Pub Date : 2023-09-01DOI: 10.1097/NCM.0000000000000635
Lisamarie La Vallee, Jonni L Johnson, Kate Shade
<p><strong>Purpose of study: </strong>The purpose of this quality improvement project was to design and implement an education and referral protocol for care coordination staff to use when working with hospitalized patients with dementia and their families. The goal was to increase delivery of dementia resource education and dementia-specific referrals during the discharge planning process.</p><p><strong>Primary practice setting: </strong>The practice setting for this project was an acute care hospital in Northern California. The care coordination department collaborated with the Northern California Chapter of the Alzheimer's Association to improve the delivery of referrals and follow-up with patients and families who were interested in additional information and support related to dementia.</p><p><strong>Methodology and sample: </strong>Twenty-one members of the care coordination department received education on the dementia disease process as well as community resources available to the patient population. The registered nurse care coordinators (RNCCs) and social workers (SWs) within the department then implemented a referral protocol to connect patients with dementia and their families to the Alzheimer's Association. Referral volume was captured over a 60-day preimplementation period, a 60-day implementation period, and a 60-day postimplementation period. The Northern California Chapter of the Alzheimer's Association tracked referral volume. A paired-sample t test was used to examine pre/postimplementation Dementia Knowledge Assessment Scale (DKAS) scores to evaluate the impact of the education intervention. Care coordination staff completed a pre/postimplementation survey on knowledge of community resources for dementia and confidence in connecting patients to these resources. They also completed a postimplementation survey about the benefit of the project to their care coordination practice.</p><p><strong>Results: </strong>There was a modest, yet positive increase in referral volume over the 60-day implementation period ( n = 6) compared with the preimplementation period ( n = 1). An increase was sustained during the 60-day postimplementation period ( n = 4). Pre/posttimplementation DKAS scores significantly improved for care coordination staff postimplementation ( p < .001) by an average of 7 points. Fifty-three percent of RNCC and SW staff responded to the postimplementation survey, and results indicated they thought the project was beneficial ( n = 8) or somewhat beneficial ( n = 1) to practice. In addition, RNCC and SW staff reported an increase in awareness of available community resources and confidence in connecting patients and families to these resources.</p><p><strong>Implications for case management practice: </strong>Case management professionals have an important role in providing education and support to patients and families across the continuum of care. The complexity and trajectory of illness, shortage of qualified providers
{"title":"Improving Dementia-Specific Referrals From the Acute Care Setting: A Quality Improvement Project.","authors":"Lisamarie La Vallee, Jonni L Johnson, Kate Shade","doi":"10.1097/NCM.0000000000000635","DOIUrl":"10.1097/NCM.0000000000000635","url":null,"abstract":"<p><strong>Purpose of study: </strong>The purpose of this quality improvement project was to design and implement an education and referral protocol for care coordination staff to use when working with hospitalized patients with dementia and their families. The goal was to increase delivery of dementia resource education and dementia-specific referrals during the discharge planning process.</p><p><strong>Primary practice setting: </strong>The practice setting for this project was an acute care hospital in Northern California. The care coordination department collaborated with the Northern California Chapter of the Alzheimer's Association to improve the delivery of referrals and follow-up with patients and families who were interested in additional information and support related to dementia.</p><p><strong>Methodology and sample: </strong>Twenty-one members of the care coordination department received education on the dementia disease process as well as community resources available to the patient population. The registered nurse care coordinators (RNCCs) and social workers (SWs) within the department then implemented a referral protocol to connect patients with dementia and their families to the Alzheimer's Association. Referral volume was captured over a 60-day preimplementation period, a 60-day implementation period, and a 60-day postimplementation period. The Northern California Chapter of the Alzheimer's Association tracked referral volume. A paired-sample t test was used to examine pre/postimplementation Dementia Knowledge Assessment Scale (DKAS) scores to evaluate the impact of the education intervention. Care coordination staff completed a pre/postimplementation survey on knowledge of community resources for dementia and confidence in connecting patients to these resources. They also completed a postimplementation survey about the benefit of the project to their care coordination practice.