IRB Rehab Efficiency Study 4A Rehab UPMC St Margaret Judith Tinelli MSN, RN, ONC, CNL, CRRN
|
|
- Phyllis Stevens
- 6 years ago
- Views:
Transcription
1 IRB Rehab Efficiency Study 4A Rehab UPMC St Margaret Judith Tinelli MSN, RN, ONC, CNL, CRRN
2 Overview Significance Purpose Hypothesis Results 1. 3 hour rule 2. Patient satisfaction 3. Staff satisfaction Community discharge Timely rehab arrivals Statistics Clinical relevance
3 Three Hour Rule- CMS A patient may be discharged from the acute inpatient rehab unit due to noncompliance with the Three Hour Rule per day of therapy The Three Hour Rule compliance is not only the preferred time spent in therapy for advancing the patients functional status but is a requirement for acute inpatient rehab and a Center for Medicare Services 2010 rule Significance Late arrivals may exclude the patient from therapy sessions Noncompliance 3 hour rule may d/c a patient from rehab Non adherence to schedule may decrease patient satisfaction and decrease functional progress Non adherence to efficiency may decrease therapist satisfaction
4 Purpose Evaluate the effectiveness of a medication nurse 4 days per week until 9:30am for 2 months. No FTEs added-budget neutral Hypothesis-adding a med nurse for the morning medication pass would positively impact the on time arrival to therapy appointments by decreasing the reasons for lateness such as med administration. Background-currently 19-30% of the patients arrive late each month Bathroom and medications have always headed the list averaging times/month
5 Results Medications and bathroom disappeared of the reasons for lateness list No medications errors Increased Patient & Staff satisfaction Increased dispositions to home
6 3 hour rule compliance Rehab rule compliance soared to 88% during the Rehab Efficiency Study from the previous quarter which was 80-84%. Percent compliance 3 hour rule 88% 86% 84% 82% 80% 78% 76% 74% 72%
7 Press Ganey Patient satisfaction scores Availability of nurses Quality of night shift nurse Quality of day shift nurse Patient satisfaction overall Chart1.crtx Post study(n12) Study(n33) Pre study(n89)
8 Staff Satisfaction Multi-disciplinary Survey Monkey (n16) am aid morning med nurse delay therapy 30 minutes 0 strongly agree agree neutral disagree
9 Community Discharge (n94) Community Discharge Community Discharge
10 Late Arrivals to Therapy 30% 25% 20% 15% 10% 5% 0% aug sept oct nov
11 Results Summary Positive for Nurse Satisfaction Positive for Therapist Satisfaction Positive for Patient Satisfaction Positive for 3 hour rule compliance Mixed for patient return to community setting Positive for efficiency to therapy overall FIM (Functional Independence Measurement) change mean for the study was as opposed to 21.9 the previous calendar year.
12 Clinical Relevance Observation of 94 patients over a period of 60 days Earlier start on med pass patients not as rushed Diary kept by med nurse interruptions by physicians, OT, social work, home health, missing meds, tests (dopplers, stat tests, etc) which are arranged around therapy times impeded med pass.
13 References Bachmann, S., Finger, C., Huss, A., Egger, M., Stuck, A. E., & Clough-Gorr, K. M. (2010). Inpatient rehabilitation specifically designed for geriatric patients: Systematic review and meta-analysis of randomised controlled trials. BMJ (Clinical Research Ed.), 340, c1718. doi: /bmj.c1718 Bauer, I. (1993). Nurses' perception of the first hour of the morning shift ( a.m.) in a german hospital. Journal of Advanced Nursing, 18(6), Berger, R. A., Sanders, S. A., Thill, E. S., Sporer, S. M., & Della Valle, C. (2009). Newer anesthesia and rehabilitation protocols enable outpatient hip replacement in selected patients. Clinical Orthopaedics and Related Research, 467(6), doi: /s x Brander, V., & Stulberg, S. D. (2006). Rehabilitation after hip- and knee-joint replacement. an experience- and evidence-based approach to care. American Journal of Physical Medicine & Rehabilitation / Association of Academic Physiatrists, 85(11 Suppl), S98-118; quiz S doi: /01.phm d Dillingham, T. R. (2007). Musculoskeletal rehabilitation: Current understandings and future directions. American Journal of Physical Medicine & Rehabilitation / Association of Academic Physiatrists, 86(1 Suppl), S Hentschke, P. (2009). 24-hour rehabilitation nursing: The proof is in the documentation. Rehabilitation Nursing : The Official Journal of the Association of Rehabilitation Nurses, 34(3),
