly. Primary measures:
Surfactant Administration and Respiratory Care During the Golden Hour Adia Stokes MD, Bushra Saleem, MD, Melissa Oh, MD, Natalie Davis, MD and Sara Mola, MD University of Maryland Medical Center Primary
More information1 Stand-Alone 2 Co-located (or embedded)
MODULE 1. Office/Clinic Program Description and Metrics Outpatient Clinic / Office-based Practice Description 1.A Data for [YEAR] reported for: 1.B Service Setting 1 Is this program serving an urban, suburban
More informationBASIC Designated Level
County Date of Survey BASIC Designated Level Type of Survey Name of Facility Hospital License # Address Telephone ( ) Manager / Director Fax ( ) License / Certificate # # of Bays Surveyor s Signature Date
More informationPRESCRIBED PEDIATRIC EXTENDED CARE CENTERS CSHCN SERVICES PROGRAM PROVIDER MANUAL
PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS CSHCN SERVICES PROGRAM PROVIDER MANUAL SEPTEMBER 2018 CSHCN PROVIDER PROCEDURES MANUAL SEPTEMBER 2018 PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS Table of Contents
More informationAnalysis of Medi-Cal Ground Ambulance Reimbursement
Analysis of Medi-Cal Ground Ambulance Reimbursement January 2011 Table of Contents Page Analysis of Medi-Cal Ground Ambulance Reimbursement 1 California Ambulance Statistics 2 Medi-Cal Ambulance Rate History
More informationSARASOTA MEMORIAL HOSPITAL STANDARDS OF CARE STANDARDS OF PRACTICE MATERNAL TRANSPORT TEAM
SARASOTA MEMORIAL HOSPITAL STANDARDS OF CARE STANDARDS OF PRACTICE MATERNAL TRANSPORT TEAM EFFECTIVE DATE: REVISED DATE: STANDARD TYPE:, 4/95 1/18 DEPARTMENTAL INTERDEPARTMENTAL DEPARTMENTS PROVIDING NURSING
More informationPEDIATRIC CRITICAL CARE NURSE CERTIFICATION E-BOOK
20 January, 2018 PEDIATRIC CRITICAL CARE NURSE CERTIFICATION E-BOOK Document Filetype: PDF 537.16 KB 0 PEDIATRIC CRITICAL CARE NURSE CERTIFICATION E-BOOK The Pediatric Nursing Certification Board (PNCB),
More information9/13/2018 MANAGING THE BIG 5 : FINANCES FOR CLINICAL LEADERS PURPOSE LEARNING OUTCOMES
MANAGING THE BIG 5 : FINANCES FOR CLINICAL LEADERS Jennifer Hale, MSN RN CHPN VP, Quality and Standards Carla Roberts, BS Executive Director Mountain Grove/Lebanon/West Plains, MO PURPOSE To provide a
More informationWhat is a Nurse Practitioner?
What is a Nurse Practitioner? RN with advanced education Master s Degree Doctor of Nursing Practice When, Where & Why 1965 - Dr. Loretta Ford EdD, RN, PNP FAANP University of Colorado Cost effective for
More informationPOLST: What s New and How Can We Do Better? Pam Hiransomboon-Vogel, DNP, FNP-BC, ACHPN
POLST: What s New and How Can We Do Better? Pam Hiransomboon-Vogel, DNP, FNP-BC, ACHPN The OHSU Center for Ethics in Health Care and POLST Program, have no relevant financial relationships to disclose
More informationAcute Care for Older People from Residential Care Facilities (RACF)
Opportunities for Promoting Care in Appropriate Sites Suma Poojary Acute Care for Older People from Residential Care Facilities (RACF) Background Mobile Assessment and Treatment Service ( MATS) Barriers
More informationAnd the Evidence Shows Using Specialty Certification from The Joint Commission Improves Quality
And the Evidence Shows Using Specialty Certification from The Joint Commission Improves Quality Leisha Buller, MSN, ACNP-BC Lindsey Canon, MSN, RNC Ashley Hodo, MSN, RN Using The Joint Commission s Certification
More informationCheck all that apply [TEXT] if administered by a health system, select health system.