</p><p><strong>Results: </strong>There was a modest, yet positive increase in referral volume over the 60-day implementation period ( n = 6) compared with the preimplementation period ( n = 1). An increase was sustained during the 60-day postimplementation period ( n = 4). Pre/posttimplementation DKAS scores significantly improved for care coordination staff postimplementation ( p < .001) by an average of 7 points. Fifty-three percent of RNCC and SW staff responded to the postimplementation survey, and results indicated they thought the project was beneficial ( n = 8) or somewhat beneficial ( n = 1) to practice. In addition, RNCC and SW staff reported an increase in awareness of available community resources and confidence in connecting patients and families to these resources.</p><p><strong>Implications for case management practice: </strong>Case management professionals have an important role in providing education and support to patients and families across the continuum of care. The complexity and trajectory of illness, shortage of qualified providers","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"28 5","pages":"224-234"},"PeriodicalIF":1.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10148185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 10.1097/NCM.0000000000000676
Siobhan Hutchinson
Living in the age of Coronavirus disease [COVID-19] (WHO, 2023) and the frequency of mass shootings, the rise of mental health is at the forefront. Populations throughout the world experienced a variety of mental health challenges with the advent of COVID. The global impact is that “...individuals affected in the pandemic may have a high epidemiological burden of depression, anxiety disorders, stress, panic attack, somatization disorder, sleep disorders, emotional disturbance, PTSD symptoms, suicidal behavior, and many more mental health problems” (Hossain et al., 2020, page 10). Prolonged days in quarantine showed increases in these same mental health areas (Shah et al., 2021). A survey by the American Psychological Association (APA) reveals that 79% of Americans are stressed by mass shootings (APA, 2019). It was noted that almost the same percentage were stressed about healthcare. One third of the population are avoiding places and events due to mass shootings (APA, 2019). Although options abound with counseling, medications, mindfulness practices, such as meditation, a less well-known choice may be found in Chinese Medicine. Regularly activating an energy system referred to by various names such as: Eight Extraordinary Vessels, Strange Flows, and Qi Jing Ba Mai can help foster inner peace and joy. Qi Jing Ba Mai translates to Odd, Strange or Mysterious Meridians and Eight Vessels. They are also extraordinary because they treat mind, body, and spirit (Bianco, 2019). What are they? Chinese texts, dating back 4500 years, refer to these meridians or vessels and some believe that these circuits formed prior to the Meridians (those energy rivers in the body used by acupuncturists and other energy workers). The Eight Extraordinary Vessels have also been called by the Chinese, Strange Flows as they do not follow a set pattern or path. They may be thought of as a “distributor” as they distribute energy from the Kidney energy system to where it is needed in the body. In addition, they help to take any excess energy away from the Meridians to other areas. As regulators, they manage blood and Qi (also known as Chi or Ki, an intrinsic energy that animates all life forms) in the Meridians. One study showed that these vessels appear 8 weeks post conception (Dorsher et al., 2018) while others contend that they appear at conception (Bianco, 2019). “ ‘Extraordinary vessels’ are frequently used to treat at the same time neurological, psycho-emotional and muscular diseases, and the constitutional issue of the patient, because they represent the deep expression of the emotional history and of the character style, with his self-defense mechanism, that follows all the childhood experiences shaping the personal way of adapting to the evolutionary stress: it has been proposed that treatment based on extraordinary vessels can increase self-recognition (Bianco, 2019, p. 198).” Acupuncturists and Energy workers utilize these vessels to help with emotional imbalances. In