14 References Laing, K., & Baumgartner, K. (2005). Implementing "lean" principles to improve the efficiency of the endoscopy department of a community hospital: A case study. Gastroenterology Nursing : The Official Journal of the Society of Gastroenterology Nurses and Associates, 28(3), Larsen, K., Hansen, T. B., Thomsen, P. B., Christiansen, T., & Soballe, K. (2009). Cost-effectiveness of accelerated perioperative care and rehabilitation after total hip and knee arthroplasty. The Journal of Bone and Joint Surgery.American Volume, 91(4), doi: /jbjs.g Parente, D. H., Pinto, M. B., & Barber, J. C. (2005). A pre-post comparison of service operational efficiency and patient satisfaction under open access scheduling. Health Care Management Review, 30(3), Pryor, J., & Buzio, A. (2010). Enhancing inpatient rehabilitation through the engagement of patients and nurses. Journal of Advanced Nursing, 66(5), doi: /j x Pryor, J., & O'Connell, B. (2009). Incongruence between nurses' and patients' understandings and expectations of rehabilitation. Journal of Clinical Nursing, 18(12), doi: /j x Vahakangas, P., Noro, A., & Finne-Soveri, H. (2008). Daily rehabilitation nursing increases the nursing time spent on residents. International Journal of Nursing Practice, 14(2), doi: /j x x Waters, K. R. (1994). Getting dressed in the early morning: Styles of staff/patient interaction on rehabilitation hospital wards for elderly people. Journal of Advanced Nursing, 19(2),
Hip Today Home Tomorrow:
Hip Today Home Tomorrow: A Collaborative Effort between an Orthopedic Practice and a Hospital to Create an Innovative Outpatient Total Hip Replacement Program Kimberley Murray RN MS CNS-CNOR Kelly Keenan
More informationAn Initiative to Improve Patient Discharge Satisfaction
An Initiative to Improve Patient Discharge Satisfaction Speaker Disclosure Statement Sally Strong, RN, APN-CNS, CNRN, CRRN Clinical Nurse Specialist Marianjoy Rehabilitation Hospital Adjunct Faculty Elmhurst
More informationRegulatory Compliance Risks. September 2009
Rehabilitation Regulatory Compliance Risks September 2009 1 Agenda - Rehabilitation Compliance Risks Understand the basic requirements for Inpatient Rehabilitation Facilities (IRFs) and Outpatient Rehabilitation
More informationPatricia Neal Rehabilitation Center
Pressure Injuries: Moving from Reporting to Healing Patricia Neal Rehabilitation Center Knoxville, TN Mary Dillon, MD, Medical Director Addie Lowe, MSN, BSN, RN, CNRN, CRRN Nurse Manager Anne Teasley,
More informationNOTE: New Hampshire rules, to
NOTE: New Hampshire rules, 309.01 to 309.08 Email Request: Selected Items in Table of Contents: (8) Time Of Request: Sunday, August 07, 2011 18:11:07 EST Send To: MEGADEAL, ACADEMIC UNIVERSE UNIVERSITY
More informationPartnerships: Developing an Elective Joint Replacement Program
Partnerships: Developing an Elective Joint Replacement Program Amy R. Ehrlich, MD Angela Schonberg, MPT Wojciech Rymarowicz, MPT Overview Session Overview: Montefiore network Program Development Data and
More informationDeveloping a Fast Track
Developing a Fast Track for patients undergoing hip and knee arthroplasty Specialist Orthopaedic Surgeon, Head of the Clinic of Orthopaedics #Quality2016 @nusjukvarden www.nusjukvarden.se/quality2016 Introduction
More informationOutline. I Love My Intern! How can we involve residents in patient satisfaction?