MODULE 1. Home Health Program Description and Metrics Home Health Program Description 1 Is this program serving an urban, suburban or rural 1 Urban community? 2 Suburban 3 Rural 2 Who administers your
More informationLeadership in Palliative Care: Strategies for APNs
Leadership in Palliative Care: Strategies for APNs April 20, 2018 Lyn Ceronsky DNP, GNP, CHPCA, FPCN lcerons1@fairview.org System Director, Palliative Care Director, Fairview Palliative Care Leadership
More informationMaryland Patient Safety Center s Call for Solutions 2017
Maryland Patient Safety Center s Call for Solutions 7 The Neonatal Intensive Care Unit at The Herman & Walter Samuelson Children s Hospital at Sinai Hospital of Baltimore Drawing Placental Blood for Admission
More informationPrincipal Investigator: Danielle Hoffman BSN, RN, TNS, EMT-P, SANE-A
Evaluation of Registered Nurse Knowledge/Education Related to Distraction as a Nursing Intervention for Pediatric Procedural Pain Management in the Emergency Department Principal Investigator: Danielle
More informationOptimal Resources for Children s Surgical Care. Keith T. Oldham, MD. ACS Quality and Safety Conference New York, New York July 22, 2017
Optimal Resources for Children s Surgical Care The American College of Surgeons Children s Surgery Verification Quality Improvement Program Keith T. Oldham, MD ACS Quality and Safety Conference New York,
More informationImproving Transition Home through a Standardized Discharge Process. Christopher D. Baker, MD Associate Professor of Pediatrics May 10, 2016
Improving Transition Home through a Standardized Discharge Process Christopher D. Baker, MD Associate Professor of Pediatrics May 10, 2016 Objectives Identify components of the Children s Hospital Colorado
More informationPATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, November 2017
Report Contents: PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, November By: Terry Dentoni, MSN, RN, CNL - ZSFG Chief Nursing Officer 1. Professional Nursing.....1 2. Emergency
More informationA15b. Use of Simulation for Practice Competencies. Session Summary. Session Objectives. References. Session Outline
A15b Use of Simulation for Practice Competencies Patricia A. Scott, DNP, APN, NNP-BC, C-NPT Advanced Practice Coordinator Pediatrix Medical Group of Tennessee, Nashville, TN The speaker has signed a disclosure
More information10 Ancillary Networks
10 Ancillary Networks This chapter discusses information specific to healthcare providers in our contracted ancillary network. Content Section 1: Overview Section 2: Claims and Billing Section 3: Home
More informationRespiratory Therapists Experiences and Attitudes Regarding Terminal Extubations and End-of-Life Care
Respiratory Therapists Experiences and Attitudes Regarding Terminal Extubations and End-of-Life Care Anjali P Grandhige MD, Marjorie Timmer RRT, Michael J O Neill MD, Zachary O Binney MPH, and Tammie E
More informationPrescriber Use of the PDMP: A Statewide Survey and Multistate Focus Groups
Prescriber Use of the PDMP: A Statewide Survey and Multistate Focus Groups Richard Deyo, MD, MPH Depts. of Family Medicine & Internal Medicine, Oregon Health & Science University Jessica Irvine, MS Acumentra
More informationCenter for Community Health Navigation at NewYork-Presbyterian Hospital
Center for Community Health Navigation at NewYork-Presbyterian Hospital CENTER MISSION Mission: To support the health and wellbeing of patients through the delivery of culturallysensitive, peer-based support
More informationEND-OF-LIFE NURSING EDUCATION CONSORTIUM (ELNEC)
END-OF-LIFE NURSING EDUCATION CONSORTIUM (ELNEC) PEDIATRIC PALLIATIVE CARE: TRAIN-THE-TRAINER PROGRAM TUESDAY, MARCH 21, 2017 Ruth and Tristram Colket, Jr. Translational Research Building 1 COURSE OVERVIEW
More informationAmbulance and Medical Transport Services (Ground, Air and Water) Corporate Medical Policy
