NICHE: Innovations and Nursing Practice

Size: px
Start display at page:

Download "NICHE: Innovations and Nursing Practice"

Transcription

1 NICHE: Innovations and Nursing Practice nicheprogram.org Linda Bub MSN, RN, GCNS-BC Director of Education and Program Development, NICHE

2 Objectives Describe the NICHE program and the impact on nursing care Outline implementation of evidenced based practice in the care of older adults Describe NICHE in the continuum of care

3 Geriatric Nursing and Innovation 2010 IOM The Future of Nursing: Leading Change, Advancing Health report; 6 areas to transform the nursing profession Advance Nursing education Remove barriers to practice Cultivate nursing leaders Diversify the profession Collet better data about the workforce Promote interprofessional collaboration and education

4 Geriatric Nursing and Innovation The report highlights nursing impact on the following populations: Chronic disease Aging population Care coordination Increase BSN nursing to 80% by 2020 $200 Million in education programs

5 Geriatric Nursing and Innovation The IHI Triple Aim is a framework that describes an approach to optimizing health system performance. New designs must be developed to simultaneously pursue three dimensions, which we call the Triple Aim : Improving the patient experience of care (including quality and satisfaction) Improving the health of populations Reducing the per capita cost of health care

6 Geriatric Nursing and the Triple Aim

7 How do these ideas become innovation in practice?

8 NICHE Program Goal Vision Mission Achieve systemic nursing change that will benefit hospitalized older adults Provide geriatric sensitive and exemplary care to all hospitalized adults 65 years and over Import principles and tools to stimulate change in the culture of healthcare facilities and achieve patient-centered care for older adults

9 NICHE Program Goals 1. Improve patient outcomes 2. Improve the patient experience 3. Promote staff effectiveness and satisfaction 4. Establish leadership as a provider of care to older adults 5. Provide fiscally responsible care 6. Increase collegial networks

10 Why a program focused on older adults?

11 Older Adults Are CORE Consumers By 2050, the older adult population will number nearly 89 million, than double the current population in Reason for the increasing population: People living longer Baby Boom population becoming 65 and older Every day until 2031; 10,000 Baby Boomers turn 65 By 2030 healthcare expenditure will increase by 25% for older adults Medicare spending will go from $555 billion yearly to $903 billion by

12 The Quality Imperative: Improve Clinical and Fiscal Outcomes! Older adults 13% of the population: Maine is # 3 But comprise 37% of hospital discharges and 43% of hospital days Have longer lengths of stay (7.8 days vs. 5.4 days) Higher rates of 30 day hospital re-admissions Higher rates of functional decline and medical errors Reference: U.S. Dept. of Health and Human Services, Centers for Disease Control. Trends in Health and Aging. Retrieved October 31, 2008 from Hall, M.J., DeFrances, C.J., Williams, S.N., Golosinskiy, A., & Schwartzman A. (2010). National Hospital Discharge Survey: 2007 summary. National health statistics reports; no 29. Hyattsville, MD: National Center for Health Statistics. 2010

13 Aging Population 80% of Older Adults have 1 chronic disease, 50% have 2+ Persons over 65 account for > 50% of the health care market 80% of Home Care is >65yo 90%+ in LTC >65yo

14 Aging Population

15 Aging Population

16 Aging Population

17 Aging Population

18 Why does NICHE Focus on care of the older adult across the continuum? Long Term Care (Skilled Nursing, LTC, Home Health and residential care) costs currently range from $210.9 Billion to $306 Billion annually Approximately 59,000 residential providers care for roughly 8 million older adults Long Term Care service recipients will increase from approximately 15 million in 2000 to 27 million in /3 of older adults will need Long Term Care services at some point

19 Why does NICHE Focus on care of the older adult across the continuum? On any given day, 1.4 million people are cared for in nursing homes 85% of nursing home residents are 65 and older, 42% are % of Home Health patients are 65 and older 48.5% of nursing home residents are depressed 48.5% of nursing home residents have dementia 30% of Home Health patients have dementia

20 Vulnerable Population Differentiate effects of aging from disease process Altered presentation of illness Coexistence of multiple diseases Over diagnosis vs. under diagnosis Polypharmacy

21 Improving Care for Older Adults Is Good Business Optimal care requires appropriate skills Aging demographics Geriatric skill gap High cost of inaction Coordination of care Older adult patients are everywhere Need for flexibility Ongoing training and coaching roles Cost effective train the trainer virtual services

22 Improving Care for Older Adults Is Good Business Proactive & skilled nursing care avoids costly problems Never events Complications that increase LOS and costs Patient and family satisfaction Better functional status at discharge Smoother transitions Improved nurse satisfaction & efficiency, less turnover Improved MD satisfaction and improved efficiency

23 What Is the Focus of NICHE? focuses on programs and protocols that are predominately within the scope of nursing practice.

24 In Other Words Nursing interventions have a substantive and positive impact on patient care outcomes

25 Geriatric Resource Nurse (GRN) Model Began in Boston Early 1980 s at Beth Israel Unit based experts using existing resources Expanded at Yale New Haven Hospital Rationale - Those who voluntarily chose to participate in the effort would provide better care to older adults Central to the role - Geriatric education, competency evaluation, and mentoring

26 History of the GRN Model: Early Vision NURSES are The primary caregivers for older patients in hospitals Generally not fully prepared to care for older patients Nursing Models can improve older patients care and decrease hospital costs Can be the focal point for stimulating interdisciplinary care

27 Rewards Related to the GRN Model Clinical ladder Novice expert growth Respect within the role Deeper geriatric expertise Parsimonious use of resources Outcomes described by NICHE sites Improved clinical outcomes Increased staff skill Increased satisfaction, both staff and patient

28 What is the impact of NICHE?

29 Nursing Education Decrease in amount of nursing schools offering specific geriatric content ANCC no longer offers APN Board Certification in Geriatrics in 2014 Adult-Geriatric NPs and Programs are not prepared for this change Most APNs have significant amount of older adults in their practice Auerhahn, C. Mezey, M., StanleyJ., Dodge, L. (2012). Ensuring a nurse practitioner workforce prepared to care for older adults: Findings from a national survey of adult and geriatric nurse practitioner programs. Journal of the American Academy of Nurse Practitioners 24 (2012)

30 National Trends with NICHE Healthsystems are coming to NICHE No longer only the nurse interested in the program Executives and systems are coming to NICHE Meet the needs of the older adults in a variety of settings including Acute Care Long Term Care, Sub-Acute Rehab Home Health Assisted Living