I Love My Intern! How can we involve residents in patient satisfaction? APDIM Fall Meeting October 2012 Outline Pre Assessment Introduction Small Groups Small Group Presentations G.U.I.D.E. TM Conclusions
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 informationfâvvxáá fàéüy Turning Strategy into Reality with the Balanced Scorecard St Vincent s Private Hospital, Sydney Because good ideas should be recognised
fâvvxáá fàéüy Turning Strategy into Reality with the Balanced Scorecard St Vincent s Private Hospital, Sydney Jose M Aguilera Director of Nursing Dr Kim Walker Practice Development & Research Co-ordinator
More informationCJRI Outpatient Total Joint Replacement (TJR) Protocol
CJRI Outpatient Total Joint Replacement (TJR) Protocol Purpose and Indications: The Connecticut Joint Replacement Institute (CJRI) offers an outpatient option for a select group of patients that are scheduled
More informationCalgary Foothills Medical Center Early Supported Discharge Program
Calgary Foothills Medical Center Early Supported Discharge Program This is a summary of responses from our meeting with Darren Knox on Tuesday July 16th, 2013; Individuals attending this meeting were Donna
More informationBrittany Turner, 2015 PharmD Candidate 1 Justin Campbell, PharmD 2 Katie McKinney, PharmD, MS, BCPS 2
Discharge Medication Concierge Program: A pilot project in heart failure to reduce readmission rates, improve patient satisfaction, and increase pharmacy business metrics Brittany Turner, 2015 PharmD Candidate
More informationCreating a Virtual Continuing Care Hospital (CCH) to Improve Functional Outcomes and Reduce Readmissions and Burden of Care. Opportunity Statement
Creating a Virtual Continuing Care Hospital (CCH) to Improve Functional Outcomes and Reduce Readmissions and Burden of Care Robert D. Rondinelli, MD, PhD Paulette Niewczyk, MPH, PhD AlphaFIM, FIM, SigmaFIM,
More informationPatient Experience & Satisfaction
Patient Experience & Satisfaction Inpatient Satisfaction Inpatient Experience Hancock Regional Hospital conducts phone surveys from patients who have received care from us. Find out what they are saying
More informationInpatient Rehabilitation Patient Handbook
Inpatient Rehabilitation Patient Handbook Welcome to the Acute Inpatient Rehabilitation Program! The Acute Inpatient Rehabilitation Program welcomes you and your family. We look forward to the opportunity
More informationInpatient Rehabilitation Program Information
Inpatient Rehabilitation Program Information The Inpatient Rehabilitation Program at TIRR Memorial Hermann The Woodlands has a team of physicians, therapists, nurses, a case manager, neuropsychologist,
More informationBSN and MSN "Interest" Survey
BSN and MSN "Interest" Survey 1. Do you have a BSN degree? YES 59.5% 72 NO 40.5% 49 answered question 121 skipped question 0 2. Are you enrolled in a MSN program? YES 13.6% 12 NO 86.4% 76 answered question
More informationCorporate Information for Patient Referrals & Charges effective 1 April 2017
Corporate Information for Patient Referrals & Charges effective 1 April 2017 Our team Family physicians with special training in rehabilitation and community geriatrics Visiting specialists to complement
More informationUsing Patient Activation to Transition Patients from Hospital to Home
Using Patient Activation to Transition Patients from Hospital to Home May 2014 Mary McLaughlin Davis DNP MSN APRN ACNS-BC CCM Lakewood Hospital Cleveland Clinic Background Stroke affects an estimated 795,000
More informationQuestions and Answers on the CMS Comprehensive Care for Joint Replacement Model
Questions and Answers on the CMS Comprehensive Care for Joint Replacement Model MEGGAN BUSHEE, ESQ. 704.343.2360 mbushee@mcguirewoods.com 201 North Tryon Street, Suite 3000 Charlotte, North Carolina 28202-2146
More informationSeptember 6, RE: CY 2017 Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems Proposed Rule
September 6, 2016 VIA E-MAIL FILING Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS-1656-P P.O. Box 8013 Baltimore, MD 21244-1850 RE: CY 2017 Hospital Outpatient
More informationCPAs & ADVISORS. experience support // ADVANCED PAYMENT MODELS: CJR
CPAs & ADVISORS experience support // ADVANCED PAYMENT MODELS: CJR Andy M. Williams Partner BKD Eric M. Rogers Managing Consultant BKD Will McLeod VP of Patient Services McLeod Health Emily Adams Associate
More informationEmerging Trends in Outpatient Orthopedic Strategy
Service Line Strategy Advisor Emerging Trends in Outpatient Orthopedic Strategy April 2015 Cynthia Tassopoulos Analyst Service Line Strategy Advisor TassopoC@advisory.com Road Map 2 1 2 Impetus for Outpatient