Ambulance and Medical Transport Services (Ground, Air and Water) Corporate Medical Policy File Name: Ambulance and Medical Transport Services (Ground, Air and Water) File Code: UM.SPSVC.06 Origination:
More informationResource impact report: End of life care for infants, children and young people with life-limiting conditions: planning and management (NG61)
Putting NICE guidance into practice Resource impact report: End of life care for infants, children and young people with life-limiting conditions: planning and management (NG61) Published: December 2016
More informationObjectives. Integrating Palliative Care Principles into Critical Care Nursing
1 Integrating Palliative Care Principles into Critical Care Nursing It s the Caring, Compassionate, Holistic, Patient and Family Centered, Better Communication, Keeping my patient comfortable amidst the
More informationEnhancing Psychosocial Care for Patients with Palliative Care Needs in the Acute Medical Wards
Enhancing Psychosocial Care for Patients with Palliative Care Needs in the Acute Medical Wards Dr Stephanie Chu Associate Consultant Department of Medicine Queen Elizabeth Hospital Hospital Authority Convention
More informationEASTERN ARIZONA COLLEGE Pediatric Advanced Life Support
EASTERN ARIZONA COLLEGE Pediatric Advanced Life Support Course Design 2013-2014 Course Information Division Allied Health Course Number EMT 221 Title Pediatric Advanced Life Support Credits 1 Developed
More informationAdministrators. Medical Directors. 61% The negative impact on our hospital-based program s. 44% We will need to consider the most appropriate or most
2016 This annual survey, which began in 2009, provides key insight into nationwide developments in the business of cancer care. To better capture information from its multidisciplinary membership, this
More informationApplication forms are available on the Mercy Portal or through Human Resources. Submit applications forms to Human Resources.
Mercy NursiNg & clinical education s Application forms are available on the Mercy Portal or through Human Resources. Submit applications forms to Human Resources. edith gillespie case adn NursiNg student
More informationCommon Questions Asked by Patients Seeking Hospice Care
Common Questions Asked by Patients Seeking Hospice Care C o m i n g t o t e r m s w i t h the fact that a loved one may need hospice care to manage his or her pain and get additional social and psychological
More information10 Ancillary Networks
10 Ancillary Networks This chapter provides information specific to healthcare providers in our contracted ancillary network. Content Section 1: Overview Section 2: Claims and Billing Section 3: Home Based
More informationLOUISIANA MEDICAID PROGRAM ISSUED: 04/15/12 REPLACED: CHAPTER 24: HOSPICE SECTION 24.3: COVERED SERVICES PAGE(S) 5 COVERED SERVICES
COVERED SERVICES Hospice care includes services necessary to meet the needs of the recipient as related to the terminal illness and related conditions. Core Services (Core services) must routinely be provided
More informationPerinatal Palliative and Bereavement Care
Perinatal Palliative and Bereavement Care BARBARA ACEVEDO, MSW RADHIYA WALTHER, MSN, RNC CHRISTINE TENIOLA, BSN, RNC JOYCE GUNNIP, BS, RN NANCY CAMARGO, BSN JOANNE RIFFIN-JACKSON, BSN Objectives Upon completion
More informationThe Patient Experience: Challenges and Opportunities in the Safety Net
The Patient Experience: Challenges and Opportunities in the Safety Net Leon L. Haley Jr., MD, MHSA, FACEP Executive Associate Dean, Clinical Services Grady Chief Medical Officer, EMCF Associate Professor
More informationPalliative Care Competencies for Occupational Therapists
Principles of Palliative Care Demonstrates an understanding of the philosophy of palliative care Demonstrates an understanding that a palliative approach to care starts early in the trajectory of a progressive
