Matt Maloney was shoveling snow when he started experiencing chest pains. With a family history of coronary artery disease, his primary care physician sent him in for a stress test. Matt was diagnosed with sudden Myocardial Infarction and was rushed into surgery for emergency coronary bypass grafting. During that procedure, he developed pulmonary edema, an excess of fluid in the lungs.
Matt had developed acute respiratory distress syndrome, and now required prolonged mechanical ventilation and a tracheostomy. When he left the ICU, he was transferred to Kindred Hospital Heritage Valley where he could be successfully weaned from the ventilator while also monitoring his kidney dialysis.
After Ashley came home from her freshman year in college, she
made a trip to the doctor. A high cortisol level led to more testing, which led
to the discovery of a tumor on her pituitary gland. This was found to be the
cause of her high cortisol levels, and she was officially diagnosed with
Cushing’s disease. Ashley soon went in for surgery to remove the tumor, which
was successful, but with a cost.
During the surgery, a blood clot formed that eventually made its
way to her lungs. She developed respiratory failure, sepsis, and pneumonia
along with ARDS, a severe inflammation of the lungs, according to Sarmad
Ashfaq, MD, of Kindred Hospital Heritage Valley, where Ashley was transferred
to after surgery for long-term acute care.
Josephine is originally from the East Coast. She and her
husband moved to California where they raised their son, who gave them two
grandchildren to share their love. Josephine was a very successful registered nurse
and became the director over a large nursing agency covering Los Angeles and
Prior to being admitted to Kindred Hospital Brea, Josephine
lived in an assisted living facility with her husband. Sadly, her husband passed but Josephine still
lovingly refers to him as being her “biggest supporter”.
After a hospital stay, patients may just want to put the
experience behind them. The last thing they want to do is come back. Read
The AAMI Foundation has released a free compendium designed
to help hospitals and health care organizations meet The Joint Commission’s
National Patient Safety Goal on clinical alarms. Read
Jeanine Hess is an 86 year old woman who was referred by her Primary Care Physician to Gentiva Home Health due to generalized decline in lower extremity strength and functional mobility. She was evaluated by physical therapy and was placed in our 'Safe Strides' balance program.
She was also evaluated by occupational therapy. During the evaluation, Jeanine disclosed that she missed her dog terribly. Her family had taken the dog out of her apartment as they felt that Jeanine was at a risk of falling. Each morning Jeanine would take her dog outside to do it's 'business' and was often rushing to accomplish this task.
Many primary care practitioners will be a little poorer next year because of the expiration of a health law program that has been paying them a 10 percent bonus for caring for Medicare patients.
A panel of health experts is calling for sweeping changes to the way infectious disease threats are managed, saying a bungled response by the World Health Organization and others to the West African Ebola epidemic exposed dangerous vulnerabilities.
Pete Gregg woke up to his wife, Johna Gregg, 23, screaming. Once he turned on the light, it became apparent she was having a grand mal seizure. The first hospital the Greggs visited claimed Johna was having an anxiety attack due to a mental breakdown and transferred Johna to a mental hospital. Upon arrival at the mental facility, the medical professionals realized there was indeed more to her story, and Johna was once again transferred - this time 80 miles away from home.
Johna's health had deteriorated, and by the time she arrived at Ruby Memorial she was in a coma. After another treacherous grand mal seizure, she coded and was intubated. When Johna was diagnosed with Anti-NMDA receptor encephalitis, Pete became worried he may lose her and was saddened by the moments his wife was missing at home, like their son's first steps. Johna woke up from her coma after two months and was transferred to Kindred Hospital Pittsburgh, 150 miles away from home, to continue her recovery.
A close friend was an even-keeled, responsible man, endowed with a sunny outlook and a gentle, punny sense of humor. So when he started to make snide remarks at social gatherings several years ago, I secretly championed the delight he was taking in his newfound freedom from social constraints.
The Centers for Medicare & Medicaid Services has released its final bundled payment model for hip and knee replacement surgeries, which includes plans to waive the three-day stay rule for beneficiaries entering "qualified" skilled nursing facilities.
As part of an ongoing effort to provide input to the Centers for Medicare & Medicaid Services (CMS) and its contractors and help shape value-based care, Dr. Marc Rothman, MD, Kindred's Chief Medical Officer recently commented on efforts to develop potentially preventable readmission measures for all post-acute providers. As a provider of health care services and supports across the entire post-acute continuum, Kindred has a unique perspective about the value of each setting, actual success in reducing re-hospitalizations across all post-acute settings, and certain pitfalls to avoid in quality measure creation.
Within its comments, Kindred pointed out that it supports the development of measures to promote the delivery of high quality care to patients, and appreciates the opportunity to comment on measures that are a proxy for quality in health care delivery. This is consistent with Kindred's endorsement of the
Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014
, which set the foundation for the establishment of cross-setting quality measures and served as an important foundation to pursuing step-wise reforms necessary for value-based post-acute care reforms.
The seventh annual Kindred Clinical Impact Symposium has officially come to a close. Luckily, we live-blogged the whole event, so you can always find that content right here on the Kindred Continuum. Here's a look at each of the speakers, panels and breakout sessions in order:
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