31 National Trends with NICHE Hospitals NICHE programs have 6 areas of implementation Determine strength of program Demonstrate consistency across sites Show level of commitment of leadership and engagement of staff Reveal level of patient and family involvement in hospital level initiatives and general care

32 Guiding Principles Mission statements and Vision Statements Separate statement or interwoven into system work Is approved by key stake holders Understanding of the impact of program development and support of staff on the care of older adults

33 Organizational Structures How NICHE organizations create a culture of care for older adults Team is multidisciplinary GRNs (staff nurse) involvement Patient representatives Includes community based program representatives Integrates the geriatric nurse in initiatives and protocol/program development Geriatric Service lines

34 Leadership Nursing is leading the work along with an interdisciplinary team Policy development Clinical practice Quality initiatives Regional and National leadership All levels and types of staff are included in this work

35 Geriatric Staff Competence Nurses and other allied staff are not prepared for the care of this population GRN Courses Units with 40+% older adults are trained in basic care Education for other disciplines Clinical ladder for nurses include GRN training Certification initiatives

36 Interdisciplinary Resources and Processes Sites have demonstrated commitment to the entire team as well as patients and families All disciplines have geriatric education/training EBP includes interdisciplinary care-plans CAM in the ED Beers List protocols, pharmacist protocols Project RED, BOOST, INTERACT

37 Patient and Family Centered Care NICHE Facilities work to create patient and family centered care Organizational processes Transitional Care Teach back Protocol implementation

38 Environment of Care Your facility, health system reflects elder sensitive initiatives Accessibility to adaptive equipment Environment of care is evaluated Aging sensitive principles are reflected in the actual environment

39 Quality NICHE sites evaluate and maintain a congruence between their Mission and Vision for older adult care and Quality Measures GIAP Quality Measures that impact clinical, financial and organizational areas

40 Nursing Innovation and NICHE How do NICHE sites across the country implement geriatric best care practices? How are NICHE sites improving outcomes of older adults and families?

41 NICHE Knowledge Center ^ Members Only Resources ^ Open Resources

42 Knowledge Center Nurses have access to the resources and education to provide exemplary care to older adults Building block to innovation and development of practice Mentoring of other staff and professional and informal caregivers

43 We produce over 20 live webinars each year. Each webinar is then archived for later viewing. Along with the highly popular Solutions Series we offer Organizational Strategies, Clinical, Interdisciplinary and new for 2014, the Long Term Care Series. Webinars

44 Webinars Opportunity to highlight innovation at the ground level at NICHE sites across the country Ability to replicate or make your own version in your facility Interdisciplinary Examples: A Multidisciplinary Effort to Improve Patient Care and Satisfaction with Pain Management Decreasing Hospital Acquired Pressure Ulcers by Focusing on Decreasing Moisture Associated Skin Damage (MASD) 'Uh-Oh' to 'Oh-Yeah!': A Nurse Driven Urinary Catheter Removal Protocol

45 Each Organizational Strategy & Clinical Improvement Model includes background, implementation, evaluation, tools & resources along with support documents. Complimentary webinars are also developed. Org Strategies & Clinical Improvement Models

46 Organizational Strategies and Clinical Improvement Models Creative ways to meet the needs of organizations, staff and patient/family needs Highlight program innovations across the country Step by step information on how to implement at individual sites Patient and Family advisory council Certification Initiatives Research based CIM demonstrate nursing practice and the impact on patient outcomes Pressure Ulcer Restraints Falls

47 These concise PowerPoint in-services focus on clinical care issues and trends pertinent to the Geriatric Resource Nurse (GRN) and bedside caregivers' ability to provide evidencebased care. Ed Briefs

48 Ed Briefs Allow sites to implement programs and innovations based on the needs of their facility. Focus areas are for clinical and support staff COPD Self Neglect Assessing for Palliative Care

49 The "Solutions" Series is designed to convey "success stories" related to elder care. These stories are based on the successful application of best practice solutions related to NICHE Clinical Improvement Models and other NICHE resources. Solutions

50 Solutions Series Our ability to highlight nursing innovation at the bedside, at the hospital and system level. Topics include: Catheters Critical Care Delirium/Dementia ED Environment Fracture/falls GPCAs Medication Integrated System Implement Nutrition Patient/Family Education A nurse driven urinary catheter removal protocol Reducing Delirium with a Team Approach Purposeful Visits for Hospitalized Older Adults: Impact on Orientation and Mood

51 The NICHE Hospitals Reports are published to identify the positive outcomes and innovative initiatives experienced at NICHE designated hospitals in their care of older adult patients. Hospitals Report

52 Hospitals Report Highlight programming to improve patient outcomes and experiences in the following areas: Operationalizing NICHE Function Delirium Dementia

53 Simple, easy-to-understand information bulletins designed to help prepare patients and families for the realities of hospitalization. Series Include: The Basics for Older Adults Dementia: Transitions Older Adults with Illness Palliative Care Need to Know

54 Need to Know Concise education tools created by nurses across the country to educate older and adults and their families on hospital safety. Falls Restraints Discharge Emergency room Palliative Care (with CAPC) Dementia Transition Series (with Alz Assoc MO)

55 Geriatric Nursing and Innovation This is who we are This is who we take care of This is nursing This is our opportunity to own our practice, own our impact

56 Thank you! 2013 NICHE All rights reserved. The information contained in this module is provided for informational purposes only. The content has been developed by NICHE participants and the NICHE staff at New York University s College of Nursing and is protected by copyright under the laws of the United States and foreign laws. Under no circumstances may these materials be reproduced for sale or profit. Any use of content not expressly permitted may violate copyright, trademark, and other laws.