More information2012 CoC Standards: University of Kansas Hospital Cancer Committee Goals. Tim Metcalf, BS, CTR Cancer Registry Manager
2012 CoC Standards: University of Kansas Hospital Cancer Committee Goals Tim Metcalf, BS, CTR Cancer Registry Manager 1 Standard 4:Outcomes 4.7 Quality Improvement: QI Coordinator develops, analyzes &
More information$traight Talk Hot Topics. Free Standing EDs. Free Standing EDs 11/6/2017. David A. McKenzie, CAE ACEP Reimbursement Director
Free Standing EDs $traight Talk Hot Topics Free Standing EDs David A. McKenzie, CAE ACEP Reimbursement Director CPT Definition for the use of 99281-99285: Organized hospital-based facility for the provision
More informationCertificate of Need (CON) Review Standards for NICU Beds & Special Newborn Nursery Services Effective March 3, 2014
+ Certificate of Need (CON) Review Standards for NICU Beds & Special Newborn Nursery Services Effective March 3, 2014 Northern Michigan Perinatal Summit July 23, 2014 Tulika Bhattacharya, CON Michigan
More informationImproving Access to Specialty Care. Janet M. Coffman, MPP, PhD Center for the Health Professions Philip R. Lee Institute for Health Policy Studies
Improving Access to Specialty Care Janet M. Coffman, MPP, PhD Center for the Health Professions Philip R. Lee Institute for Health Policy Studies Outline State of access to specialty care for low-income
More informationWhen and How to Introduce Palliative Care
When and How to Introduce Palliative Care Phil Rodgers, MD FAAHPM Associate Professor, Departments of Family Medicine and Internal Medicine Associate Director for Clinical Services, Adult Palliative Medicine
More informationEMTALA: Taking the high road BRANDON LEWIS, DO, MBA, FACOEP, FACEP
EMTALA: Taking the high road BRANDON LEWIS, DO, MBA, FACOEP, FACEP Objectives Provide a better understanding of the background and definitions of EMTALA Provide a better understanding of how these regulations
More informationExpected Death in the Home Protocol EDITH. Guidelines
EDITH Hospice Palliative Care Teams for Central LHIN Sep 2015 Table of Contents 1. Overview... 3 2. Legislation... 3 3. Process... 4 Appendix 1 Do Not Resuscitate Confirmation Form... 6 Appendix 2 Do Not
More informationStandards of Practice for Hospice Programs (2010) (Veteran-related Standards)
Standards of Practice for Hospice Programs (2010) (Veteran-related Standards) National Hospice and Palliative Care Organizations (NHPCO) Standards of Practice for Hospice Programs (2010) is a valuable
More informationPolicies and Procedures. I.D. Number: 1145
Policies and Procedures Title: VENTILATION CHRONIC- CARE OF MECHANICALLY VENTILATED ADULT PERSON RNSP: RN Clinical Protocol: Advanced RN Intervention LPN Additional Competency: Care of Chronically Mechanically
More informationStakeholder input is gathered in several ways. Patients are given the opportunity to provide feedback, the SWOT analysis is based on information from
Strategic Plan 27 Executive Summary The following is a summary of the information shared in this Operations Review and Plan. This plan highlights operational achievements and challenges, clinical outcomes
More informationTEAMWORK: INTERPROFESSIONAL DEVELOPMENT THAT CREATES IMPACT
TEAMWORK: INTERPROFESSIONAL DEVELOPMENT THAT CREATES IMPACT The National Perinatal Information Center is dedicated to the improvement of perinatal health through comparative data analysis, program evaluation,
More informationModule 1 Program Description and Metrics
Module 1 Program Description and Metrics Outpatient Clinic / Office-based Program Description 1. Is this program serving an urban, suburban or rural community? Urban Suburban Rural 2. Who administers your
More informationNOTE: The first appearance of terms in bold in the body of this document (except titles) are defined terms please refer to the Definitions section.