{"title":"Managing Mental Health: Eight Extraordinary Vessels.","authors":"Siobhan Hutchinson","doi":"10.1097/NCM.0000000000000676","DOIUrl":"10.1097/NCM.0000000000000676","url":null,"abstract":"Living in the age of Coronavirus disease [COVID-19] (WHO, 2023) and the frequency of mass shootings, the rise of mental health is at the forefront. Populations throughout the world experienced a variety of mental health challenges with the advent of COVID. The global impact is that “...individuals affected in the pandemic may have a high epidemiological burden of depression, anxiety disorders, stress, panic attack, somatization disorder, sleep disorders, emotional disturbance, PTSD symptoms, suicidal behavior, and many more mental health problems” (Hossain et al., 2020, page 10). Prolonged days in quarantine showed increases in these same mental health areas (Shah et al., 2021). A survey by the American Psychological Association (APA) reveals that 79% of Americans are stressed by mass shootings (APA, 2019). It was noted that almost the same percentage were stressed about healthcare. One third of the population are avoiding places and events due to mass shootings (APA, 2019). Although options abound with counseling, medications, mindfulness practices, such as meditation, a less well-known choice may be found in Chinese Medicine. Regularly activating an energy system referred to by various names such as: Eight Extraordinary Vessels, Strange Flows, and Qi Jing Ba Mai can help foster inner peace and joy. Qi Jing Ba Mai translates to Odd, Strange or Mysterious Meridians and Eight Vessels. They are also extraordinary because they treat mind, body, and spirit (Bianco, 2019). What are they? Chinese texts, dating back 4500 years, refer to these meridians or vessels and some believe that these circuits formed prior to the Meridians (those energy rivers in the body used by acupuncturists and other energy workers). The Eight Extraordinary Vessels have also been called by the Chinese, Strange Flows as they do not follow a set pattern or path. They may be thought of as a “distributor” as they distribute energy from the Kidney energy system to where it is needed in the body. In addition, they help to take any excess energy away from the Meridians to other areas. As regulators, they manage blood and Qi (also known as Chi or Ki, an intrinsic energy that animates all life forms) in the Meridians. One study showed that these vessels appear 8 weeks post conception (Dorsher et al., 2018) while others contend that they appear at conception (Bianco, 2019). “ ‘Extraordinary vessels’ are frequently used to treat at the same time neurological, psycho-emotional and muscular diseases, and the constitutional issue of the patient, because they represent the deep expression of the emotional history and of the character style, with his self-defense mechanism, that follows all the childhood experiences shaping the personal way of adapting to the evolutionary stress: it has been proposed that treatment based on extraordinary vessels can increase self-recognition (Bianco, 2019, p. 198).” Acupuncturists and Energy workers utilize these vessels to help with emotional imbalances. In ","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"28 5","pages":"255-258"},"PeriodicalIF":1.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10135900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 10.1097/NCM.0000000000000678
{"title":"Improving Dementia-Specific Referrals From the Acute Care Setting: A Quality Improvement Project.","authors":"","doi":"10.1097/NCM.0000000000000678","DOIUrl":"10.1097/NCM.0000000000000678","url":null,"abstract":"","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"28 5","pages":"E19-E20"},"PeriodicalIF":1.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10135899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 10.1097/NCM.0000000000000674
Lynn S Muller
{"title":"Documentation: Back to Basics and Beyond.","authors":"Lynn S Muller","doi":"10.1097/NCM.0000000000000674","DOIUrl":"10.1097/NCM.0000000000000674","url":null,"abstract":"","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"28 5","pages":"248-251"},"PeriodicalIF":1.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10135891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 10.1097/NCM.0000000000000677
{"title":"Generating Team-Based Strategies to Reduce Health Inequity in Cancer Care.","authors":"","doi":"10.1097/NCM.0000000000000677","DOIUrl":"10.1097/NCM.0000000000000677","url":null,"abstract":"","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"28 5","pages":"E17-E18"},"PeriodicalIF":1.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10135889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 10.1097/NCM.0000000000000673
Karen N Provine