The Geriatric Nursing Leadership Academy: Outcomes Across the Care Continuum

The Geriatric Nursing Leadership Academy: Outcomes Across the Care Continuum The Geriatric Nursing Leadership Academy: Outcomes Across the Care Continuum Presenters: Deborah Cleeter, MSN, EdD, RN Claudia Beverly, PhD, RN, FAAN Irene Fleshner, MHSA, RN, FACHE Need for Geriatric

More information

Readmissions as an Enterprise Priority. Presenters 4/17/2014

Readmissions as an Enterprise Priority. Presenters 4/17/2014 Readmissions as an Enterprise Priority April 24, 2014 Presenters Vincent A. Maniscalco, MPA, LNHA Administrator Middletown Park Rehabilitation and Health Care Center Vmaniscalco@parkmanorrehab.com Eileen

More information

The Future of Nursing: Transforming Leadership in the Clinical Setting

The Future of Nursing: Transforming Leadership in the Clinical Setting The Future of Nursing: Transforming Leadership in the Clinical Setting Linda Q. Everett, PhD, RN, NEA-BC, FAAN Executive Vice President & Chief Nurse Executive Indiana University Health Indianapolis, IN

More information

Scope and Standards of Practice for The Acute Care Nurse Practitioner. American Association of Critical-Care Nurses

Scope and Standards of Practice for The Acute Care Nurse Practitioner. American Association of Critical-Care Nurses Scope and Standards of Practice for The Acute Care Nurse Practitioner American Association of Critical-Care Nurses Editor: Linda Bell, RN MSN Copy Editor: Anne Bernard Designer: Derek Bennett An AACN Critical

More information

Attachment A Minnesota DHS Community Service/Community Services Development

Attachment A Minnesota DHS Community Service/Community Services Development Attachment A Minnesota DHS Community Service/Community Services Development Applicant Organization: First Plan of Minnesota Project Title: Implementing a Functional Daily Living Skills Assessment to Predict

More information

CLINICAL PRACTICE GUIDELINES: SELECTION GUIDE and RESOURCE LIST

CLINICAL PRACTICE GUIDELINES: SELECTION GUIDE and RESOURCE LIST Often a statement of an agency s clinical policy and procedure (P&P) is mistaken as a Clinical Practice Guideline (CPG) when, in actuality, the P&P should be based upon and grounded in an identified and

More information

NGNA: Position Paper on Essential Gerontological Nursing Education in Registered Nursing and Continuing Education Programs

NGNA: Position Paper on Essential Gerontological Nursing Education in Registered Nursing and Continuing Education Programs NGNA: Position Paper on Essential Gerontological Nursing Education in Registered Nursing and Continuing Education Programs Introduction/Problem Statement The intent of this position statement is to affirm

More information

Recommended Geropsychiatric Competency Enhancements for Nurse Practitioners Who Provide Care to Older Adults but are not Geriatric Specialists

Recommended Geropsychiatric Competency Enhancements for Nurse Practitioners Who Provide Care to Older Adults but are not Geriatric Specialists Recommended Geropsychiatric Competency Enhancements for Nurse Practitioners Who Provide Care to Older Adults but are not Geriatric Specialists These recommended competency enhancement statements are not

More information

AVOID READMISSIONS through COLLABORATION March 23, 2011 ARC Webinar

AVOID READMISSIONS through COLLABORATION March 23, 2011 ARC Webinar Mary D. Naylor, PhD, RN, FAAN Marian S. Ware Professor in Gerontology Director, NewCourtland Center for Transitions and Health University of Pennsylvania School of Nursing AVOID READMISSIONS through COLLABORATION

More information

Massachusetts Department of Higher Education. Nursing Education Redesign Grant Program. Final Project Implementation Report

Massachusetts Department of Higher Education. Nursing Education Redesign Grant Program. Final Project Implementation Report Massachusetts Department of Higher Education Nursing Education Redesign Grant Program Final Project Implementation Report Submitted by: Berkshire Community College November 30, 2012 Executive Summary Overview

More information

UNCG S.O.N. Nurse Practitioner Competency Metrics

UNCG S.O.N. Nurse Practitioner Competency Metrics Yes Module on Clinical Prevention in Long-Term Care that students complete Assessment of Health Status: Obtains a relevant health history, which may be comprehensive or focused. Post test on Clinical prevention

More information

Curriculum Map Incorporating Recommended Competencies for Geriatric Nursing Care/ Clinical Experiences into Baccalaureate Nursing Programs

Curriculum Map Incorporating Recommended Competencies for Geriatric Nursing Care/ Clinical Experiences into Baccalaureate Nursing Programs Curriculum Map Incorporating Recommended Competencies for Geriatric Nursing Care/ Clinical Experiences into Baccalaureate Nursing Programs List Nursing Courses Topics Attitudes About Aging: Recognize one

More information

Concurrent Session: F F- 1

Concurrent Session: F F- 1 Concurrent Session: F F- 1 If I Only Had a Brain: Use of Brain Rules to Inform Educational Design & Technology Pershing North Nancy P. Davis, MSN, RN, CNOR, Product Manager, American Nurses Association

More information

Nursing Strategic Plan. Fiscal Year 2015. Shaping the Future of UCLA Nursing at Ronald Reagan UCLA Medical Center

Nursing Strategic Plan. Fiscal Year 2015. Shaping the Future of UCLA Nursing at Ronald Reagan UCLA Medical Center Nursing Strategic Plan Fiscal Year 2015 Shaping the Future of UCLA Nursing at Ronald Reagan UCLA Medical Center The strategic plan of the Ronald Reagan UCLA Medical Center Department of Nursing aligns

More information

Day 1 Follow-Up: Panelist Suggestions and Final Topic Ranking. IHS Advisory Panel Meeting April 20, 2013 (Day 2) Chad Boult, MD, MPH, MBA Director

Day 1 Follow-Up: Panelist Suggestions and Final Topic Ranking. IHS Advisory Panel Meeting April 20, 2013 (Day 2) Chad Boult, MD, MPH, MBA Director Day 1 Follow-Up: Panelist Suggestions and Final Topic Ranking IHS Advisory Panel Meeting April 20, 2013 (Day 2) Chad Boult, MD, MPH, MBA Director 1 Suggestions From Panelists 2 Use One Care Management

More information

Master of Science in Nursing. Academic Programs of Study 2015 2016 MSN

Master of Science in Nursing. Academic Programs of Study 2015 2016 MSN Master of Science in Academic Programs of Study 2015 2016 MSN TABLE OF CONTENTS 1) ACCREDITATION AND EDUCATIONAL OUTCOMES 3 2) REGISTRATION AND ADVISING 3) COURSE LOAD See Policies 4) CLINICAL EXPERIENCES

More information

Affordable Care Act Opportunities for the Aging Network

Affordable Care Act Opportunities for the Aging Network Affordable Care Act Opportunities for the Aging Network The Affordable Care Act (ACA) offers many opportunities for the Aging Network to be full partners in health system reform. These include demonstration

More information

Dorothy A. Jones RN, EdD, FAAN Professor of Nursing Boston College William F. Connell SON Director, Y.L. Munn Center for Nursing Research

Dorothy A. Jones RN, EdD, FAAN Professor of Nursing Boston College William F. Connell SON Director, Y.L. Munn Center for Nursing Research Dorothy A. Jones RN, EdD, FAAN Professor of Nursing Boston College William F. Connell SON Director, Y.L. Munn Center for Nursing Research Massachusetts General Hospital Emerging trends in education and

