Digital Commons Network^™

Creating And Sustaining A Culture Of Accountability For Patient Experience, Denise M. Kennedy Mba, Roshanak Didehban Mhs, Fache, John P. Fasolino Md

Patient Experience Journal

Improving the quality of the patient experience has become an imperative for healthcare organizations. Value-based payment models include patient perception data, and a negative experience can impact an organization’s finances. Sustainable improvement requires more than quick-fix cosmetic enhancements, ‘flavor-of-the-month’ service trainings, or bonuses for front-line staff. Organizations must actually improve the patient experience. Doing so requires a culture of accountability and a systematic framework for collecting and acting on patient perception data.

This article revisits Mayo Clinic Arizona's (MCA) "7-prong" model for improving service quality: (1) multiple data sources to drive improvement; (2) accountability; (3) service consultation and improvement tools; …

Enhancing Patient Experience By Training Local Trainers In Fundamental Communication Skills, Calvin L. Chou, Laura Cooley, Ellen Pearlman, Maysel Kemp White

Patient Experience Journal

Medical centers have a vested interest in improving patient experience through enhancing communication skills. The American Academy on Communication in Healthcare has helped institutions across the country establish internal expertise through delivering train-the-trainer programs. The phases of the program include preparing for implementation of the program, having program participants undergo a fundamental communication skills workshop and then understanding the theoretical and practical rationales underlying the workshop, setting up practice sessions for participants to achieve mastery, and ensuring long-term viability of a communication skills improvement initiative. Outcomes for participants include increased self-assessed personal communication skill, optimism about rolling out a communication …

Beyond Credentialing In Physician Selection: Application Of An Instrument That Measures Behavioral Aptitude, Edgar Staren Md, Phd, Mba, Susan Hirt Ph.D., Doug Rath M.A.

Patient Experience Journal

This article explores the idea that the assessment of candidates for the role of physician caregiver can be enhanced by evaluating their inter-personal and behavioral aptitude as well as their clinical skills. The objective of this work was to determine whether results of a structured interview correlate to performance ratings for physicians. Two data sets were collected: a structured aptitude assessment for physicians (the Physician Interview) and job performance data for physicians. Analysis of performance data allowed categorization of the physicians into three groups: top performers, contrast performers, and neither. The two data sets were then analyzed to assess the …

Patient Experience Of Care In A Student-Faculty Collaborative Practice, Rebecca A. Berman, Scott Elman, Pratyaksh Kumar Srivastava, Janine Knudsen, Laura Huppert, Kyle Dempsey, Michael Barnett, Camille Powe, Karen Donelan

Patient Experience Journal

Student Run Clinics (SRCs) are a popular means of caring for the underserved while providing valuable medical education opportunities. Reports of patient experience surveys are rare in this setting. This is troublesome because it is possible that underserved patients, who are more likely to receive care at SRCs, are not receiving the same level of care as at more traditional medical practices. The purpose of this research was to measure patient experience in a student-led medical clinic. The method included the use of patient experience surveys, which were self-administered pre-visit and self- and interviewer administered post-visit. The key results, 100% …

Hindsight Is 20/20: Lessons Learned After Implementing Experience Based Design, Kate Bak, Laura Macdougall, Esther Green, Lesley Moody, Genevieve Obarski, Lori Hale, Susan Boyko, Deborah Devitt

Patient Experience Journal

Experience Based Design (EBD) uses patient and staff experiences to identify quality improvement opportunities in healthcare settings. An EBD Collaborative was established to share successes and challenges related to the EBD projects. This paper summarizes the various lessons learned. A document analysis was conducted that examined meeting minutes and audio recordings, email communications, newsletters, project updates, project spotlights and evaluation surveys and interviews. A total of ten key themes were identified. While EBD teams encountered challenges, overall the experience led to successful quality improvement initiatives. In particular, staff gained new insights from the patients’ perspective, which enhanced their understanding of …

The Patient Experience Movement Moment, William Lehrman Phd, Geoffrey Silvera Mha, Jason A. Wolf Phd

Patient Experience Journal

For years, the patient experience movement has continued to gain momentum. From a novel concept, there is an emerging consensus that the patient experience is a fundamental aspect of provider quality; one that complements established clinical process and outcome measures but is neither subsumed nor secondary to them. An increasing volume of research as encouraged by publications such as Patient Experience Journal show this to be true. As the expectation of a high-quality patient experience becomes the norm, these developments have brought us to what we call the patient experience movement moment and there is little doubt that the patient …

Customer Service Vs. Patient Care, Kathy Torpie

Patient Experience Journal

In a competitive market where financial resources are limited, many of the popular approaches to improving the patient experience involve large capital investments in such things as hotel style amenities and expensive technology. The author argues that marketing based on a model of the patient as a traditional ‘customer’ is ill conceived and contributes unnecessarily to the high cost of healthcare while lacking a true understanding of, or an appropriate response to, the most basic needs of hospitalized patients that lead to patient satisfaction.

