• National Hospital Week, a celebration of hospital history, technology and staff, is May 6-12. So this seems like the perfect time to recognize some of the Kindred Healthcare Hospital Division’s recent successes.

    Honoring National Hospital Week by Noting Recent Successes Over the last several years, Kindred’s Hospital Division has been working diligently to reduce acute care hospital readmissions. “Once patients have been transferred to one of our facilities, it’s our goal to provide them with all of the diagnostic and therapeutic modalities that will take them through to the next level of care, which is hopefully home,” says Jeffrey Winter, President, Kindred Healthcare Hospital Division. “There’s always a risk involved with transitions of care, so the more we can provide for our patients without sending them back to an acute care hospital, the better.”

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  • Editor's Note: Due to the late onset of winter, flu continues to show up in communities across the United States.

    In December of 2009, 24-year-old Sarah Flack was admitted to Kindred Hospital-San Francisco Bay Area following a five-week stay at another hospital where she had been battling H1N1. “I moved to Kindred because my parents were told it was a good place for physical therapy and for weaning people off of ventilators,” Flack says. “The staff there was phenomenal.”

    One of the things that Flack liked about Kindred Hospital was the staff’s flexibility. “I was one of the youngest patients there, so I always had family in my room during visiting hours and sometimes even after,” she says. “When I was first admitted to Kindred, I was in a room with another patient, and it was just too crowded. So I asked for another room, and within a few hours, they moved me into a room that had plenty of space.”

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  • Healthcare in 2012 and beyond has given all of us great challenges and opportunities to meet the needs of our population. Knowing that the fastest growing industry sector in the United States is healthcare at 2.3% per year (Bureau of Labor Statistics), we must continue to enhance our processes and outcomes. This growth can be further broken down into segments with home healthcare services forecasting a 3.9% yearly growth followed close behind by offices outside the traditional hospital setting at 3.0%, nursing and residential care at 1.9% and hospitals at a 1.1% yearly rate. Statistics from 2011 have shown us that 69% of the job growth in 2011 was in the ambulatory service area. According to Bloomberg News in February 2012, healthcare will add more than 5.6 million employees to be the biggest job gainer by 2020.

    Captured 2-23-12 from: http://www.census.gov/prod/cen2010/briefs/c2010br-09.pdf

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  • The 2011 Clinical Impact Symposium Cardio-Pulmonary Rehabilitation Across the Continuum, held December 6-8 in Louisville, Ky., offered some great information on providing patients the highest level of care.

    Cardio-Pulmonary Clinical Impact Symposium “The clinical guidelines for long-term care and rehabilitation have evolved gradually and changed considerably over the last several years,” he says. “Skilled nursing facilities have sometimes lagged behind. Dr. Pandya provided some easy-to-follow instructions and tools that will help those facilities to better manage their patients with diabetes.”

    Sean Muldoon, M.D., Chief Medical Officer and Senior Vice President, Hospital Division, Kindred Healthcare, says that the “hazards of immobility that lead to polymyoneuropathy” theme was a common one during several of the sessions. “This validates the Kindred model of integrated restorative services, which will lead staff to update these findings with renewed determination into hospital care models,” he says.

     

    Daniel Forman, MD, FACC, FAHADaniel Forman, MD, FACC, FAHA

     

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  • Bessie: A Seamless Recovery Across the Continuum of Care Kindred’s presence across the post-acute spectrum of care means that our patients can recover as fully as possible in the proper care setting. Bessie’s story is a good example. She was living comfortable at home in Jeffersonville, Indiana, and using a Bi-PAP machine when she developed respiratory distress.

    On January 3, she was admitted to a short-term acute care hospital. There she was placed on a ventilator and underwent a tracheostomy. She also developed pneumonia, renal dysfunction and hypertension. Because she was unable to wean from the ventilator, Bessie’s physician chose to transfer her to Kindred Hospital Louisville for continued care.

    At Kindred Hospital Louisville, Bessie was successfully weaned from the ventilator. She recovered from her pneumonia  and her renal function improved significantly. By this point Bessie had gained strength with the help of physical, speech and occupational therapy, but her recovery was not complete.

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  • Your Most Important 30 Minutes Today

    By Ryan Squire

    We found this video on YouTube and thought that it did a great job summing up one of the most important themes of the 2011 Clinical Impact Symposium on Cardio-Pulmonary Rehabilitation across the Continuum. We would like you to share what you do in the most important 30 minutes you take for yourself today; you never know, you may inspire another reader with a unique way you stay active. Just add your thoughts in the comments.

    23 1/2 hours, What is the single best thing we can do for our health?

    http://www.youtube.com/watch?feature=player_embedded&v=aUaInS6HIGo#!

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  • Diabetes: Risk for Cardio-Pulmonary Disease

    By Ryan Squire
    Naushira Pandya, MD, CMDNaushira Pandya, MD, CMD

    Dr. Pandya outlined identified the objectives of her talk to review the goals of glycemic control: One size does not fit all, review the current guidelines from several national organizations for cardiovascular risk, and review best practices for diabetes management.

    Diabetes is a head to toe disease: Retinal disease, stroke, nephropathy, neuropathy, large and small vessel disease of the extremities and  this emphasizes the range of diabetes impact.

    There are many potential barriers to improved management of diabetes: Institutional challenges, staff/practitioner resistance, and complexity of medication regimens and all may negatively impact diabetic control. Yet, there are several basic principles that apply to diabetes management, and must involve an inter professional clinical team:

    Maintaining functional status is the over arching goal of all interventions applicable to diabetes management.

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  • Cocheco Cardiopulmonary Recovery Program Kindred Transitional Care and Rehabilitation Dover, NH.

    Presented at the 2011 Kindred Healthcare Clinical Impact Symposium by Linda Dubois, RN, AND.

    http://www.youtube.com/watch?v=YiSklZTDHyY

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  • Lawrence Cahalin, PhD, PTLawrence Cahalin, PhD, PT

    Activities of physical therapy and rehabilitation are critical in improving outcomes for the patient with heart disease.  The areas to be focused on include aerobic exercise training, resistance/strength training, and inspiration muscle training. These may have important impacts on measures such as hospitalization, quality of life (QOL), and even survival. One of the first steps is understanding your risk for heart attack. Cahalin urged the audience to visit the American Heart Association's website for heart attack risk factor assessment and asked that we have our patients do the same and take the assessment.

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  • Daniel Forman, MD, FACC, FAHADaniel Forman, MD, FACC, FAHA

    Daniel Forman, MD, is Medical Director of the Cardiac Rehabilitation and Exercise Testing Laboratory at Brigham and Women's Hospital. Dr. Forman suggests that while most of focus of heart care is placed on diseases of the heart, there is an enormous opportunity to modify biology and lifestyle years before cardiopulmonary disease ever shows up. Lifestyle factors such as eating habits, exercise habits, tobacco use and sleep add up over time and lead to disease. Add biological factors like age, family history, and genetic predispositions and there are many factors that lead to disease.

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