• Cognitive Care Update - CIS 2013

    By Maggie Cunningham
    CogCareCIS2Two years ago, after the close of the 2013 Clinical Impact Symposium, the clinicians from Kindred's Dallas/Fort Worth Integrated Care Market returned home with the intent to delve further into deep training on cognitive care. They pulled together clinicians from all over their market and decided where to start - developing a training program that was workable within the hospital environment.

     

    The team, headed by Jane Dailey, Vice President of Clinical Operations for the hospital division in the east and southeast regions, piloted the program and studied the results. Initially, the plan was to integrate the program into the hospital division's new cognitive care training program before it was spread out into the other fields. 

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  • Do You Remember What this Device Is?

    By Kindred Healthcare

    Do You Remember What this Device Is?

    Participants at Kindred’s Fifth Annual Clinical Impact Symposium – from senior leadership to the clinicians on the front lines of patient care – say you should not only remember it, but you should use it often!

    A big takeaway from the three days of discussions: Communication. Is. Key.

    And it doesn’t require fancy devices to communicate effectively; it can be as easy as picking up the phone. Call the next care setting. Or the previous care setting. Talk about the patient. Gather important information. And let it inform great care across the continuum.

    Pick up the phone!

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  • The Value of a Healthy Workforce

    By Kindred Healthcare

     

     Ronald S. Leopold, MD, MBA, MPH Ronald S. Leopold, MD, MBA, MPH

     

    In the last presentation of the 2013 Kindred Clinical Impact Symposium, Ronald Leopold, MD, MBA, MPH, Senior Vice President, National Practice Leader, Health and Productivity for Wells Fargo Insurance Services, talked about the business value of a healthy workforce.

    People are remaining in the workforce longer than ever before, and perhaps longer than they had planned, Leopold said.

    “Your ability to earn a living is your biggest financial asset,” he said.

    And companies, in turn, are well-served to encourage a healthy workforce.

    “It’s in [companies’] best interest to get their workforces healthier and more importantly, it’s in your own best interest,” Leopold said.

    How can individuals do that? First, they can pick realistic goals and stick with them. Have a healthy lifestyle – move around, eat well, consider behavior changes – what are you doing that you shouldn’t be doing and vice versa?

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  • So What About Jack?

    By Kindred Healthcare
     (l-r) Matt Sivret, Tony Disser, Susan Sender, Kathy Owens, Mary Van de Kamp (l-r) Matt Sivret, Tony Disser, Susan Sender, Kathy Owens, Mary Van de Kamp

    As the Fifth Annual Kindred Clinical Impact Symposium wraps up, participants came together to make some recommendations for further care of our fictitious patient, Jack, who has many co-morbid conditions and ended up in the post-acute care continuum after being hit by a car while riding his bike, requiring surgery for a broken femur.

    After his initial discharge from the acute care hospital, Jack went to a skilled nursing facility, back to the acute care hospital, then to a transitional care hospital and ultimately he was transitioned to home health care. At the current moment, Jack’s home health providers are concerned about his agitated state and resistance to taking medications and exercising.

    As Jack continues his journey in the post-acute continuum, CIS participants had some common recommendations for his care:

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  • Kim Warchol has been an Occupational Therapist specializing in dementia for more than 24 years. One minute of listening to her talk about her field and you can hear the years of experience and passion in every word. But she readily admits that she wasn’t prepared to deal with cognitive impairment when she first started practicing.

    Her “aha!” moment came through the work of Claudia Kay Allen, MA, OTR/L, FAOTA, which completely changed her perspective from focusing on the limitations of patients with cognitive impairment to focusing on uncovering what they could do. She hasn’t looked back since and, she says, she is no longer “leaving these vulnerable individuals to fend for themselves.”

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  • Kindred Employees Share Their Success at CIS Poster Session

    By Kindred Healthcare

    Although the posters at Kindred’s Clinical Impact Symposium came from different Kindred facilities and covered different topics, the one thing each had in common was the passion and enthusiasm of the people presenting the projects and information.

    While the posters were filled with technical terms and acronyms, the patient was never forgotten and there were often pictures of patients surrounded by their care teams, many having defied the odds for a successful outcome. While it wasn’t possible to cover all of the presentations, we had a chance to talk to the people behind three of them.

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     Attendees talk to Brenda Mayfield and Tanya Trotter about their poster presentation. Attendees talk to Brenda Mayfield and Tanya Trotter about their poster presentation.

     

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  • Managing Jack’s Infections

    By Kindred Healthcare

    Our fictitious patient, Jack, has developed severe diarrhea and is being treated with metronidazole. He is in a skilled nursing facility for wound care and rehabilitation. The diarrhea is not improving and oral vancomycin is started for suspected C. Diff infection. Stool cultures have been sent out.

    The stool culture comes back positive for CRE, or Carbapenem Resistant Enterobacteriaceae.

     Ruth Carrico, PhD, RN, FSHEA, CIC Ruth Carrico, PhD, RN, FSHEA, CIC

    Ruth Carrico, PhD, RN, Associate Professor, Division of Infectious Diseases, Department of Medicine, University of Louisville School of Medicine, led participants at the Fifth Annual Clinical Impact Symposium through the next steps of infection control for our patient, Jack.

    Carrico first questioned participants about whether, given his situation, Jack should be isolated. The answer? Yes.

    “We must assume that a body fluid out of control is caused by something transmissible until proven otherwise,” she said.

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  • Effective, efficient movement of patients through the post-acute continuum of care is Kindred’s goal. But infectious diseases are unwelcome visitors that also like to make the post-acute continuum of care their home, starting in the acute care hospital and settling in at the various levels of post-acute care settings.

     Alice Kim, MD, Medical Director of Infection Control at Kindred Hospital Cleveland. Alice Kim, MD, Medical Director of Infection Control at Kindred Hospital Cleveland.

    Addressing issues related to infectious diseases today at Kindred’s Fifth Annual Clinical Impact Symposium was Alice Kim, MD, Director of Infectious Disease/Control at Kindred’s Cleveland Fairhill Hospital.

    Dr. Kim, who came to Kindred from the Cleveland Clinic with the mission of implementing acute-hospital devised infectious disease plans in the post-acute setting, described the challenges related to infectious diseases in both acute and post-acute care.

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  • Jack’s Care Transition Story

    By Kindred Healthcare

    NOTE: The following care story is purely hypothetical and was crafted specifically for 2013 Clinical Impact Symposium attendees to use as an exercise in care transitions. Any resemblance to a person living or deceased is coincidental. Future CIS posts may refer back to this fictitious story for reference.

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  •  Stacey Seggelke, MS, RN, CNS, CDE, BC-ADM Stacey Seggelke, MS, RN, CNS, CDE, BC-ADM

    Stacey Seggelke, sees patients with diabetes both in and out of the hospital, and shared her experiences at the Kindred Clinical Impact Symposium. She is a member of the inpatient Glucose Management team at the University of Colorado Hospital and has an outpatient diabetes clinic one day per week.

    There has been a steady and significant increase in diabetes over the last 30 years. It affects 8 percent of the population, and it is estimated that there are 79 million people who are pre-diabetic. Even when it is not the primary diagnosis, diabetes impacts the care provided to the person, and Seggelke works with her patients from admission to discharge to make sure that the treatments for other medical issues don’t harm the patient or cause problems related to their diabetes.

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