To Serve Patients Is Our Greatest Privilege, David T. Feinberg Md, Mba

Patient Experience Journal

In his guest editorial, Dr. David Feinberg of UCLA Health System reminds us of the power of patient voice and the lessons we should be open to learning from those we serve every day. He offers, "It is a blessing for us to work in an environment where we have the opportunity every day to touch someone’s life so deeply. We must never lose sight of that. It is our responsibility to not just treat our patients, but also to embrace them."

A Gathering Place For Patient Experience Research: The Power Of Community, Jason A. Wolf Phd

Patient Experience Journal

In introducing Issue 2, we explore the power of community and its implications in shaping not only the purpose and intent of Patient Experience Journal, but of the patient experience movement itself. Community defined in this moment is simple, yet significant, the key being unity around common interest and its focus on ownership and participation. The idea of community bears great weight and has provided strong guidance and purpose for the work of experience excellence. It supports the goal of elevating the conversation, helps align the voices engaged and provides the space for listening, learning and impact.

Experience Framework …

Leadership - A Lifetime Quest For Excellence, Douglas D. Piirto

Natural Resources Management and Environmental Sciences

This paper is written for aspiring leaders and managers. Each of us will be asked to lead, manage, and/or follow at various times and in many different situations in our journey of life. This paper is written to assist aspiring leaders and managers discover and develop their leadership and management abilities.

The paper is organized per the following outline:

• Introduction
• Establishing Credibility
• Enthusiasm and Desirable Habits of Effective People
• Leadership and Management
• Situational Analysis and Leadership Styles
• Leadership as a Student [discussed in Introduction)
• Leadership as a Forest Scientist
• Leadership as a Teacher and Professor
• Leadership as a Department Head …

Hawks' Herald -- November 20, 2014, Roger Williams University

Hawk's Herald

No abstract provided.

The Fierce Green Fire: Vol 5 Issue 10, Wofford College Environmental Studies Program

The Fierce Green Fire

No abstract provided.

Improving Functional Independence With Rehabilitation Following A Metastatic Melanoma Brain Tumor Resection: A Case Report, Benjamin Sherr

Case Report Posters

History: A 67 year-old male with a one year history of melanoma complained of headaches 1-2 weeks prior to admission to an acute care hospital with left sided hemiplegia and dysarthria. A head CT scan revealed an intracerebral hematoma and a lesion suspicious for metastasis within the right parietal lobe. A right parietal craniotomy, evacuation of the hematoma and resection of the brain tumor were performed and the pathology revealed metastatic melanoma. Discussion: The patient received 18, 60-75 minute physical therapy sessions over a span of 21 days while in the inpatient rehabilitation unit. This case study utilized many essential …

Outpatient Physical Therapy Management Of A Patient Three Months Following Left Shoulder Arthroscopic Repair Of A Type-Ii Slap Lesion: A Case Report, Charles Dowd

Case Report Posters

Background: Research demonstrates a drastic increase in the prevalence of type-II superior labral anterior-posterior (SLAP) lesion repairs, and its surgical correction has become the favored method of treatment, because of its ability to effectively improve quality of life (QOL). A type-II SLAP lesion consists of fraying and degenerative changes to the superior labrum, in an anterior to posterior direction, with the biceps tendon detached from the glenoid. Purpose: Document the examination, evaluation, and plan of care (POC) concerning a patient that was referred to physical therapy (PT) three months following the surgical correction of a type-II SLAP lesion.

Outpatient Physical Therapy Following Surgical Debridement Of Osteochondritis Dissecans Of The Talar Dome: A Case Report, Angela Serrani

Case Report Posters

Background: Osteochondritis Dissecans (OCD): Alteration of subchondral bone with disruption of the adjacent articular cartilage; cause unknown, hypotheses include repetitive trauma and or non-traumatic disruption of subchondral blood supply; suspected chondral injury with up to 50% of ankle instability episodes. Treatment Options: Goals: relieve symptoms and improve function; non-surgical: rest, immobilization, NSAIDS; surgical: excision of lesion, excision with cutterage and/or microfracturing, filling the defect with bone graft, antegrade transmelleolar drilling, retrograde drilling, fixation, osteochondral transplantation, and autologous chondrocyte implantation. Purpose: To describe physical therapy treatment and outcomes for a patient following surgical debridement of OCD of the talar dome.

