IRB Rehab Efficiency Study 4A Rehab UPMC St Margaret Judith Tinelli MSN, RN, ONC, CNL, CRRN

Size: px
Start display at page:

Download "IRB Rehab Efficiency Study 4A Rehab UPMC St Margaret Judith Tinelli MSN, RN, ONC, CNL, CRRN"

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: 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 information

An Initiative to Improve Patient Discharge Satisfaction

An 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 information

Regulatory Compliance Risks. September 2009

Regulatory 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 information

Patricia Neal Rehabilitation Center

Patricia 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 information

NOTE: New Hampshire rules, to

NOTE: 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 information

Partnerships: Developing an Elective Joint Replacement Program

Partnerships: 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 information

Developing a Fast Track

Developing 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 information

Outline. I Love My Intern! How can we involve residents in patient satisfaction?

Outline. 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 information

Stakeholder input is gathered in several ways. Patients are given the opportunity to provide feedback, the SWOT analysis is based on information from

Stakeholder 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 information

fâvvxáá 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 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 information

CJRI Outpatient Total Joint Replacement (TJR) Protocol

CJRI 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 information

Calgary Foothills Medical Center Early Supported Discharge Program

Calgary 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 information

Brittany Turner, 2015 PharmD Candidate 1 Justin Campbell, PharmD 2 Katie McKinney, PharmD, MS, BCPS 2

Brittany 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 information

Creating 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. 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 information

Patient Experience & Satisfaction

Patient 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 information

Inpatient Rehabilitation Patient Handbook

Inpatient 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 information

Inpatient Rehabilitation Program Information

Inpatient 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 information

BSN and MSN "Interest" Survey

BSN 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 information

Corporate Information for Patient Referrals & Charges effective 1 April 2017

Corporate 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 information

Using Patient Activation to Transition Patients from Hospital to Home

Using 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 information

Questions and Answers on the CMS Comprehensive Care for Joint Replacement Model

Questions 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 information

September 6, RE: CY 2017 Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems Proposed Rule

September 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 information

CPAs & ADVISORS. experience support // ADVANCED PAYMENT MODELS: CJR

CPAs & 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 information

Emerging Trends in Outpatient Orthopedic Strategy

Emerging 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 information

Development of a Regional Clinical Pathway for Total Hip Replacement in a Rural Health Network

Development 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 information

TITLE 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: 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 information

Pay-for-Performance. GNYHA Engineering Quality Improvement

Pay-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 information

Utilizing 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 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 information

Procedures that require authorization by evicore healthcare

Procedures 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 information

INTRODUCTION Reduce falls Improve patient outcomes Establish a baseline of falls in home care

INTRODUCTION 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 information

HCAHPS: Background and Significance Evidenced Based Recommendations

HCAHPS: 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 information

Hardwiring Processes to Improve Patient Outcomes

Hardwiring 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 information

Bundled 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 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 information

CAH PREPARATION ON-SITE VISIT

CAH 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 information

OPTIMISTIC 8/13/2014. Outline OBJECTIVES

OPTIMISTIC 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 information

TRUSTED ASSESSOR PILOT

TRUSTED 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 information

Case 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 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 information

13th Annual Meridian Nursing Research and Evidence Based Practice Conference 2017 General Guidelines for Abstract Submission

13th 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 information

Patient Selection, Optimization and Disposition: Tools for Success in Orthopedic Bundles

Patient 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 information

ACUTE INPATIENT REHABILITATION UNIT Annual Report

ACUTE 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 information

COMPREHENSIVE CARE JOINT REPLACEMENT MODEL CONTRACTING TOOLKIT

COMPREHENSIVE 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 information

Working with Patients on Achieving the Triple Aim

Working 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 information

Creating A Niche: Medical-Surgical Nurses Role in Succesful Program Development (Oral)

Creating 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 information

Work In Progress August 24, 2015

Work 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 information

Bundled Payments to Align Providers and Increase Value to Patients

Bundled 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 information

PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, November 2017

PATIENT 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 information

West Valley and Central Valley Care Coordination Coalitions

West 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 information

Lynn Ives, MSN, RN-BC; Jessie Reich, MSN, RN, ANP-BC, CMSRN. Disclosure. Learning Objectives. The speakers have no conflicts of interest to disclose

Lynn 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 information

Readmission 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 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 information

PPS Therapy. Medicare 2/28/ year Home Health clinician/contractor. 30 years Geriatric Rehab. Home Health consultant, author, speaker

PPS 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 information

A 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 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 information

Text-based Document. Improving Transitions of Care with Bedside Report. Authors Lehmer, Joshua S. Downloaded 26-Apr :02:57

Text-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 information

2018 Press Ganey Award Criteria

2018 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 information

Leveraging 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 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 information

Suz 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. 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 information

Pave Your Path: Improvement Science & Helpful Techniques

Pave 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 information

Text-based Document. Formalizing the Role of the Clinical Nurse Leader in a Progressive Care Unit. Authors Ryan, Kathleen M.

