Patient Coordinated Care Response Team

Section I: Abstract Problem: Communication between medical professionals and patients is a critical element to patient satisfaction and safety. The 2020 patient overall satisfaction scores for the local Roseville hospital were 73%. These data demonstrated an opportunity to enhance processes and the culture at the local Roseville hospital to meet the communication needs of its patient population. Context: A patient coordinated care response team was developed to improve communication for newly diagnosed cancer patients or other life-altering diagnosis patients. Interventions: A survey was completed to establish the current state of patient satisfaction with communication practices with healthcare providers in the overflow units of the local Roseville hospital. Measures: The outcome measure was to establish the current level of communication between the patient and the healthcare providers. There were two process measures: completion of the provided survey and attendance at the informational huddle. The balancing measures were to ensure attentiveness to the patient did not decrease and overall hospital length of stay did not increase while addressing communication challenges. Results: There were 25 responses to the survey, which demonstrated a 44% rating of poor for communication between the primary physician and other medical professionals in the hospital; 100% of the responses stated they had cared for a newly diagnosed cancer or life-altering illness patient; 92% of the responses stated communication was a factor in the patient’s hospital length of stay; and 100% of the responses stated communication influenced the patient’s overall hospital experience. The results of the survey identified the response team members as the primary registered nurse, primary medical doctor, specialty medical doctor, patient care coordinator, and social service professional. Conclusions: By incorporating a coordinated patient care response team into a patient’s plan of care, communication can be enhanced between medical professionals and the patient. This increase in communication can improve overall patient satisfaction and reduce hospital lengths of stay

The Elements of Web Communication (for Amateurs)

Presentation given at the Michigan Library Association Annual Conference 2015, October 28th, in Novi, Michigan. Writing for the web is not the same as writing for other media. But your library website content is written by your library staff, who may be neither writers nor web professionals. This session will explore everyday strategies to improve your approach to writing for the web. Your web content will be more readable, your site will be more usable, and you will be more confident in your ability to reach patrons online

A synaptic nidogen: developmental regulation and role of nidogen-2 at the neuromuscular junction

Background: The skeletal neuromuscular junction is a useful model for elucidating mechanisms that regulate synaptogenesis. Developmentally important intercellular interactions at the neuromuscular junction are mediated by the synaptic portion of a basal lamina that completely ensheaths each muscle fiber. Basal laminas in general are composed of four main types of glycosylated proteins: laminins, collagens IV, heparan sulfate proteoglycans and nidogens (entactins). The portion of the muscle fiber basal lamina that passes between the motor nerve terminal and postsynaptic membrane has been shown to bear distinct isoforms of the first three of these. For laminins and collagens IV, the proteins are deposited by the muscle; a synaptic proteoglycan, z-agrin, is deposited by the nerve. In each case, the synaptic isoform plays key roles in organizing the neuromuscular junction. Here, we analyze the fourth family, composed of nidogen-1 and -2.Results: In adult muscle, nidogen-1 is present throughout muscle fiber basal lamina, while nidogen- 2 is concentrated at synapses. Nidogen-2 is initially present throughout muscle basal lamina, but is lost from extrasynaptic regions during the first three postnatal weeks. Neuromuscular junctions in mutant mice lacking nidogen-2 appear normal at birth, but become topologically abnormal as they mature. Synaptic laminins, collagens IV and heparan sulfate proteoglycans persist in the absence of nidogen-2, suggesting the phenotype is not secondary to a general defect in the integrity of synaptic basal lamina. Further genetic studies suggest that synaptic localization of each of the four families of synaptic basal lamina components is independent of the other three.Conclusion: All four core components of the basal lamina have synaptically enriched isoforms. Together, they form a highly specialized synaptic cleft material. Individually, they play distinct roles in the formation, maturation and maintenance of the neuromuscular junction

High Impact and Open Access: Proven Strategies for Encouraging Faculty to Deposit in your Institutional Repository

Presentation given at the Michigan Library Association Academic Libraries 2013 Conference, detailing the strategy used by the Wayne State University Libraries to make the case for Green Open Access participation by faculty. Outlines the authors\u27 approach to crafting the case for Open Access and deposit using studies supporting OA citation advantage, ISI\u27s JCR and SHERPA/RoMEO, and a library-centered service model for citation review and deposit

TILTing toward Millennials: Updating Online Information Literacy Instruction for Post-Modern Learners

This session will describe the challenge of reinventing a graphically outdated and content heavy online information literacy tutorial and tilting it toward a millennial audience. You will learn how we reinvented substantive content from an instructional design perspective and be provided general suggestions for creating quality content. In addition, you will learn specific design strategies, focusing on innovative web design trends, collaboration with public services librarians, and using cost-effective resources to create successful virtual learning environments. You will also view results from a study performed on the tutorial and learn how the results have influenced updates

Informing Authors: Outreach strategies for engaging faculty in scholarly communications issues at your institution

This presentation communicates three approaches at a research institution to engage faculty around scholarly communication issues. Attendees will come away better equipped to develop their institutional repositories and create a stronger scholarly communications program