Improving Patient Outcomes Through an Interdisciplinary Geriatric Team Approch in the Home Care Setting

2.50
Hdl Handle:
http://hdl.handle.net/10755/164394
Category:
Abstract
Type:
Presentation
Title:
Improving Patient Outcomes Through an Interdisciplinary Geriatric Team Approch in the Home Care Setting
Author(s):
Vanderveen, Scott; Papasifakis, Billie; Griffith, Cecelia; Guthrie, Susan
Author Details:
Scott Vanderveen, RN, email: scott.vanderveeen@gentiva.com; Billie Papasifakis, RN, MSN, BC, National Specialist for Gentiva; Dr. Cecelia Griffith, PT, DPT, National Specialist for Gentiva; Susan Guthrie, RN, MSN, National Specialist for Gentiva
Abstract:
We identified a need for enhancing the skills of our clinical team to better meet the demands of a growing geriatric population. After a review of best practices we implemented a program that consisted of additional training for our clinical team focusing on the aging process, geriatric assessment, drug therapy, geriatric safety, dementia, heart failure, parkinsons, COPD, and cardiovascular disease. To help ensure we were capturing all of our patients needs we began using geriatric screening tools for cognition, depression, and nutrition. We also implemented interdisciplinary team and patient centered goal writing workshops with a designated leader for each team to coordinate care. We implemented an outcome collection tool that would measure our patients level of improvement on admission vs. discharge. Our findings were based on results from 485 patients and were as follows. 86% of patients had been hospitalized in the prior year vs. 15% during our care. 80% had used the ER in the past year while 19% required ER use during our care. 46% of patients could explain the action of their medications on admission vs. 89% at discharge. 21% of patients were following an exercise plan on admission vs. 66% at discharge. We tracked and additional 10 measure that demonstrated similar improvements in our patients functional status and ability to self manage their disease state.
We conclude that an interdisciplinary model of care utilizing clinicians that have been specially trained in geriatrics will drive better results than a traditional care model in a home health care setting.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2010
Conference Name:
National Gerontological Nursing Association 25th Annual Convention
Conference Host:
National Gerontological Nursing Association
Conference Location:
Palm Springs, California, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleImproving Patient Outcomes Through an Interdisciplinary Geriatric Team Approch in the Home Care Settingen_GB
dc.contributor.authorVanderveen, Scotten_US
dc.contributor.authorPapasifakis, Billieen_US
dc.contributor.authorGriffith, Ceceliaen_US
dc.contributor.authorGuthrie, Susanen_US
dc.author.detailsScott Vanderveen, RN, email: scott.vanderveeen@gentiva.com; Billie Papasifakis, RN, MSN, BC, National Specialist for Gentiva; Dr. Cecelia Griffith, PT, DPT, National Specialist for Gentiva; Susan Guthrie, RN, MSN, National Specialist for Gentivaen_US
dc.identifier.urihttp://hdl.handle.net/10755/164394-
dc.description.abstractWe identified a need for enhancing the skills of our clinical team to better meet the demands of a growing geriatric population. After a review of best practices we implemented a program that consisted of additional training for our clinical team focusing on the aging process, geriatric assessment, drug therapy, geriatric safety, dementia, heart failure, parkinsons, COPD, and cardiovascular disease. To help ensure we were capturing all of our patients needs we began using geriatric screening tools for cognition, depression, and nutrition. We also implemented interdisciplinary team and patient centered goal writing workshops with a designated leader for each team to coordinate care. We implemented an outcome collection tool that would measure our patients level of improvement on admission vs. discharge. Our findings were based on results from 485 patients and were as follows. 86% of patients had been hospitalized in the prior year vs. 15% during our care. 80% had used the ER in the past year while 19% required ER use during our care. 46% of patients could explain the action of their medications on admission vs. 89% at discharge. 21% of patients were following an exercise plan on admission vs. 66% at discharge. We tracked and additional 10 measure that demonstrated similar improvements in our patients functional status and ability to self manage their disease state.<br/>We conclude that an interdisciplinary model of care utilizing clinicians that have been specially trained in geriatrics will drive better results than a traditional care model in a home health care setting.en_GB
dc.date.available2011-10-27T11:52:29Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:52:29Z-
dc.conference.date2010en_US
dc.conference.nameNational Gerontological Nursing Association 25th Annual Conventionen_US
dc.conference.hostNational Gerontological Nursing Associationen_US
dc.conference.locationPalm Springs, California, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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