More informationDevelopment of a Regional Clinical Pathway for Total Hip Replacement in a Rural Health Network
Healthcare Quarterly ONLINE CASE STUDY Development of a Regional Clinical Pathway for Total Hip Replacement in a Rural Health Network Jessica Meleskie and Katrina Wilson 1 Abstract The Grey Bruce Health
More informationTITLE PAGE. Title: Determining Nursing Staffing Levels for Stroke Beds in Scotland. Authors: Scottish Stroke Nurses Forum:
TITLE PAGE Title: Determining Nursing Staffing Levels for Stroke Beds in Scotland Authors: Scottish Stroke Nurses Forum: 1 Any comments or correspondence please contact the following SSNFC members: Anne
More informationPay-for-Performance. GNYHA Engineering Quality Improvement
Pay-for-Performance GNYHA Engineering Quality Improvement The Writing Is On The Wall IOM Report - Rewarding Provider Performance: Aligning Incentives In Medicare 9/21/06 Medicare P4P and quality improvement
More informationUtilizing the Fish-Bone Model to Identify Systems Errors During Pediatric Morbidity and Mortality Conference
Utilizing the Fish-Bone Model to Identify Systems Errors During Pediatric Morbidity and Mortality Conference INGA AIKMAN, MD, MPH PEDIATRIC CHIEF RESIDENT EAST CAROLINA UNIVERSITY Second Annual REACH Medical
More informationProcedures that require authorization by evicore healthcare
Go directly to the Blue Cross code lists. Go directly to the BCN code lists. Overview The codes listed in this document represent the procedures requiring authorization for the following: Select Blue Cross
More informationINTRODUCTION Reduce falls Improve patient outcomes Establish a baseline of falls in home care
INTRODUCTION The Missouri Alliance for Home Care (MAHC) has developed a set of standardized tools for reporting and monitoring falls in patients under the care of home health. The program which began as
More informationHCAHPS: Background and Significance Evidenced Based Recommendations
HCAHPS: Background and Significance Evidenced Based Recommendations Susan T. Bionat, APRN, CNS, ACNP-BC, CCRN Education Leader, Nurse Practitioner Program Objectives Discuss the background of HCAHPS. Discuss
More informationHardwiring Processes to Improve Patient Outcomes
Hardwiring Processes to Improve Patient Outcomes Barbara Adcock Mohr, Administrative Director, Rehabilitation Services Mark Prochazka, Assistant Director, Rehabilitation Services UNC Hospitals FIM, UDSMR,
More informationBundled Payments KEY CAPABILITIES. for working with the Comprehensive Care for Joint Replacement (CJR) model
Bundled Payments KEY CAPABILITIES for working with the Comprehensive Care for Joint Replacement (CJR) model CJR Takes Aim at Variations in Care Cost and Quality Hip and knee replacements are among the
More informationCAH PREPARATION ON-SITE VISIT
CAH PREPARATION ON-SITE VISIT Illinois Department of Public Health, Center for Rural Health This day is yours and can be flexible to the timetable of hospital staff. An additional visit can also be arranged
More informationOPTIMISTIC 8/13/2014. Outline OBJECTIVES
OPTIMISTIC An Approach to Increasing Quality of Life for Long Term Care Residents Presented by Noadiah Malott RN,MSN,ACNP-BC Project NP School of Medicine Department of Medicine Division of General Internal
More informationTRUSTED ASSESSOR PILOT
Presentation Title TRUSTED ASSESSOR 36pt Arial Bold Sub heading 24pt Arial PILOT Crystal Selley-West Senior Occupational Therapist East Surrey Hospital Carol Rickaby Community Liaison Matron First Community
More informationCase Managers and Their Role in Improving Patient Outcomes in Idiopathic Pulmonary Fibrosis
Case Managers and Their Role in Improving Patient Outcomes in Idiopathic Pulmonary Fibrosis Final Outcomes Report May 2018 Genentech Grant ID: G-52505 Overview Activity Description: This text-based activity
More information13th Annual Meridian Nursing Research and Evidence Based Practice Conference 2017 General Guidelines for Abstract Submission
Hackensack Meridian Ann May Center for Nursing 13 th Annual Meridian Nursing Research and Evidence Based Practice Conference Instructions for Submission All author information and abstract contents must
More informationPatient Selection, Optimization and Disposition: Tools for Success in Orthopedic Bundles
Patient Selection, Optimization and Disposition: Tools for Success in Orthopedic Bundles Luann Tammany Tribus, PT, MBA SVP, Clinical Strategy & Innovation Remedy Partners John Kilgore, MD Orthopedic Surgeon
More informationACUTE INPATIENT REHABILITATION UNIT Annual Report
ACUTE INPATIENT REHABILITATION UNIT 2015 Annual Report PROVIDING OFF-THE-CHART CARE SM FOR ALL We are pleased to present the annual report for the Inpatient Comprehensive Rehabilitation Unit at HSHS St.