More information

INTERACT VERSION 3.0 and Beyond

INTERACT VERSION 3.0 and Beyond INTERACT VERSION 3.0 and Beyond Nancy Henry, GNP-BC, PhD Florida Atlantic University Boca Raton, Florida The 4 th National Readmissions Summit The Leading Forum on Hospital Readmissions and Strategies

More information

Connect4 Patients CCCM Primary Care Community. Presented By: Veronica Mansfield, DNP, APRN, AE-C, CCM Kit McKinnon, MBA, BSN, RN, CDE, CCM

Connect4 Patients CCCM Primary Care Community. Presented By: Veronica Mansfield, DNP, APRN, AE-C, CCM Kit McKinnon, MBA, BSN, RN, CDE, CCM Connect4 Patients CCCM Primary Care Community Presented By: Veronica Mansfield, DNP, APRN, AE-C, CCM Kit McKinnon, MBA, BSN, RN, CDE, CCM September 17, 2015 Objectives: Describe innovative care management

More information

Care Transitions: How Can You Help?

Care Transitions: How Can You Help? Better Health: It s Your Health, Take Charge Transitions of Care: Coordination and Management Care Transitions: How Can You Help? presented by: Anne Elwell, RN, MPH Principal and Vice President, Qualidigm

More information

Test Content Outline Effective Date: February 6, 2015. Gerontological Nursing Board Certification Examination

Test Content Outline Effective Date: February 6, 2015. Gerontological Nursing Board Certification Examination Board Certification Examination There are 175 questions on this examination. Of these, 150 are scored questions and 25 are pretest questions that are not scored. Pretest questions are used to determine

More information

Care Coordination at Frederick Regional Health System. Heather Kirby, MBA, LBSW, ACM Assistant Vice President of Integrated Care

Care Coordination at Frederick Regional Health System. Heather Kirby, MBA, LBSW, ACM Assistant Vice President of Integrated Care Care Coordination at Frederick Regional Health System Heather Kirby, MBA, LBSW, ACM Assistant Vice President of Integrated Care 1 About the Health System 258 Licensed acute beds Approximately 70,000 ED

More information

Perceptions of The Doctor of Nursing Practice Role in Care of Older Persons in the US

Perceptions of The Doctor of Nursing Practice Role in Care of Older Persons in the US Perceptions of The Doctor of Nursing Practice Role in Care of Older Persons in the US Pamella Stoeckel PhD, RN, Cheryl Kruschke EdD, RN Regis University, Denver, Colorado Royal College of Nursing 2012

More information

Robin E. Remsburg, PhD, GCNS, FNGNA, FGSA, FAAN George Mason University NGNA 2012

Robin E. Remsburg, PhD, GCNS, FNGNA, FGSA, FAAN George Mason University NGNA 2012 Robin E. Remsburg, PhD, GCNS, FNGNA, FGSA, FAAN George Mason University NGNA 2012 This project is/was supported by funds from the Department of Health and Human Services (DHHS), Health Resources and Services

More information

Palliative Nursing. An EssEntiAl REsouRcE for HospicE And palliative nurses

Palliative Nursing. An EssEntiAl REsouRcE for HospicE And palliative nurses Palliative Nursing An EssEntiAl REsouRcE for HospicE And palliative nurses American Nurses Association Silver Spring, Maryland 2014 American Nurses Association 8515 Georgia Avenue, Suite 400 Silver Spring,

More information

St. Luke s Hospital and Health Network Philosophy of Nursing:

St. Luke s Hospital and Health Network Philosophy of Nursing: St. Luke s Hospital and Health Network Philosophy of Nursing: Nursing, a healing profession, is an essential component of St. Luke's Hospital & Health Network's commitment to providing safe, compassionate,

More information

Example of a CNL sm Job Description for An Acute Care Setting

Example of a CNL sm Job Description for An Acute Care Setting Example of a CNL sm Job Description for An Acute Care Clinical Nurse Leader sm Required Competencies & Role Responsibilities NOTE: This job description was developed using the broad areas of the role and

More information

Iatrogenesis. Suzanne Beyea,, RN, PhD, FAAN Associate Director: Centers for Health and Aging

Iatrogenesis. Suzanne Beyea,, RN, PhD, FAAN Associate Director: Centers for Health and Aging Iatrogenesis Suzanne Beyea,, RN, PhD, FAAN Associate Director: Centers for Health and Aging Iatrogenesis Definition from the Greek word, iatros,, meaning healer, iatrogenesis means brought forth by a healer

More information

Risk Tools in Predicting Rehospitalization from Home Care. VNAA Best Practice for Home Health

Risk Tools in Predicting Rehospitalization from Home Care. VNAA Best Practice for Home Health Risk Tools in Predicting Rehospitalization from Home Care VNAA Best Practice for Home Health Learning objectives The participant will be able to: Discuss the need for risk assessment for home health patients

More information

Master of Science in Nursing. Academic Programs of Study 2015 2016 MSN

Master of Science in Nursing. Academic Programs of Study 2015 2016 MSN Master of Science in Academic Programs of Study 2015 2016 MSN Contents ACCREDITATION AND EDUCATIONAL OUTCOMES... 3 OVERVIEW OF SPECIALTY TRACKS... 4 TRACKS... 6 MSN ADULT/GERONTOLOGICAL ACUTE CARE NURSE

More information

MULTIDISCIPLINARY COMPETENCIES IN THE CARE OF OLDER ADULTS AT THE COMPLETION OF THE ENTRY-

MULTIDISCIPLINARY COMPETENCIES IN THE CARE OF OLDER ADULTS AT THE COMPLETION OF THE ENTRY- ENTRY- LEVEL HEALTH PROFESSIONAL DEGREE Developed by the Partnership for Health in Aging Workgroup on Multidisciplinary Competencies in Geriatrics With Support from the American Geriatrics Society (AGS)

More information

Health and Health Care for an Aging Population

Health and Health Care for an Aging Population Health and Health Care for an Aging Population May 2013 Policy Summary of The Canadian Medical Association December 2013 December 2013 Page 1 1) Introduction and Context: In 2010, 14% of Canada s population

More information

The John A. Hartford Foundation: A Legacy of Leadership in Improving Care for Older Adults

The John A. Hartford Foundation: A Legacy of Leadership in Improving Care for Older Adults Envisioning the Future: The Changing Environment For Care of Older Adults 2015 Reynolds Grantee 13th Annual Meeting The Value Proposition for Geriatrics October 14 October 16, 2015 The John A. Hartford

