Progress Notes

https://scholarlyworks.lvhn.org/progress_notes/1345/thumbnail.jp

Progress Notes

https://scholarlyworks.lvhn.org/progress_notes/1345/thumbnail.jp

A Process Improvement Toolkit to Guide the Attainment of Meaningful Use Stage 2 Requirements

Healthcare is evolving. Reimbursement is transitioning to a model based on quality and patient outcomes. To remain relevant and survive this transition, providers of care must adapt and implement new models of care delivery that account for these changes. This toolkit was created as a deliverable of a Doctor of Nursing Practice dissertation that explored a successful primary care delivery model of a Patient-Centered Medical Home that utilized an interdisciplinary team approach that included nurses. Through this model high quality care was delivered to achieve desired outcomes, specifically, successful attestation for Stage 2 of the Meaningful Use Incentive Program during the first quarter of 2014. This toolkit was created as a result of the exploration of this model in order to inform others regarding structures and processes that can be integrated to meet the requirements of Stage 2 Meaningful Use. To do so, this toolkit describes the structure utilized by practice of interest, including the roles of vital staff members. Processes that result in meeting Meaningful Use objectives are also described, many in the form of decision trees. The toolkit also includes an example of what an investment in this model would entail along with guidelines for model replication. This toolkit provides a framework for success in meeting Meaningful Use Stage 2 requirements

Identifying Gaps in Care in the Geriatric Trauma Patient with Rib Fractures

Introduction: Rib fractures in the geriatric patient can be life altering. Across the country trauma centers are caring for an increased volume of geriatric patients aged 65 years and older (Ali-Osman et al., 2018). The geriatric patient with thoracic injury has the second highest mortality rate among the trauma population in the United States (Mentzer et al., 2017). The assessment of the patient is key to identify critical changes due to high risk of adverse events from rib fractures. Despite efforts to standardize the assessment and care provided to the patient with rib fractures, a lot of variation occurs. Research supports the provision of a standard assessment and discharge process for the geriatric trauma patient (GTP) with rib fractures to improve outcomes. Objective: This project focused on conducting a gap analysis of process and outcomes measures in this population at the specific site of interest in the emergency department (ED), inpatient setting and outpatient setting to determine needs for improvement. Then, after the data analysis, evidenced based recommendations were given to appropriate leadership staff. Methods: The development of a dashboard displayed key measures identifying areas of outliers for the ED, inpatient and outpatient setting. Results: Through the development of the dashboard it was identified that when compared to the evidence the large urban hospital needs improvement in the consistent use and documentation of the incentive spirometer (IS) by the nurses, and more consistency with evaluation of the GTP using the FRAIL assessment and standard of care for follow-up post-discharge. Conclusions: The dashboard was effective at displaying areas in need of evidence-based improvement at the organization of focus for the GTP with rib fractures

Actionable Patient Safety Solutions (APSS) #6: Hand-off Communications

Hand-off communications, or hand-off processes, involve the transition of care as well as the transfer of patient-specific information by one healthcare professional to another with the purpose of providing a patient with safe, continuous care. A successful hand-off can only be achieved by effective communication

Proceedings - Wright State University Boonshoft School of Medicine Eighth Annual Medical Student Research Symposium: Celebrating Medical Student Scholarship

The student abstract booklet is a compilation of abstracts from students\u27 oral and poster presentations at Wright State University\u27s Eighth Annual Boonshoft School of Medicine Medical Student Research Symposium held on April 13, 2016.https://corescholar.libraries.wright.edu/ra_symp/1007/thumbnail.jp