TITLE OBSTETRICAL TRIAGE ACUITY SCALE (OTAS) SCOPE Provincial: Women s and Infant s Health APPROVAL AUTHORITY Vice-President, Research, Innovation & Analytics SPONSOR Maternal Newborn Child & Youth, Strategic
More informationThe Power of Peer Review: Impacting Practice at the Bedside. Nicole Jarrell, MSN, RN Pamela Baio, BSN, RN, CCRN LeeAnna Spiva, PhD, RN, PLNC
The Power of Peer Review: Impacting Practice at the Bedside Nicole Jarrell, MSN, RN Pamela Baio, BSN, RN, CCRN LeeAnna Spiva, PhD, RN, PLNC WellStar Health System Not-For Profit-Five Hospital System =
More informationHitting the mark... sometimes. Improve the accuracy of CPT code distribution. MGMA Connexion, Vol. 5, Issue 1, January 2005
MGMA Connexion, Vol. 5, Issue 1, January 2005 Hitting the mark... sometimes Improve the accuracy of CPT code distribution By Margie C. Andreae, MD, associate director for clinical services, Division of
More informationMoral Conversations with ICU Patients and Families
Moral Conversations with ICU Patients and Families Barb Supanich,RSM, MD,FAAHPM Medical Director, Palliative Care and Senior Services Holy Cross Hospital March 11, 2010 Learner Objectives Describe three
More informationAetna. NOMNC Letter -- SNF needs to fax to NOMNC Fax
FINAL APPROVED 3/17/2015 Aetna Optum has contracted with Aetna Better Health to provide NP model of care during a nursing facility event and has assumed responsibility for obtaining service authorizations
More informationAPPROVAL DATE May 2015
APPROVAL DATE May 2015 MANUAL: Standardized Procedure SECTION: Pediatric CHET TRACKING # SP 3-02 TITLE: EMERGENCY MEDICATION ADMINISTRATION GUIDELINE POLICY PROCEDURE STANDARD OF CARE STANDARDIZED PROCEDURE
More informationAdvanced Respiratory Therapies 2018: When Emergency Care Turns to Critical Care
Advanced Respiratory Therapies 2018: When Emergency Care Turns to Critical Care Friday, June 15, 2018 Russell W. Chesney Auditorium Memphis, TN Course Description This program is intended to discuss evidence-based
More informationProgressive Mobility in the ICU: Improving the Patient Experience. Rachel Lewis-Bayliss BSN, RN Theresa M. Davis PhD, RN, NE-BC
Progressive Mobility in the ICU: Improving the Patient Experience Rachel Lewis-Bayliss BSN, RN Theresa M. Davis PhD, RN, NE-BC Early Progressive Mobility Team Jason Vourlekis MD, MBA: Medical Director
More informationTrevor Duke Intensive Care Unit, Royal Children s Hospital Centre for International Child Health, University of Melbourne
vs Trevor Duke Intensive Care Unit, Royal Children s Hospital Centre for International Child Health, University of Melbourne Realities A global summary of quality and safety One vision Quality in acute
More informationNANT 8 Conference Presentation Objectives
01. Presenters: Amy Faherty, MS, CCC-SLP and Tiffany Elliott, MS, CCC-SLP Presentation Title: To view or Not To View: use of VFSS within NICU Identify criteria for who is and is not a candidate for a VFSS
More informationCare Coordination Program. Misty VanCampen,BSN,RN,CCM
Care Coordination Program Misty VanCampen,BSN,RN,CCM Objectives Define complex care coordination. Discuss the importance of implementing complex care coordination programs in pediatric health care organizations.