More information

Nancy L. Wilson Department of Medicine-Geriatrics Houston Center for Quality of Care& Utilization Studies Texas Consortium of Geriatric Education

Nancy L. Wilson Department of Medicine-Geriatrics Houston Center for Quality of Care& Utilization Studies Texas Consortium of Geriatric Education 1 Nancy L. Wilson Department of Medicine-Geriatrics Houston Center for Quality of Care& Utilization Studies Texas Consortium of Geriatric Education Centers Care for Elders Governing Council Acknowledge

More information

Master s Entry into Nursing. Academic Manual 2015-2016

Master s Entry into Nursing. Academic Manual 2015-2016 Master s Entry into Nursing Academic Manual 2015-2016 TABLE OF CONTENTS Overview of the Master s Entry into Nursing (MEN) Program 2 Outcomes 2 Plan of Study 3-4 Course Descriptions 5-11 Overview of the

More information

GRACE Team Care Integration of Primary Care with Geriatrics and Community-Based Social Services

GRACE Team Care Integration of Primary Care with Geriatrics and Community-Based Social Services GRACE Team Care Integration of Primary Care with Geriatrics and Community-Based Social Services Aged, Blind and Disabled Stakeholder Presentation Indiana Family and Social Services Administration August

More information

How to Prepare for Your Post Acute Partnership: A Fresh Look at Reducing Avoidable Re Hospitalization

How to Prepare for Your Post Acute Partnership: A Fresh Look at Reducing Avoidable Re Hospitalization How to Prepare for Your Post Acute Partnership: A Fresh Look at Reducing Avoidable Re Hospitalization Presented by: Sandy Bennis, RN, BSN, MBA AVP, Executive Director, Virtua Home Care Diane Flynn, BSN,

More information

Ann Hablitzel, RN, BSN, MBA Hospice Care of California

Ann Hablitzel, RN, BSN, MBA Hospice Care of California Ann Hablitzel, RN, BSN, MBA Hospice Care of California Objectives Describe the creations of new community based palliative care programs Identify criteria for admission Discuss philosophy and goals Analyze

More information

HOW TO PREPARE FOR THE FUTURE COMPLEX CARE MANAGEMENT

HOW TO PREPARE FOR THE FUTURE COMPLEX CARE MANAGEMENT HOW TO PREPARE FOR THE FUTURE COMPLEX CARE MANAGEMENT #607 Friday, October 30, 2015 MARY NEWBERRY, MSN RN, DIRECTOR, HOME BASED & TRANSITIONAL CARE DEBORAH BRADLEY, MSN RN, MANAGER HOME HEALTH CARE BETH

More information

Post-Master's Adult Nurse Practitioner (AGNP)

Post-Master's Adult Nurse Practitioner (AGNP) : Post-Master's Adult Nurse Practitioner (AGNP) University of Florida College of Nursing M. Dee Williams, PhD, RN willimd@ufl.edu 1 Table of Contents A. Rationale... 3 B. Mission... 3 C. Student Learning

More information

Rehabilitation s Role in Decreasing Returns to Acute Care

Rehabilitation s Role in Decreasing Returns to Acute Care Rehabilitation s Role in Decreasing Returns to Acute Care Glenda Mack, PT, MSPT, MBA, CLT, CWS Division Vice President Clinical Operations, RehabCare Objectives Participants will verbalize three primary

More information

Identifying High-Risk Medicare Beneficiaries with Predictive Analytics

Identifying High-Risk Medicare Beneficiaries with Predictive Analytics Identifying High-Risk Medicare Beneficiaries with Predictive Analytics September 2014 Until recently, with the passage of the Affordable Care Act (ACA), Medicare Fee-for-Service (FFS) providers had little

More information

Geriatric Resource Nurse (GRN) Model

Geriatric Resource Nurse (GRN) Model NICHE Models The NICHE nursing care models can help hospitals improve their care to better meet the needs of their hospitalized older adult patients. These models have been implemented and tested at hospitals

More information

CARING AND COMPASSION

CARING AND COMPASSION CARING AND COMPASSION FOR ADULTS AND OLDER ADULTS WITH ACUTE, CRITICAL OR WORSENING CHRONIC ILLNESS»» Adult Gerontology Acute Care Nurse Practitioner Master s Concentration University of South Florida

More information

AACN SCOPE AND STANDARDS

AACN SCOPE AND STANDARDS AACN SCOPE AND STANDARDS FOR ACUTE AND CRITICAL CARE NURSING PRACTICE AMERICAN ASSOCIATION of CRITICAL-CARE NURSES AACN SCOPE AND STANDARDS FOR ACUTE AND CRITICAL CARE NURSING PRACTICE Editor: Linda Bell,

More information

Nurse Practitioners: their role in the QLD health workforce

Nurse Practitioners: their role in the QLD health workforce Nurse Practitioners: their role in the QLD health workforce Sharyn Plath - Nurse Practitioner Redcliffe Hospital Emergency Department (RN, Midwife, BN/Hons, Grad Cert Intercultural Studies, Masters of

More information

Standards of Practice & Scope of Services. for Health Care Delivery System Case Management and Transitions of Care (TOC) Professionals

Standards of Practice & Scope of Services. for Health Care Delivery System Case Management and Transitions of Care (TOC) Professionals A M E R I C A N C A S E M A N A G E M E N T A S S O C I A T I O N Standards of Practice & Scope of Services for Health Care Delivery System Case Management and Transitions of Care (TOC) Professionals O

More information

2012 Nursing Annual Report Models of Nursing Excellence

2012 Nursing Annual Report Models of Nursing Excellence 2012 Nursing Annual Report Models of Nursing Excellence Foundations of Excellence. The Mission, Vision and Values of SJH, together with an intense focus on the exemplary expectations of the ANCC Magnet

More information

Saint Francis Care Patient Care Services Advancement to Clinical Excellence Program (ACE Program) INTRODUCTION

Saint Francis Care Patient Care Services Advancement to Clinical Excellence Program (ACE Program) INTRODUCTION INTRODUCTION Advancement to Clinical Excellence (ACE), the Clinical Advancement Program at St. Francis Care was designed to recognize nurses involved in direct patient care and improve promotional opportunities

More information

IOM Future of Nursing Campaign for Action

IOM Future of Nursing Campaign for Action IOM Future of Nursing Campaign for Action 1 Campaign for Action Northeast Regional Education Meeting May 10, 2012 Shirley Gibson, MSHA, RN, FACHE Co-Lead VAC President, VNA OBJECTIVES To Review Trends

More information

How To Be A Clinical Nurse Specialist

How To Be A Clinical Nurse Specialist Clinical Nurse Specialist Date: November 2014 Job Title : Clinical Nurse Specialist Department : Hospital Service Location : North Shore Hospital / Waitakere Hospital, Medicine and Health of Older People

More information

Long Term Care Medical Education in the US: Training Medical Students, Resident Physicians, and Practicing Physicians.