Meeting Roster 2014-11-20, Staff Council

Staff Council Meeting Roster

No abstract provided.

Lanthorn, Vol. 49, No. 27, November 20, 2014, Grand Valley State University

Volume 49, July 7, 2014 - June 1, 2015

Lanthorn is Grand Valley State's student newspaper, published from 1968 to the present.

Umm Curriculum Program Changes 11/20/2014, Curriculum Committee

Curriculum Committee Reports

No abstract provided.

Macalester Becomes Tobacco-Free January 1, Macalester College

College Press Releases

No abstract provided.

Physical Therapy Management With Emphasis On Quadriceps Strength Training For Chronic Patellar Dislocations In A Female Adolescent With Kabuki Syndrome: A Case Report, Liesel Jay

Case Report Posters

Background: Kabuki Syndrome (KS) has a current estimated prevalence at 1 in 32,000. KS is a rare, but highly recognizable genetic disorder manifested in the craniofacial, skeletal, neurological, and cardiovascular systems/regions of the body. Patellar dislocations are common in children with KS due to the presence of hypotonia causing muscle imbalances and joint laxity. Most commonly, treatment of patellar islocations are done conservatively through exercise. Surgical interventions (lateral release, medical imbrication, medial patellofemoral ligament reconstruction, or bone realignment) are considered with continued dislocations. Purpose: Physical therapy management approach with a focus on addressing chronic patellar dislocations through quadriceps strengthening in …

Vol.42 N.17 November 20th 2014, Voice Media Ventures

Black Voice News

No abstract provided.

Endangered And Threatened Wildlife And Plants; Threatened Status For Gunnison Sage-Grouse; Final Rule

United States Fish and Wildlife Service: Publications

We, the U.S. Fish and Wildlife Service (Service), determine threatened species status under the Endangered Species Act of 1973, as amended (Act), for the Gunnison sagegrouse (Centrocercus minimus), a bird species from southwestern Colorado and southeastern Utah. The effect of this regulation will be to add the Gunnison sage-grouse to the List of Endangered and Threatened Wildlife.

Broncos4broncos Kickoff, John M. Dunn

WMU President John Dunn

No abstract provided.

The Roddey Mcmillan Record - November 20, 2014, Winthrop University

The RMR 2010-2019

The Roddey McMillan Record (RMR) is Winthrop’s monthly multicultural student publication. The RMR has been a significant voice of the minority population of the Winthrop community since its creation by Gail Harris in April 1986. It promotes awareness and understanding of issues concerning minorities for the prosperity of the entire Winthrop community. The purpose of the RMR is to shine light on the many diverse cultures at Winthrop, focusing on issues, concerns and happenings of those who represent the multicultural community on campus. The Roddey McMillan Record is named after Dr. Cynthia Roddey and Atty, Sheila McMillan. Cynthia Roddey was …

The Setonian, November 20, 2014, Seton Hall University

2014

No abstract provided.

State Of The Downtown, John M. Dunn

WMU President John Dunn

No abstract provided.

Biology Class Studies Different Effects Of Ebola Outbreak, Winthrop University

Winthrop News 2014

• Biology Professor Janice Chism said the Ebola case study has been a great opportunity to help the 19 freshman honor students to see how seemingly unrelated areas of biology, such as ecology, animal behavior, viral evolution, cell physiology and function, are connected.
• The students have studied topics including how the virus works, how the disease affects people, how it enters the human population, to ecological, social and political effects.

V. 82, Issue 9, November 20, 2014 [Publication Says Issue 8]

Archway (1946-2020)

No abstract provided.

The Use Of Electrical Stimulation And Cryotherapy In Pain Reduction For A Patient Following An Arthroscopic Partial Meniscectomy: A Case Report, Miranda Carlson

Case Report Posters

Background: An arthroscopic partial meniscectomy is a common procedure that consists of removing some of the meniscus from the tibio-femoral joint. It is a minimally invasive surgery. Following the procedure, physical therapy is used to improve function. In many cases, some level of pain management is utilized which may include Transcutaneous Electrical Nerve Stimulation (TENS) and cryotherapy. TENS has been shown to be more effective than pain medication following arthroscopic knee surgery and aid in faster regains of strength and range of motion. Cryotherapy for pain management has been shown to have a significant effect on the level of pain, …

University Of Northern Iowa Secondary Teacher Education Senate Meeting Minutes, November 20, 2014, University Of Northern Iowa. Secondary Teacher Education Senate.

Documents - Secondary Senate

Meeting minutes from the Secondary Teacher Education Senate of the University of Northern Iowa.