More informationCOMPREHENSIVE CARE JOINT REPLACEMENT MODEL CONTRACTING TOOLKIT
COMPREHENSIVE CARE JOINT REPLACEMENT MODEL CONTRACTING TOOLKIT March 2016 INTRODUCTION Alternative, collaborative delivery systems are the wave of the future. CMS, as well as commercial payers, are committed
More informationWorking with Patients on Achieving the Triple Aim
Working with Patients on Achieving the Triple Aim 1 Morristown Medical 5,940 employees 1,415 physicians 192 medical residents 687 licensed beds 2 39,886 admissions 3 4,254 births 11,986 inpatient surgeries
More informationCreating A Niche: Medical-Surgical Nurses Role in Succesful Program Development (Oral)
Lehigh Valley Health Network LVHN Scholarly Works Patient Care Services / Nursing Creating A Niche: Medical-Surgical Nurses Role in Succesful Program Development (Oral) Eileen Sacco MSN, RN, CNRN, ONC
More informationWork In Progress August 24, 2015
Presenter Sarah Wilson MSOTR/L, CHT, CLT 4 th year PhD student at NOVA Southeastern University Practicing OT for 14 years Have worked for Washington Orthopedics and Sports Medicine for the last 8 years
More informationBundled Payments to Align Providers and Increase Value to Patients
Bundled Payments to Align Providers and Increase Value to Patients Stephanie Calcasola, MSN, RN-BC Director of Quality and Medical Management Baystate Health Baystate Medical Center Baystate Health Is
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 informationWest Valley and Central Valley Care Coordination Coalitions
West Valley and Central Valley Ettie Lande, MS, BSN, ACM-RN February 08, 2018 Thank You! For sponsoring today s breakfast AstraZeneca and Cyndi Black If you can sponsor breakfast at an upcoming community
More informationLynn Ives, MSN, RN-BC; Jessie Reich, MSN, RN, ANP-BC, CMSRN. Disclosure. Learning Objectives. The speakers have no conflicts of interest to disclose
Reducing Falls with Injury on an Inpatient Geriatric Psychiatry Unit through Elevation of Nursing Support Staff: An Interprofessional Approach Lynn Ives, MSN, RN-BC Kathryn Farrell, MSN, RN John Brennan,
More informationReadmission Project 2017 Janice M. Maupin, RN, MSN, CPHQ. A Catholic healthcare ministry serving Ohio and Kentucky
Readmission Project 2017 Janice M. Maupin, RN, MSN, CPHQ A Catholic healthcare ministry serving Ohio and Kentucky 1 Mission, Values and Promise Our Mission We extend the healing ministry of Jesus by improving
More informationPPS Therapy. Medicare 2/28/ year Home Health clinician/contractor. 30 years Geriatric Rehab. Home Health consultant, author, speaker
PPS Therapy Changes 30 year Home Health clinician/contractor 30 years Geriatric Rehab Home Health consultant, author, speaker Progressive programming/clinical delivery Progressive management systems Home
More informationA Brave New World: Lessons Learned From Healthcare Reform. Brandy Shumaker, MBA, LPTA, LNHA Regional Vice President HealthPRO/Heritage
A Brave New World: Lessons Learned From Healthcare Reform Brandy Shumaker, MBA, LPTA, LNHA Regional Vice President HealthPRO/Heritage 1 Learning Objectives Participants will understand: The impact health
More informationText-based Document. Improving Transitions of Care with Bedside Report. Authors Lehmer, Joshua S. Downloaded 26-Apr :02:57
The Henderson Repository is a free resource of the Honor Society of Nursing, Sigma Theta Tau International. It is dedicated to the dissemination of nursing research, researchrelated, and evidence-based
More information2018 Press Ganey Award Criteria
2018 Press Ganey Award Criteria Guardian of Excellence Award SM This award honors clients who have reached the 95th percentile for patient experience, engagement or clinical quality performance. Guardian
More informationLeveraging the Accountable Care Unit Model to create a culture of Shared Accountability
Leveraging the Accountable Care Unit Model to create a culture of Shared Accountability How we improved Patient Safety and Quality Outcomes at Northwest Hospital Our Journey to Shared Accountability Implementation
More informationSuz s Story. Fairview Acute Rehabilitation Center. Outcomes Report. fairview.org/arc. I loved the nurses, the aides, the PT folks and the OT folks
Suz s Story For Susan Suz Welch, the beauty of nature has always been her inspiration, even during times of great Outcomes Report personal challenge. Whether woodworking or taking photographs, Welch, a
More informationPave Your Path: Improvement Science & Helpful Techniques
Pave Your Path These presenters have nothing to disclose Pave Your Path: Improvement Science & Helpful Techniques Cory Sevin, RN, MSN, NP Director, IHI Jane Taylor, EdD Improvement Advisory May 21, 2013
More informationText-based Document. Formalizing the Role of the Clinical Nurse Leader in a Progressive Care Unit. Authors Ryan, Kathleen M.