Long Term Care Medical Education in the US: Training Medical Students, Resident Physicians, and Practicing Physicians. IAGG/WHO/SFGG Workshop - June 4th & 5th, 2010, Toulouse, France Identification of the main relevant domains for clinical research & quality of care in nursing homes Long Term Care Medical Education in

More information

A Living Document from the National League for Nursing December 2015

A Living Document from the National League for Nursing December 2015 VISIONSERIES TRANSFORMING NURSING EDUCATION L E A D I N G T H E C A L L T O R E F O R M Interprofessional Collaboration in Education and Practice A Living Document from the National League for Nursing

More information

A STRATIFIED APPROACH TO PATIENT SAFETY THROUGH HEALTH INFORMATION TECHNOLOGY

A STRATIFIED APPROACH TO PATIENT SAFETY THROUGH HEALTH INFORMATION TECHNOLOGY A STRATIFIED APPROACH TO PATIENT SAFETY THROUGH HEALTH INFORMATION TECHNOLOGY Table of Contents I. Introduction... 2 II. Background... 2 III. Patient Safety... 3 IV. A Comprehensive Approach to Reducing

More information

Community Care of North Carolina

Community Care of North Carolina Community Care of North Carolina CCNC Transitional Care Management Jennifer Cockerham, RN, BSN, CDE Director, Chronic Care Programs & Quality Management 1 Chronic Care Population Within the NC Medicaid

More information

Irene Fleshner, RN, MHSA, FACHE SVP, Strategic Nursing Initiatives Genesis HealthCare Principal, Reno, Davis and Associates, Inc.

Irene Fleshner, RN, MHSA, FACHE SVP, Strategic Nursing Initiatives Genesis HealthCare Principal, Reno, Davis and Associates, Inc. Irene Fleshner, RN, MHSA, FACHE SVP, Strategic Nursing Initiatives Genesis HealthCare Principal, Reno, Davis and Associates, Inc. Independent Living Continuing Care Retirement Community Home Care Assisted

More information

School of Nursing Program

School of Nursing Program School of Nursing Program 18 School of Nursing Program The Duke University School of Nursing Program Mission The mission of the Duke University School of Nursing is to create a center of excellence for

More information

Domains. Components/Domains a meaningful set of related concepts or indicators

Domains. Components/Domains a meaningful set of related concepts or indicators Quest for Nursing Excellence Magnet Journey Quest for Nursing Excellence Quest for Nursing Excellence Diane Hanley, MS, RN-BC, EJD Director, Nursing Education, Quality and Professional Practice St. A s

More information

Coordinating Transitions of Care: It Takes a Village

Coordinating Transitions of Care: It Takes a Village Coordinating Transitions of Care: It Takes a Village Ken Laube RN, BSN, MBA: Vice President Clinical Excellence Situation/Background Patients face significant challenges when moving from one health care

More information

The Hospital Elder Life Program (HELP): Resources for Implementation

The Hospital Elder Life Program (HELP): Resources for Implementation The Hospital Elder Life Program (HELP): Resources for Implementation Sharon K. Inouye, M.D., M.P.H. Professor of Medicine Beth Israel Deaconess Medical Center Harvard Medical School Milton and Shirley

More information

Establishing an Advanced Illness Management (AIM) Model in a Community-Based Setting

Establishing an Advanced Illness Management (AIM) Model in a Community-Based Setting Establishing an Advanced Illness Management (AIM) Model in a Community-Based Setting Health Care Workforce for Older Americans: Promoting Team Care October 7, 2008 Panel on Models of Team Care for the

More information

Excerpt from: The Future of Nursing: Leading Change, Advancing Health http://www.nap.edu/catalog.php?record_id=12956

Excerpt from: The Future of Nursing: Leading Change, Advancing Health http://www.nap.edu/catalog.php?record_id=12956 Excerpt from: The Future of Nursing: Leading Change, Advancing Health http://www.nap.edu/catalog.php?record_id=12956 THE ROLE OF NURSES IN REALIZING A TRANSFORMED HEALTH CARE SYSTEM By virtue of its numbers

More information

Registered Nurse (RN) Acute Care Medical Surgical Environment

Registered Nurse (RN) Acute Care Medical Surgical Environment Registered Nurse (RN) Acute Care Medical Surgical Environment Purpose of this Document: A key deliverable of the Model of Care Initiative in Nova Scotia is the establishment of province-wide standardized

More information

Patient Protection and Affordable Care Act [PL 111-148] with Amendments from 2010 Reconciliation Act [PL 111-152] Direct-Care Workforce

Patient Protection and Affordable Care Act [PL 111-148] with Amendments from 2010 Reconciliation Act [PL 111-152] Direct-Care Workforce DIRECT-CARE WORKFORCE AND LONG-TERM CARE PROVISIONS AS ENACTED IN PATIENT PROTECTION AND AFFORDABLE CARE ACT AND HEALTH CARE AND EDUCATION RECONCILIATION ACT OF 2010 Key Provisions Direct-Care Workforce

More information

How To Teach Nursing

How To Teach Nursing Chapter 7: Nursing Organization Teaching Goals After finishing this chapter, every student should have a firm concept of both what nursing contributes to high quality, safe, efficient, and effective patient

More information

8/11/2015. Role of the ANP in Translating Evidence to Practice. Identification of a Gap/Issue/Need

8/11/2015. Role of the ANP in Translating Evidence to Practice. Identification of a Gap/Issue/Need Utilizing an Advanced Practice Nurse Led Transitional Care Model to Improve the Health Outcomes of High Risk Elders with Heart Failure Living at Home In Western New York Linda L. Steeg DNP, RN, MS, ANP-BC

More information

Presented by Kathleen S. Wyka, AAS, CRT, THE AFFORDABLE CA ACT AND ITS IMPACT ON THE RESPIRATORY C PROFESSION

Presented by Kathleen S. Wyka, AAS, CRT, THE AFFORDABLE CA ACT AND ITS IMPACT ON THE RESPIRATORY C PROFESSION Presented by Kathleen S. Wyka, AAS, CRT, THE AFFORDABLE CA ACT AND ITS IMPACT ON THE RESPIRATORY C PROFESSION At the end of this session, you will be able to: Identify ways RT skills can be utilized for

