During the introduction for Sean Muldoon, MD the Senior Vice President and Chief Medical Officer for Kindred Healthcare’s Hospital Division, the audience got a hint of the difficulty involved when it was noted that Muldoon was given the choice of solving world hunger or getting three key metrics measured the same way in all Kindred facilities. Solving world hunger, it was noted, would be the easier task.
NOTE: Mary's story is purely hypothetical and was crafted
specifically for 2014 Clinical Impact Symposium attendees to use as an
exercise in care transitions. Any resemblance to a person living or
deceased is coincidental.
Throughout the 2014 Kindred Clinical Impact Symposium: Clinical Excellence in the Care of the Stroke Patient Across the Continuum, participants were asked to consider the fictional case of Mary Marton, a 66-year-old woman who had been the primary caregiver for her debilitated husband, Jack, until she herself suffered a stroke. Participants broke into small groups yesterday to talk about some of the lessons learned through the care Mary received after a friend called 911 when she noted Mary’s speech was slurred and that she was having trouble picking things up off the table.
Within the main session room, four groups gathered to discuss Mary’s care transition story during the Wednesday breakout sessions at the 2014 Kindred Clinical Impact Symposium. Each group, consisting of around 14 to 18 participants, had a facilitator to help direct the discussion. The groups were made up of people from various disciplines from different types of facilities in different parts of the country.
In a break-out session at the 2014 Kindred Clinical Impact Symposium, Pam Duncan, PhD, PT, FAPTA, FAHA, Wake Forest Baptist Health, spoke to a small group attendees about the evolution she feels is necessary in the development and use of care assessment tools.
Every day, nurses and other healthcare workers tend to patients and their families, providing care, comfort, security and more. It is a stressful situation that can, over time, create compassion fatigue, resulting in marked physical, social, emotional, spiritual, and intellectual changes that increase in intensity. A team of three nurses and one researcher from Kindred Hospital Dayton wanted to conduct a study to understand the impact of compassion fatigue in their facility. The team included nurses Violet Littlejohn, Beth Hock, and Diane Mehling, and researcher DeAnne French.
There’s more to pureed food than pureed food, and meeting the nutritional needs of patients can range from complicated to downright dangerous. Peter Lam, RD, CFE, of Peter Lam Consulting in New Westminster, British Columbia, addressed the group of attendees at the2014 Kindred Clinical Impact Symposium to talk about how we can better understand patients’ nutritional needs and concerns, and more optimally meet those needs.
Jane Dailey is Vice President of Clinical Operations, East Region and Southeast Region, in the Hospital Division of Kindred Healthcare. She provided an update on the Cognitive Care pilot in Dallas, starting first by recognizing what she called “an amazing group of people” in the Dallas-Fort Worth integrated care market. The folks who have been working on the pilot “wanted to continue the impact from the 2013 symposium,” Dailey notes. One year later, she says, “we have identified processes across the continuum that will allow us to promptly screen and evaluate patients with cognitive issues.”
Kim Warchol’s presentation to the attendees at the 2014 Kindred Clinical Impact Symposium: Clinical Excellence in the Care of the Stroke Patient Across the Continuum, began with one important message:
Gone are the days when we can’t serve people with dementia and Alzheimer’s disease.
Warchol, President of Dementia Care Specialists at the Crisis Prevention Institute, remembers a time when, as a young occupational therapist in the late 1980s, she would regularly write the words, “patient not appropriate for occupational therapy secondary to cognitive impairment.” Not the case anymore.
Scott Blanchette, the Chief Information Officer for Kindred Healthcare, addressed three main areas related to change – why we should do it, how to do it, and what will happen next. Looking at the “why,” Blanchette points to the current financial state of the United States, examining the country’s bottom line. While income is up, expenses have nearly doubled. In fact, Blanchette notes that the U.S. is gathering debt faster than any other time in history except during World War I and World War II. And the biggest costs are tied to healthcare and an aging population, with nearly half of the money being spent on Social Security (24%), Medicare (14%) and Medicaid (9%). That may be enough of a reason to embrace change, but Blanchette points to an eye-opening projection: By 2026, Medicare, Medicaid, and Social Security will be the entirety of the government’s budget.
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