 Nurse Learns Firsthand That You May Fend For Yourself After A Hospital Stay |
Following her husband's stroke, it falls to a registered nurse and nursing school dean to coordinate care and manage her recovering spouse's transitions among several hospitals and home.
The essay appears in Health Affairs' November 2012 issue.
Read the full article on the HealthAffairs website.
Listen to the mp3 podcast on the podcasts section of the HealthAffairs website.
Visit the free Narrative Matters essay archive. Narrative Matters is published with support from the W.K. Kellogg Foundation.
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"Know Before You Go" - A HealthInsight Educational Series Coming to a Senior Center Near You
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Ryan Brown, MPH, MHA, Project Coordinator, HealthInsight
HealthInsight created a simple paper tool and three part educational series in an effort to help seniors best utilize the medical system. The three part series expands on the "Know Before You Go" mentality and provides seniors with an actionable framework that will help them:
* Know how to prepare for an appointment
* Know what to do during an appointment
* Know what to do after an appointment
This three part series was given at Davis County Senior Center and at Golden Years Senior Center, and HealthInsight is currently scheduling the 2013 meetings for Davis and Salt Lake counties. The 20 minute presentations have prompted many questions from the audience, spawned group discussion, and left participants with a tool (a checklist/bookmark + a medication card) that outlines simple steps to maximize the limited time a patient can spend with their physician.
If you would like more information on the tool or the educational series, please contact Larry Garrett, Ph.D, at lgarrett@healthinsight.org or 801-892-6665.
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| 'Social Environmental Factors' Affect Rehospitalization Risk in Home Healthcare Patients |
Findings May Inform Policies to Improve Home Care While Reducing Hospital Admission, Reports Advances in Nursing Science
"For elderly patients receiving home healthcare after a hospital stay, "social environmental factors"-particularly care provided by a family member or other informal caregiver-have a significant impact on the risk of repeated hospital admissions, reports a study in the October-December issue of Advances in Nursing Science."
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Teach-Back: A Tool to Ensure Patient Understanding
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"Studies have shown that 40-80 percent of the medical information patients receive is forgotten immediately¹ and nearly half of the information retained is incorrect.²
One of the easiest ways to close the gap of communication between clinician and patient is to employ the "teach-back" method, also known as the "show-me" method or "closing the loop."³ Teach-back is a way to confirm that you have explained to the patient what they need to know in a manner that the patient understands."
Find the Teach-back Toolkit at
http://www.nchealthliteracy.org/toolkit/tool5.pdf
References
¹Kessels RP. Patients' memory for medical information. J R Soc Med. May 2003;96(5):219-22.
²Anderson JL, Dodman S, Kopelman M, Fleming A. Patient information recall in a rheumatology clinic. Rheumatology. 1979;18(1):18-22.
³Schillinger D, Piette J, Grumbach K, et al. Closing the loop: physician communication
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A Successful Hospital Pilot: Connecting Patients with Their Community Physician Prior to Hospital Discharge - Making the Appointment
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"In 2009, a pilot program was developed to promote safe transitions at The Miriam Hospital. The pilot was conducted on two 30 bed medical surgical units over a one year period. Design included notification of patient admission to primary care physicians (PCP) bundled with a follow up PCP appointment. To date 7,148 patients have been included in the program.
Key points:
- For calendar year 2011: 33% of patients accepted an appointment, 60% declined and 7% had an appointment previously booked.
- 87% of patients have a PCP
- We connect patients without PCPs to community resources"
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About Our Work |
This information is provided by HealthInsight, a private, non-profit, community-based organization dedicated to improving health and health care. HealthInsight serves as the Medicare Quality Improvement Organization in Utah and leads an initiative to improve care coordination and reduce hospital readmissions across settings of care.
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Sincerely,
Larry Garrett, HealthInsight
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| Local Events | |
No local events listed at this time. |
| National Events | |
If you missed the November 8, 2012,
Webex on
"Improving Nursing Home Care and Reducing Unnecessary Hospital Transfers, Admissions, and Readmissions (INTERACT)"
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| Feedback |
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You are receiving this newsletter as a result of your participation in the Patient Centered Care in Action - Care Transitions Learning and Action Network, or simply for your involvement in care transitions in your setting. Each month, this briefing will include a variety of information on different topics, tools and resources, upcoming trainings or events and your improvement stories. |
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