The Henderson Repository is a free resource of the Honor Society of Nursing, Sigma Theta Tau International. It is dedicated to the dissemination of nursing research, researchrelated, and evidence-based
More informationService Level Agreements for
99/06 Service Level Agreements for 2006 07 1. This paper summarises the outcome of discussions with commissioning PCTs for the year 2006 07. Whilst there are some areas of detail yet to be agreed with
More information4/9/2016. The changing health care market THE CHANGING HEALTH CARE MARKET. CPAs & ADVISORS
CPAs & ADVISORS experience support // ADVANCED PAYMENT MODELS: CJR Eric. M. Rogers MEd. RT(R) Managing Consultant The changing health care market THE CHANGING HEALTH CARE MARKET HHS goal of 30% of traditional
More informationFLORIDA CENTER FOR HEALTH INFORMATION AND TRANSPARENCY
FLORIDA CENTER FOR HEALTH INFORMATION AND TRANSPARENCY DATA CATALOG Rick Scott, Governor Justin M. Senior, Secretary Visit AHCA online at: www.floridahealthfinder.gov Revised 2017 TABLE OF CONTENTS PAGE
More informationMary Stilphen, PT, DPT
Mary Stilphen, PT, DPT Mary Stilphen PT, DPT is the Senior Director of Cleveland Clinic s Rehabilitation and Sports Therapy department in Cleveland, Ohio. Over the past 4 years, she led the integration
More informationTotal Joint Partnership Program Identifies Areas to Improve Care and Decrease Costs Joseph Tomaro, PhD
WHITE PAPER Accelero Health Partners, 2013 Total Joint Partnership Program Identifies Areas to Improve Care and Decrease Costs Joseph Tomaro, PhD ABSTRACT The volume of total hip and knee replacements
More informationComparison of Bundled Payment Models. Model 1 Model 2 Model 3 Model 4. hospitals, physicians, and post-acute care where
Comparison of Bundled Payment Models General Description Eligible awardees Retrospective bundled Retrospective bundled payment models for payment models for hospitals, physicians, and post-acute care where
More informationJoin Us At The Table! NDNQI Site & Survey Coordinator Roles
Join Us At The Table! NDNQI Site & Survey Coordinator Roles Jan Davidson Angela Christopher Donald Kelly Session ID 060 Transforming Nursing Data Into Quality Outcomes Las Vegas, Nevada January 30, 2007
More informationGender. Age DEMOGRAPHICS POINTS OF DISTINCTION COMISSION FOR ACCREDITATION OF REHABILITATION FACILITIES STATE OF FLORIDA BRAIN AND SPINAL CORD PROGRAM
POINTS OF DISTINCTION 89-bed Acute Adult Inpatient Rehabilitation Unit, All private rooms 4 th largest Rehabilitation provider in the state of Florida Admitted 2157 patients from April 2017 through March
More informationPost-Acute Care COMM UN I CATING T HE VA LU E L ES L IE MA RSH, CEO, L E X INGTON R EG I ONAL HEA LT H CE N T ER L E X I NGTON, N E BR ASKA
Post-Acute Care COMMUNICATING THE VALUE LESLIE MARSH, CEO, LEXINGTON REGIONAL HEALTH CENTER LEXINGTON, NEBRASKA Swingbed CMS Definition Initially communicated to patients as a way to avoid a premature
More informationPREPARING FOR RISK-BASED OUTCOMES OF BUNDLED CARE
CPAs & ADVISORS experience support // PREPARING FOR RISK-BASED OUTCOMES OF BUNDLED CARE Jackie Nussbaum MHA, CPC, CHFP, FHFMA Director Eric Rogers M.Ed. RT Managing Consultant THE CHANGING HEALTH CARE
More informationCookie Gender, RN, MSN, CRRN, Administrator/CNO CHRISTUS St. Michael Rehabilitation Hospital
Cookie Gender, RN, MSN, CRRN, Administrator/CNO CHRISTUS St. Michael Rehabilitation Hospital FIM is a trademark of Uniform Data System for Medical Rehabilitation, a division of UB Foundation Activities,
More informationNational Association For Home Care Teleconference
National Association For Home Care Teleconference Competency Assessment April 4, 2001 Lynda Laff, Laff Associates JCAHO Home Care Nurse Surveyor Competence Assessment Verification of an Individual s Ability
More informationUPMC St. Margaret Nursing Division Strategic Planning Retreat September 20, 2013
UPMC St. Margaret Nursing Division Strategic Planning Retreat September 20, 2013 Mary C. Barkhymer, MSN, MHA, RN, CNOR Vice President, Patient Care Services & Chief Nursing Officer UPMC St. Margaret Rules
More informationSTROKE REHAB PROGRAM
STROKE REHAB PROGRAM Allied Rehab Hospital is part of Allied Services Integrated Health System, the premier post-acute health-care system in Northeast Pennsylvania, and is the region s leading provider