More information

Care Coordination. The Embedded Care Manager. Presented by Thomas Decker, MD Mary Finnegan, BSN, M.Ed

Care Coordination. The Embedded Care Manager. Presented by Thomas Decker, MD Mary Finnegan, BSN, M.Ed Care Coordination The Embedded Care Manager Presented by Thomas Decker, MD Mary Finnegan, BSN, M.Ed Goals of Care Management The goals of care Management are consistent with the Triple Aim: Improve population

More information

THE FUTURE OF NURSING: THE CALL FOR ADVANCED DEGREES

THE FUTURE OF NURSING: THE CALL FOR ADVANCED DEGREES THE FUTURE OF NURSING: THE CALL FOR ADVANCED DEGREES A N N E T H O M A S, P H D, A N P - B C, G N P, F A A N P D E A N, U N I V E R S I T Y O F I N D I A N A P O L I S S C H O O L O F N U R S I N G J A

More information

Age-friendly principles and practices

Age-friendly principles and practices Age-friendly principles and practices Managing older people in the health service environment Developed on behalf of the Australian Health Ministers Advisory Council (AHMAC) by the AHMAC Care of Older

More information

INTRO TO THE MICHIGAN PIONEER ACO 101: THE BASICS. Karen Unholz, RN, BSN

INTRO TO THE MICHIGAN PIONEER ACO 101: THE BASICS. Karen Unholz, RN, BSN INTRO TO THE MICHIGAN PIONEER ACO 101: THE BASICS Karen Unholz, RN, BSN Origins of the Accountable Care Organization ACOs originated from the Patient Protection and Affordable Care Act (Healthcare Reform)

More information

Arif Nazir, MD currently holds the positions of Assistant Professor of Clinical Medicine, Indiana University School of Medicine, Division of General

Arif Nazir, MD currently holds the positions of Assistant Professor of Clinical Medicine, Indiana University School of Medicine, Division of General Arif Nazir, MD currently holds the positions of Assistant Professor of Clinical Medicine, Indiana University School of Medicine, Division of General Internal Medicine and Geriatrics; Consultant Geriatrician,

More information

UI College of Nursing. The Need for Nurses Prepared to Address Care Needs of Older Adults in Iowa. Geriatric Nursing. Nursing

UI College of Nursing. The Need for Nurses Prepared to Address Care Needs of Older Adults in Iowa. Geriatric Nursing. Nursing The Need for Nurses Prepared to Address Care Needs of Older Adults in Iowa UI College of Nursing #1 in Gerontological nursing in the country! Janet Specht, PhD, RN, FAAN, FGSA Professor and Director John

More information

IT TAKES A TEAM: What we will need to meet needs of older adults and their family caregivers. Capitol Hill Briefing.

IT TAKES A TEAM: What we will need to meet needs of older adults and their family caregivers. Capitol Hill Briefing. IT TAKES A TEAM: What we will need to meet needs of older adults and their family caregivers. Capitol Hill Briefing October 30, 2014 #EWABriefing #ItTakesATeam Panelists Moderated by: Michèle Saunders,

More information

Game Changer at the Primary Care Practice Embedded Care Management. Ruth Clark, RN, BSN, MPA Integrated Health Partners October 30, 2012

Game Changer at the Primary Care Practice Embedded Care Management. Ruth Clark, RN, BSN, MPA Integrated Health Partners October 30, 2012 Game Changer at the Primary Care Practice Embedded Care Management Ruth Clark, RN, BSN, MPA Integrated Health Partners October 30, 2012 Objectives To describe the recent evolution of care management at

More information

Certificate Assessment Plan: Post-Master's Acute Care Nurse Practitioner (ACNP)

Certificate Assessment Plan: Post-Master's Acute Care Nurse Practitioner (ACNP) : Post-Master's Acute Care Nurse Practitioner (ACNP) University of Florida College of Nursing M. Dee Williams, PhD, RN willimd@ufl.edu 1 Table of Contents A. Rationale... 3 B. Mission... 3 C. Student Learning

More information

Charting the Future of Primary Care: Care Coordination/Case Management

Charting the Future of Primary Care: Care Coordination/Case Management Charting the Future of Primary Care: Care Coordination/Case Management ASA-NYAM Forum March 19, 2009 Cheryl Schraeder, RN, PhD Director of Policy & Practice Initiatives Institute for Healthcare Innovation

More information

Nurse Practitioner Program Site Visitor Handbook

Nurse Practitioner Program Site Visitor Handbook Nurse Practitioner Program Site Visitor Handbook Beth- El College of Nursing and Health Sciences 1420 Austin Bluffs Parkway Colorado Springs, Co 80918 (719-2- 4434) Fax 2-4496 1 Table of Contents Important

More information

From Hospital to Home: Fall Prevention in an Acute Care Setting

From Hospital to Home: Fall Prevention in an Acute Care Setting From Hospital to Home: Fall Prevention in an Acute Care Setting Patricia A. MacCulloch MS, APRN, BC Adult Nurse Practitioner UMass Memorial Dept. of Orthopedics Mission UMass Memorial is committed to improving

More information

UNIVERSITY OF NORTH DAKOTA COLLEGE OF NURSING AND PROFESSIONAL DISCIPLINES

UNIVERSITY OF NORTH DAKOTA COLLEGE OF NURSING AND PROFESSIONAL DISCIPLINES UNIVERSITY OF NORTH DAKOTA COLLEGE OF NURSING AND PROFESSIONAL DISCIPLINES ADULT-GERONTOLOGY PRIMARY CARE NURSE PRACTITIONER TRACK PRECEPTOR CLINICAL HANDBOOK 2014-2015 Welcome! Thank you so much for agreeing

More information

BS, MS, DNP and PhD in Nursing Competencies

BS, MS, DNP and PhD in Nursing Competencies BS, MS, DNP and PhD in Nursing Competencies The competencies arise from the understanding of nursing as a theory-guided, evidenced -based discipline. Graduates from the curriculum are expected to possess

More information

Melissa Edmister, RN, BSN Clinical Manager Surgical Acute Unit Providence St. Peter Hospital

Melissa Edmister, RN, BSN Clinical Manager Surgical Acute Unit Providence St. Peter Hospital Melissa Edmister, RN, BSN Clinical Manager Surgical Acute Unit Providence St. Peter Hospital Why do some organizations do well with safety initiatives while others do poorly or fail? The most important