Text-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 information

Service Level Agreements for

Service 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 information

4/9/2016. The changing health care market THE CHANGING HEALTH CARE MARKET. CPAs & ADVISORS

4/9/2016. 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 information

FLORIDA CENTER FOR HEALTH INFORMATION AND TRANSPARENCY

FLORIDA 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 information

Mary Stilphen, PT, DPT

Mary 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 information

Total Joint Partnership Program Identifies Areas to Improve Care and Decrease Costs Joseph Tomaro, PhD

Total 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 information

Comparison of Bundled Payment Models. Model 1 Model 2 Model 3 Model 4. hospitals, physicians, and post-acute care where

Comparison 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 information

Join Us At The Table! NDNQI Site & Survey Coordinator Roles

Join 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 information

Gender. Age DEMOGRAPHICS POINTS OF DISTINCTION COMISSION FOR ACCREDITATION OF REHABILITATION FACILITIES STATE OF FLORIDA BRAIN AND SPINAL CORD PROGRAM

Gender. 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 information

Post-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 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 information

PREPARING FOR RISK-BASED OUTCOMES OF BUNDLED CARE

PREPARING 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 information

Cookie Gender, RN, MSN, CRRN, Administrator/CNO CHRISTUS St. Michael Rehabilitation Hospital

Cookie 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 information

National Association For Home Care Teleconference

National 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 information

UPMC St. Margaret Nursing Division Strategic Planning Retreat September 20, 2013

UPMC 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 information

STROKE REHAB PROGRAM

STROKE 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 information

Why Shepherd? Shepherd Center Patients. Here s How We Measure Up: Shepherd Patient Population

Why 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 information

Medicare, Managed Care & Emerging Trends

Medicare, 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 information

Follow Up on Bedside Reporting. IHI Expedition Improving Your HCAHPS Scores Through Patient Centered Care. Today s Topics

Follow 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 information

How an Orthopedic Hospitalist Program Can Provide Value to Your Hospital

How 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 information

Indiana Pressure Ulcer Reduction Initiative

Indiana 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 information

Inpatient Rehabilitation Facilities Patient Satisfaction System

Inpatient 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 information

Beyond the Chart Auditing Process: What s Next?

Beyond 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 information

Electronic Staffing Data Submission Payroll-Based Journal

Electronic 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 information

Aurora Behavioral Health System

Aurora 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 information

Levels of Rehabilitation Care. Objectives

Levels 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 information

UnitedHealthcare 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 UnitedHealthcare Medicare Readmission Review Program for Medicare Advantage Plans General Clinical Guidelines for Payment Review Introduction The UnitedHealthcare Medicare Readmission Review Program is

More information

Maryland 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 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 information

Clinical Research Proposal To the Jersey City Medical Center Institutional Review Board

Clinical 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 information

Rapid 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 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 information

Driving the value of health care through integration. Kaiser Permanente All Rights Reserved.

Driving 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 information

What 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 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 information

PG snapshot Nursing Special Report. The Role of Workplace Safety and Surveillance Capacity in Driving Nurse and Patient Outcomes

PG 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 information

Summary 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) 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 information

9/29/2017. Enhanced Recovery After Surgery at the University of Virginia Medical Center. Disclosures. Objectives. None

9/29/2017. 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 information

Disclosures. The speakers have no relevant financial or nonfinancial relationships to disclose

Disclosures. 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 information

Laverne Estañol, M.S., CHRC, CIP, CCRP Assistant Director Human Research Protections

Laverne 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 information

Online 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 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 information

THE 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 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 information

Celebrating our Successes 2014

Celebrating 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 information

at OU Medicine Leadership Development Institute August 6, 2010

at 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 information

Med Effects Scripting and HCAHPS Scores

Med 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 information

Medicare Skilled Nursing Facility Prospective Payment System

Medicare 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 information

Riverside s Vigilance Care Delivery Systems include several concepts, which are applicable to staffing and resource acquisition functions.

Riverside 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 information

Dean Health Plan Physical Medicine Overview

Dean 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