More informationWhy Shepherd? Shepherd Center Patients. Here s How We Measure Up: Shepherd Patient Population
Center Patients Total Patients ABI Patients SCI Patients Other Patients Center specializes in medical treatment, research and rehabilitation for people with spinal cord and brain injury. In CY, had 911
More informationMedicare, Managed Care & Emerging Trends
Medicare, Managed Care & Emerging Trends LeadingAge Michigan 2015 Annual Leadership Institute August 12, 2015 Jon Lanczak, Manager Beth Sullivan, Senior Manager Plante Moran, PLLC Overall Theme Healthcare
More informationFollow Up on Bedside Reporting. IHI Expedition Improving Your HCAHPS Scores Through Patient Centered Care. Today s Topics
Follow Up on Bedside Reporting The call content prompted us to: Make concrete plans to move shift report to the bedside Actually run a test of doing shift report at the bedside Make revisions to the way
More informationHow an Orthopedic Hospitalist Program Can Provide Value to Your Hospital
White Paper How an Orthopedic Hospitalist Program Can Provide Value to Your Hospital By now you are likely familiar with the term "hospitalist" a physician that is dedicated to a hospitalbased practice.
More informationIndiana Pressure Ulcer Reduction Initiative
Indiana Pressure Ulcer Reduction Initiative Overview The IHI Breakthrough Series Collaborative is a systematic approach to healthcare quality improvement in which organizations and providers test and measure
More informationInpatient Rehabilitation Facilities Patient Satisfaction System
Inpatient Rehabilitation Facilities Patient Satisfaction System Fleming AOD, Inc. 1606 20 th Street, NW Washington, DC 20009 Final design and implementation specification may vary from this design document.
More informationBeyond the Chart Auditing Process: What s Next?
Beyond the Chart Auditing Process: What s Next? Cris Huerta, MBA-HCM, RN, CRRN AVP Rehab Services Division - HCA, Inc. 2015 UDSMR Annual Conference August 2015 FIM and UDSMR are trademarks of Uniform Data
More informationElectronic Staffing Data Submission Payroll-Based Journal
Centers for Medicare & Medicaid Services Electronic Staffing Data Submission Payroll-Based Journal Long-Term Care Facility Policy Manual Version 1.0 April 2015 TABLE OF CONTENTS Chapter 1: Overview 1.1
More informationAurora Behavioral Health System
Aurora Behavioral Health System Outpatient Services Help is only a phone call away. Aurora East 6350 S. Maple Ave. Tempe, AZ 85283 (The hospital is located on the NW corner of Guadalupe and Maple, between
More informationLevels of Rehabilitation Care. Objectives
Levels of Rehabilitation Care R. Samuel Mayer, MD Vice Chair, Education Department of Physical Medicine and Rehabilitation Johns Hopkins University School of Medicine Objectives List various levels of
More informationUnitedHealthcare Medicare Readmission Review Program for Medicare Advantage Plans General Clinical Guidelines for Payment Review
UnitedHealthcare Medicare Readmission Review Program for Medicare Advantage Plans General Clinical Guidelines for Payment Review Introduction The UnitedHealthcare Medicare Readmission Review Program is
More informationMaryland Patient Safety Center s Annual MEDSAFE Conference: Taking Charge of Your Medication Safety Challenges November 3, 2011 The Conference Center
Maryland Patient Safety Center s Annual MEDSAFE Conference: Taking Charge of Your Medication Safety Challenges November 3, 2011 The Conference Center at the Maritime Institute Reducing Hospital Readmissions
More informationClinical Research Proposal To the Jersey City Medical Center Institutional Review Board
1 Clinical Research Proposal To the Jersey City Medical Center Institutional Review Board Principle Investigators: Erin Salmond BSN RN and Joanie Knuth RN BSN RN Date of Submission: Type of Proposal: Descriptive
More informationRapid Recovery Therapy Program. GTA Rehab Network Best Practices Day 2017 Joan DeBruyn & Helen Janzen
Rapid Recovery Therapy Program GTA Rehab Network Best Practices Day 2017 Joan DeBruyn & Helen Janzen $1 Million Photo credit: Physi-med.org Agenda About the Program Description of the Rapid Recovery Therapy
More informationDriving the value of health care through integration. Kaiser Permanente All Rights Reserved.