{"title":"Recharging Our Batteries-Professionally, Collegially, and Personally.","authors":"Karen N Provine","doi":"10.1097/NCM.0000000000000673","DOIUrl":"10.1097/NCM.0000000000000673","url":null,"abstract":"","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"28 5","pages":"245-247"},"PeriodicalIF":1.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10135894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 10.1097/NCM.0000000000000672
Amy Black
{"title":"Celebrating Case Managers Everywhere!: National Case Management Week, October 8-14, 2023.","authors":"Amy Black","doi":"10.1097/NCM.0000000000000672","DOIUrl":"10.1097/NCM.0000000000000672","url":null,"abstract":"","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"28 5","pages":"243-244"},"PeriodicalIF":1.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10135888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 10.1097/NCM.0000000000000675
By Ed Quick
{"title":"The CCM-CDMS Continuum: From Clinical Care to the Workplace.","authors":"By Ed Quick","doi":"10.1097/NCM.0000000000000675","DOIUrl":"10.1097/NCM.0000000000000675","url":null,"abstract":"","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"28 5","pages":"252-254"},"PeriodicalIF":1.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10135897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 10.1097/NCM.0000000000000613
Susan G Bryant
Purpose/objectives: The purposes of this project were to collect and document social determinants of health (SDOH) data, and to partner with the faith community to address identified food insecurity.
Primary practice setting: The setting for this project was an ambulatory care clinic in Guilford County, North Carolina. The clinic offers care to patients discharged from a regional medical center who have no insurance and/or primary care providers.
Findings/conclusions: Clinic staff successfully developed and implemented a screening tool for entering SDOH data into the electronic health record (EHR) charts of clinic patients. Results demonstrated that 52% of clinic patients reported food insecurity. The clinic collaborated with the faith community to provide donated food bags to patients in need.
Implications for case management practice: SDOH data were largely absent from the EHR before the clinic case manager started this project. Results of the screening tool demonstrated higher rates of food insecurity than expected. The case manager worked with the faith community to address immediate needs of food insecurity. The case manager plans to share SDOH information with the wider community to affect positive change and to encourage other clinics and departments to start collecting SDOH data.
{"title":"Screening for Social Determinants of Health in Transitional Care Patients and Partnering With the Faith Community to Address Food Insecurity.","authors":"Susan G Bryant","doi":"10.1097/NCM.0000000000000613","DOIUrl":"10.1097/NCM.0000000000000613","url":null,"abstract":"<p><strong>Purpose/objectives: </strong>The purposes of this project were to collect and document social determinants of health (SDOH) data, and to partner with the faith community to address identified food insecurity.</p><p><strong>Primary practice setting: </strong>The setting for this project was an ambulatory care clinic in Guilford County, North Carolina. The clinic offers care to patients discharged from a regional medical center who have no insurance and/or primary care providers.</p><p><strong>Findings/conclusions: </strong>Clinic staff successfully developed and implemented a screening tool for entering SDOH data into the electronic health record (EHR) charts of clinic patients. Results demonstrated that 52% of clinic patients reported food insecurity. The clinic collaborated with the faith community to provide donated food bags to patients in need.</p><p><strong>Implications for case management practice: </strong>SDOH data were largely absent from the EHR before the clinic case manager started this project. Results of the screening tool demonstrated higher rates of food insecurity than expected. The case manager worked with the faith community to address immediate needs of food insecurity. The case manager plans to share SDOH information with the wider community to affect positive change and to encourage other clinics and departments to start collecting SDOH data.</p>","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"28 5","pages":"235-242"},"PeriodicalIF":1.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10135893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.1097/NCM.0000000000000663
Lynn S Muller
{"title":"Protecting Your Professional Practice.","authors":"Lynn S Muller","doi":"10.1097/NCM.0000000000000663","DOIUrl":"10.1097/NCM.0000000000000663","url":null,"abstract":"","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"28 4","pages":"204-206"},"PeriodicalIF":1.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9946140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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