More information

An Overview of Magnet Designation. Cheryl Cioffi, MSN, RN, ANP-BC, OCN Director, Nursing Professional & Clinical Development

An Overview of Magnet Designation. Cheryl Cioffi, MSN, RN, ANP-BC, OCN Director, Nursing Professional & Clinical Development An Overview of Magnet Designation Cheryl Cioffi, MSN, RN, ANP-BC, OCN Director, Nursing Professional & Clinical Development Learning Objectives At the conclusion of the presentation, the learner will:

More information

Nurse Transition Coach Model: Innovative, Evidence-based, and Cost Effective Solutions to Reduce Hospital Readmissions

Nurse Transition Coach Model: Innovative, Evidence-based, and Cost Effective Solutions to Reduce Hospital Readmissions Nurse Transition Coach Model: Innovative, Evidence-based, and Cost Effective Solutions to Reduce Hospital Readmissions Leslie Becker RN, BS Jennifer Smith RN, MSN, MBA Leslie Frain MSN, RN Jan Machanis

More information

School of Nursing Program

School of Nursing Program School of Nursing Program 18 Admisssion and Progression The Duke University School of Nursing Program MISSION The mission of the Duke University School of Nursing is to create a center of excellence for

More information

Using Epic to Improve Care of Older Patients. Elizabeth Eckstrom,M.D. Michael L. Malone,M.D. January 19,2013

Using Epic to Improve Care of Older Patients. Elizabeth Eckstrom,M.D. Michael L. Malone,M.D. January 19,2013 Using Epic to Improve Care of Older Patients Elizabeth Eckstrom,M.D. Michael L. Malone,M.D. January 19,2013 Learning Objectives: Discuss the successes and challenges of using the EMR to document care.

More information

Care Transitions: Evidence-based best practices for Case Managers

Care Transitions: Evidence-based best practices for Case Managers Care Transitions: Evidence-based best practices for Case Managers Mary D. Naylor, PhD, FAAN, RN Marian S. Ware Professor in Gerontology Director, NewCourtlandCenter for Transitions & Health University

More information

1. Executive Summary Problem/Opportunity: Evidence: Baseline Data: Intervention: Results:

1. Executive Summary Problem/Opportunity: Evidence: Baseline Data: Intervention: Results: A Clinical Nurse Leader led multidisciplinary Heart Failure Program: Integrating best practice across the care continuum to reduce avoidable 30 day readmissions. 1. Executive Summary Problem/Opportunity:

More information

Long-Term Care --- an Essential Element of Healthcare Reform

Long-Term Care --- an Essential Element of Healthcare Reform Long-Term Care --- an Essential Element of Healthcare Reform This chart book was commissioned by and prepared by Avalere Health. December 2008 Avalere Health LLC The intersection of business strategy and

More information

Position Description

Position Description Position Description Position details: Title: Reports to: Reports professionally to: Date: Nurse Educator General Medicine Nurse Unit Manager General Medicine Nurse Unit Manager General Medicine November

More information

College of DuPage. Associate Degree Nursing Program

College of DuPage. Associate Degree Nursing Program Student Name: Clinical Instructor: Clinical Site : College of DuPage Associate Degree Nursing Program Clinical Evaluation Tool: Nursing 1220 Health and Illness Concepts I Student Learning Outcome 1. SAFETY:

More information

Outcomes Report through June 30, 2014

Outcomes Report through June 30, 2014 Outcomes Report through June 0, 0 Contents Introduction... Haag Pavilion (Sub-Acute Unit)... Rehabilitation Outcomes... Rehospitalization Outcomes of Sub-Acute Patients... Center for Heart Health Outcomes...

More information

A collaborative model for service delivery in the Emergency Department

A collaborative model for service delivery in the Emergency Department A collaborative model for service delivery in the Emergency Department Regional Geriatric Program of Toronto, December 2009 Background Seniors over the age of 75 years now have the highest Emergency Department

More information

PURPOSE OF THE SELF-ASSESSMENT TOOLS:

PURPOSE OF THE SELF-ASSESSMENT TOOLS: Geriatric Rehab Definitions Framework Self-Assessment Tool Outpatient/Ambulatory Geriatric Rehab INTRODUCTION: In response to a changing rehab landscape in which rehabilitation is offered in many different

More information

Changing Roles and Responsibilities of the LTC Nursing Team

Changing Roles and Responsibilities of the LTC Nursing Team Changing Roles and Responsibilities of the LTC Nursing Team Irene Fleshner, RN, MHSA, FACHE Senior Vice President, Genesis HealthCare Principal, Reno, Davis & Assoc. Inc Objectives: Understand historical

More information

Seniors Health Capacity Building: Our Journey to a Registered Nurses Association of Ontario Best Practice Spotlight Organization Designation

Seniors Health Capacity Building: Our Journey to a Registered Nurses Association of Ontario Best Practice Spotlight Organization Designation Seniors Health Capacity Building: Our Journey to a Registered Nurses Association of Ontario Best Practice Spotlight Organization Designation Angela Chan RN, BScN, MN, GNC(C) Judy Smith RN, BScN, MEd(DE),

More information

AGS REHABILITATION/ POST-HOSPITAL CARE OF THE GERIATRIC FRACTURE PATIENT. Egan Allen, MD University of Rochester

AGS REHABILITATION/ POST-HOSPITAL CARE OF THE GERIATRIC FRACTURE PATIENT. Egan Allen, MD University of Rochester AGS REHABILITATION/ POST-HOSPITAL CARE OF THE GERIATRIC FRACTURE PATIENT Egan Allen, MD University of Rochester THE AMERICAN GERIATRICS SOCIETY Geriatrics Health Professionals. Leading change. Improving

More information

Hospice Care in The Nursing Home. Perspectives of a Medical Director Carole Baraldi, M.D.

Hospice Care in The Nursing Home. Perspectives of a Medical Director Carole Baraldi, M.D. Hospice Care in The Nursing Home Perspectives of a Medical Director Carole Baraldi, M.D. Evolution of Nursing Facilities Alms houses began over 1000 years ago Historically serve older people who can no

More information

Health Care Leader Action Guide to Reduce Avoidable Readmissions

Health Care Leader Action Guide to Reduce Avoidable Readmissions Health Care Leader Action Guide to Reduce Avoidable Readmissions January 2010 TRANSFORMING HEALTH CARE THROUGH RESEARCH AND EDUCATION Osei-Anto A, Joshi M, Audet AM, Berman A, Jencks S. Health Care Leader

More information