More informationComplex Decision-Making Around the Use of Extreme Technologies at the Edges of Medicine in the Pediatric ICU: The Case of Extracorporeal Life Support
Complex Decision-Making Around the Use of Extreme Technologies at the Edges of Medicine in the Pediatric ICU: The Case of Extracorporeal Life Support Mithya Lewis-Newby, MD MPH Assistant Professor, Division
More informationRural Track Pediatric Residencies, and Others
Rural Track Pediatric Residencies, and Others Robert W Hostoffer, DO, FACOP, FAAP Professor, Ohio University College of Osteopathic Medicine Randy Longenecker, MD Professor, Family Medicine, Ohio University
More informationTAKING A STANCE ON PHYSICIAN AID IN DYING
TAKING A STANCE ON PHYSICIAN AID IN DYING Constance Dahlin, MSN, ANP-BC, ACHPN, FPCN, FAAN Palliative Care Specialist Director of Professional Practice, HPNA Consultant, CAPC Palliative NP, NSMC Disclosures
More informationHOSPICE IN MINNESOTA: A RURAL PROFILE
JUNE 2003 HOSPICE IN MINNESOTA: A RURAL PROFILE Background Numerous national polls have found that when asked, most people would prefer to die in their own homes. 1 Contrary to these wishes, 75 percent
More informationJoint Statement on Ambulance Reform
Joint Statement on Ambulance Reform Policymakers Should Examine Short- and Intermediate-Term Policies to Promote Innovation in the Delivery of Emergency and Non- Emergency Care Provided by Ambulance Services
More informationDisclosures. Costs and Benefits When Increasing Level of Trauma Center Designation. Special Thanks to Mike Williams 9/26/2013
Costs and Benefits When Increasing Level of Trauma Center Designation Austin Hill MD MPH OTA 2013 None Disclosures Special Thanks to Mike Williams 1 Underlying Premise: Why are for-profit trauma centers
More informationKechi Iheduru-Anderson DNP-c, MSN, RN, CWCN. December 2013
Kechi Iheduru-Anderson DNP-c, MSN, RN, CWCN. December 2013 As a nurse in the united states you will encounter a variety of different types of caregivers. You may work with unlicensed assistive personnel
More informationCOLLABORATIVE PRACTICE SUCCESSES IN PRIMARY CARE
COLLABORATIVE PRACTICE SUCCESSES IN PRIMARY CARE KPhA Annual Meeting September 7, 2014 Tiffany R. Shin, PharmD, BCACP Lyndsey N. Hogg, PharmD, BCACP Objectives Describe basic concepts of collaborative
More informationEnd-of-Life Nursing Education Consortium
End-of-Life Nursing Education Consortium Celebrating 15 years DEDICATED TO EDUCATION AND PROMOTING EXCELLENT PALLIATIVE CARE END-OF-LIFE NURSING EDUCATION CONSORTIUM Millions this year will need your help
More informationKaren M. Mathias, MSN, RN, APRN-BC Director Barbara J. Peterson, RN Simulation Specialist
On the Rural Roads with Pediatric Simulation Training Karen M. Mathias, MSN, RN, APRN-BC Director Barbara J. Peterson, RN Simulation Specialist Objectives Identify key patient safety issues that make simulation
More informationPatient Care Excellence Award Program
Patient Care Excellence Award Program 2017 Official Nomination Form UnityPoint Health - St. Luke's Foundation UnityPoint Health - St. Luke's Hospital UnityPoint Health - Continuing Care Hospital UnityPoint
More informationAdvanced Practice Nursing. Shawn Wells September 30, 2016
Advanced Practice Nursing Shawn Wells September 30, 2016 Definition: Advanced Practice Nursing Registered Nurse Graduated from accredited NP program Passed National Certification Obtained License to Practice
More informationAMBULANCE SERVICES. Guideline Number: CS003.F Effective Date: January 1, 2018
AMBULANCE SERVICES UnitedHealthcare Community Plan Coverage Determination Guideline Guideline Number: CS003.F Effective Date: January 1, 2018 Table of Contents Page INSTRUCTIONS FOR USE... 1 BENEFIT CONSIDERATIONS...