Driving the value of health care through integration February 13, 2012 Kaiser Permanente 2010-2011. All Rights Reserved. 1 Today s agenda How Kaiser Permanente is transforming care How we re updating our
More informationWhat are the potential ethical issues to be considered for the research participants and
What are the potential ethical issues to be considered for the research participants and researchers in the following types of studies? 1. Postal questionnaires 2. Focus groups 3. One to one qualitative
More informationPG snapshot Nursing Special Report. The Role of Workplace Safety and Surveillance Capacity in Driving Nurse and Patient Outcomes
PG snapshot news, views & ideas from the leader in healthcare experience & satisfaction measurement The Press Ganey snapshot is a monthly electronic bulletin freely available to all those involved or interested
More informationSummary and Analysis of CMS Proposed and Final Rules versus AAOS Comments: Comprehensive Care for Joint Replacement Model (CJR)
Summary and Analysis of CMS Proposed and Final Rules versus AAOS Comments: Comprehensive Care for Joint Replacement Model (CJR) The table below summarizes the specific provisions noted in the Medicare
More information9/29/2017. Enhanced Recovery After Surgery at the University of Virginia Medical Center. Disclosures. Objectives. None
Enhanced Recovery After Surgery at the University of Virginia Medical Center Bethany Sarosiek, RN, MSN, MPH, CNL University of Virginia Health System Charlottesville, VA ErasRN@virginia.edu Disclosures
More informationDisclosures. The speakers have no relevant financial or nonfinancial relationships to disclose
Nurses Blending Caring Practice with Teaching to Improve Medication Communication 2018 NICHE Conference Date: Thursday, April 12, 2018 Session: 1 Time: 1:30-2:45 Track: Health, Wellness and Transitions
More informationLaverne Estañol, M.S., CHRC, CIP, CCRP Assistant Director Human Research Protections
Laverne Estañol, M.S., CHRC, CIP, CCRP Assistant Director Human Research Protections Quality Improvement Activities and Human Subjects Research September 7, 2016 TOPICS What is Quality Improvement (QI)?
More informationOnline library of Quality, Service Improvement and Redesign tools. Discharge planning. collaboration trust respect innovation courage compassion
Online library of Quality, Service Improvement and Redesign tools Discharge planning collaboration trust respect innovation courage compassion Discharge planning What is it? A specific targeted discharge
More informationTHE BRIDGE MODEL. Walter Rosenberg, MSW, LCSW Manager of Transitional Care Rush University Medical Center Health and Aging
THE BRIDGE MODEL Walter Rosenberg, MSW, LCSW Manager of Transitional Care Rush University Medical Center Health and Aging "If patient engagement were a drug, it would be the blockbuster drug of the century,
More informationCelebrating our Successes 2014
Celebrating our Successes 214 Nurse Involvement in Decision Making Groups 5 CODE SEPSIS: Time from Antibiotic Order to Administration 45 4 Time in Minutes from order to administration 35 3 25 2 15 1 5
More informationat OU Medicine Leadership Development Institute August 6, 2010
Effective Patient Handovers at OU Medicine Leadership Development Institute August 6, 2010 Quality and Patient Safety Realize OU Medicine s position with respect to a culture of safety and quality. Improve
More informationMed Effects Scripting and HCAHPS Scores
Lehigh Valley Health Network LVHN Scholarly Works Patient Care Services / Nursing Med Effects Scripting and HCAHPS Scores Jacklyn Gibat BSN, RN Lehigh Valley Health Network Madelyn Glick BSN, RN Lehigh
More informationMedicare Skilled Nursing Facility Prospective Payment System
Final Rule Summary Medicare Skilled Nursing Facility Prospective Payment System Program Year: FY2019 August 2018 1 TABLE OF CONTENTS Overview and Resources... 2 SNF Payment Rates... 2 Wage Index and Labor-Related
More informationRiverside s Vigilance Care Delivery Systems include several concepts, which are applicable to staffing and resource acquisition functions.
1 EP8: Describe and demonstrate how nurses used trended data to formulate the staffing plan and acquire necessary resources to assure consistent application of the Care Delivery System(s). Riverside Medical
More informationDean Health Plan Physical Medicine Overview
Dean Health Plan Physical Medicine Overview Provider Training / Presented by: Leta Genasci Above and throughout this document, NIA Magellan refers to National Imaging Associates, Inc. Dean Health Plan
More information