More informationDementia and End-of-Life Care
Dementia and End-of-Life Care Part IV: What practical information should I know? About this resource The needs of people with dementia at the end of life* are unique and require special considerations.
More informationPlanning in Advance for Your Health Care
Planning in Advance for Your Health Care This booklet will help you to plan ahead. If you have any questions please call for assistance: NWH Patient Relations Representative 617-243-5052 NWH Pastoral Care:
More informationMHP Work Plan: 1 Behavioral Health Integrated Access
PROGRAM INFORMATION: Program Title: Youth Wellness Center Provider: Department of Behavioral Health Program Description: The Department of Behavioral Health (DBH) Youth Wellness Center is designed to improve
More informationNORTH CAROLINA RESPIRATORY CARE BOARD CARY, NORTH CAROLINA
NORTH CAROLINA RESPIRATORY CARE BOARD CARY, NORTH CAROLINA IN RE: REQUEST FOR DECLARATORY ) DECLARATORY RULING RULING BY MEDCENTER AIR ) REVISED 7/12/2007, 4/9/2015, 10/12/17 AND WAKEMED HEALTH & HOSPTIALS
More informationMary Baum President & CEO BA&T September 18, 2015
Mary Baum President & CEO BA&T September 18, 2015 Objective Why patient safety is so difficult to solve? The problem remains Advances in clinical workflow A collaborative approach Metrics matter Just start.
More informationRapid Response Team and Patient Safety Terrence Shenfield BS, RRT-RPFT-NPS Education Coordinator A & T respiratory Lectures LLC
Rapid Response Team and Patient Safety Terrence Shenfield BS, RRT-RPFT-NPS Education Coordinator A & T respiratory Lectures LLC Objectives History of the RRT/ERT teams National Statistics Criteria of activating
More informationTelehealth and Children With Special Health Care Needs. Improving Access to Care and Care Coordination
Telehealth and Children With Special Health Care Needs Improving Access to Care and Care Coordination Jacob Vigil, MSW Program Associate The Children s Partnership Mei Wa Kwong, JD Senior Policy Associate
More informationEvolving Roles of Pharmacists: Integrating Medication Management Services
Evolving Roles of Pharmacists: Integrating Management Services Marie Smith, PharmD, FNAP Palmer Professor and Assistant Dean, Practice and Policy Partnerships UCONN School of Pharmacy (marie.smith@uconn.edu)
More informationImproving Communication through Collaboration: Nurse-Physician Rounding Sharon Mathai, BSN, RN, CRN Clinical Resource Nurse, Medical Oncology
Improving Communication through Collaboration: Nurse-Physician Rounding Sharon Mathai, BSN, RN, CRN Clinical Resource Nurse, Medical Oncology SMMathai@mdanderson.org 2 Contents IDENTIFYING A PROBLEM A
More informationPEDIATRIC PRIMARY CARE and BEHAVIORAL HEALTH INTEGRATION
PEDIATRIC PRIMARY CARE and BEHAVIORAL HEALTH INTEGRATION AN OASIS IN THE FUTURE James N Bowen DO Chief Medical Officer The Guidance Center Flagstaff, AZ. WHAT WE WILL DISCUSS Why? What? How? When? WHY
More informationCalifornia Children s Services (CCS) Program Medi-Cal Managed Care CCS Whole-Child Model Comparison Chart January 6, 2016
California Children s Services (CCS) Program Medi-Cal Managed Care CCS Whole-Child Model Comparison Chart January 6, 2016 Authorization for Services Plan to adjudicate authorization request. Authorization
More informationExpected Death in the Home Protocol EDITH. Guidelines for Implementation
EDITH Guidelines for Implementation Hospice Palliative Care Teams for Champlain Champlain Community Care Access Centre Centre d accès aux soins communautaires de Champlain Table of Contents 1. Overview...
More information