Digital Commons Network^™

Impact Of Hospital Characteristics On Patients’ Experience Of Hospital Care: Evidence From 14 States, 2009-2011, Emily M. Johnston, Kenton J. Johnston, Jaeyong Bae, Jason M. Hockenberry, Ariel C. Avgar, Arnold Milstein Md, Mph, Sandra S. Liu, Ira Wilson, Edmund Becker

Patient Experience Journal

This paper uses patient responses to the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey for three years (2009-2011) from 1,333 acute-care hospitals in fourteen states to analyze patterns in 10 hospital-reported patient experience-of-care scores by 29 characteristics classified as: patient characteristics, payer source, patient severity, hospital characteristics, hospital operations, and market characteristics. We also evaluate how scores have changed over the three-year period. We find significant differences in patient experience-of-care scores by hospital characteristics for 250 out of 290 HCAHPS-hospital characteristic combinations measured. We find fewer significant differences in changes in scores from 2009-2011 (135 out of …

Using A Process Improvement Tool To Improve Staff Skills & Enhance The Urgent Needs Patient Experience In A Women’S Health Center, Kenneth J. Feldman, Molly Lopez, Morris Gagliardi

Patient Experience Journal

NYC Health + Hospitals / Gouverneur serves more patients than any other diagnostic and treatment center in New York State. As part of the NYC Health + Hospitals public health care system, which serves 1.4 million patients and is the largest municipal health care delivery system in the United States, Gouverneur strives to serve the needs of both scheduled and unscheduled patients. Within Gouverneur, the Women’s Health department treats approximately 1,600 patients per month through approximately 2,100 visits. In September 2014, Gouverneur’s Women’s Health department launched a weeklong process improvement initiative known as a Rapid Improvement Event (RIE). Structured through …

Improving Process And Enhancing Parent And Therapist Satisfaction Through A Coordinated Intake Approach, Sharla Piecowye, Devona Gibson, Janis Carscadden, Kayla Ueland, Gregory Wells, Scott Oddie

Patient Experience Journal

Recent research indicates that, in Canada, approximately one in five children entering school are not meeting age appropriate milestones in physical, social, language, or cognitive development. Even where support services are available families often face barriers in accessing these. With the goals of improving access to programs, reducing barriers and increasing consistency and efficiency, a new Coordinated Intake Approach (CIA) was developed for families accessing Children’s Rehabilitation Services. It was expected that the CIA would result in 1) parents finding the intake process more satisfactory and easier to complete, 2) therapists feeling more supported and satisfied and 3) a decrease …

The Patient Patient: The Importance Of Knowing Your Navigator, Sarah M. Wheeler Phd, Julie E. Gilbert Phd, Melissa Kaan Mba, Eric Klonikowski, Claire Mb Holloway Md Phd Frcsc

Patient Experience Journal

In Ontario, Diagnostic Assessment Programs (DAPs) have been implemented to improve the quality of care patients receive during the diagnostic phase of the cancer journey. Patient navigators play a critical role in this model by coordinating care and providing information and support to patients and their families. The objectives of this study were 1) to determine whether patient navigation in DAPs is associated with a better patient experience and 2) to examine whether patient navigation in DAPs modifies the effect of wait times and patient volumes on patient experience. Data reflecting patients’ experience within the DAP were collected via survey …

Instruments To Measure The Inpatient Hospital Experience: A Literature Review, Kelly J. Edwards, Kim Walker, Jed Duff

Patient Experience Journal

Healthcare professionals worldwide are increasingly broadening their focus to include the experiences of patients and their family members as a means of assessing quality patient centered care. This paper seeks to identify and discuss instruments specifically designed to measure the inpatient hospital experience. A literature search focusing on pre-identified instruments as per the Health Foundation’s Helping Measuring Patient Centered Care database of measurement instruments (de Silva, 2014) and additional health databases (CINAHL, ERIC, EBSCO, HaPI, MEDLINE, PubMed and Psych INFO) was undertaken. Thirteen relevant instruments and seventeen associated studies (regarding instrument development and or validation) were identified. These instruments provide …

Conceptualising Multiple Conditions In Australia: First Steps To Systemic Change To Meet The Needs Of People With Serious Long-Term Illnesses, Christine F. Walker

Patient Experience Journal

Since the 1970s greater numbers of people are now living with several serious long term illnesses. These include rarer genetic conditions and ‘lifestyle conditions’ as well as those of an idiopathic nature. This article examines the growing need for new terms and concepts that reflect the changes in the lives of people living with long-term serious illnesses.

Members of the Chronic Illness Alliance attended a workshop where they presented their experiences and views of living with multi-morbidities. Consumers were concerned about treatment side-effects, polypharmacy, adverse events and the need for coordinated care. Following this workshop, the Chronic Illness Alliance undertook …

Should I Stay Or Should I Go? Patient Understandings Of And Responses To Source-Isolation Practices, Mary Wyer, Rick Iedema, Christine Jorm, Gary Armstrong, Su-Yin Hor, Claire Hooker, Debra Jackson, Clarissa Hughes, Matthew V.N. O'Sullivan, Gwendolyn L. Gilbert

Patient Experience Journal

Isolation of patients, who are colonised or infected with a multidrug-resistant organism (source-isolation), is a common practice in most acute health-care settings, to prevent transmission to other patients. Efforts to improve the efficacy of source-isolation in hospitals focus on healthcare staff compliance with isolation precautions. In this article we examine patients’ awareness, understandings and observance of source-isolation practices and directives with a view to understanding better the roles patients play or could play in transmitting, or limiting transmission, of multidrug-resistant organisms (MRO). Seventeen source-isolated adult surgical patients and two relatives participated in video-reflexive ethnography and interviews. We learned that, although …

The Effect Of Soothing Sound Machines And Meditation Using Cd Players On Relaxation In Acute Care Orthopedic Patients, Barbara Ellen Bauer, Carolyn Mitchell, Erin Salmon

Patient Experience Journal

This research studied the relaxation effect in orthopedic surgical patients using guided meditation or soothing sounds (SS) machines. The study used a comparative study design to evaluate differences in the effect of SS or guided meditation on patients’ perceptions of relaxation. IRB approval was obtained prior to initiating the study. A convenience sample of orthopedic surgery patients consented to voluntarily rate their perceptions of relaxation on a 5-point Likert scale ranging from “none”, “mild”, “moderate”, “good” or “very good”. A demographic survey was used to describe the sample. The sample included 50 patients with ages ranging from 40 to 70 …

Parents’ Experiences Of Neonatal Care In England, Sarah-Ann Burger Miss, Jenny King Miss, Amy Tallett Dr

Patient Experience Journal

With the greater need for specialist neonatal care in England over the last decade, increased attention has been given to developing and implementing quality measures to ensure that babies and their families receive the highest quality care. Patient experience is recognised as a key measure of quality, therefore it is essential to assess parents’ experiences of neonatal services to understand how these can be improved. In this paper we detail findings from the second large scale survey of parents’ experiences of neonatal care carried out in England in 2014, focusing on results that highlight aspects of family-centred care: information sharing; …

Managing Patient Expectations At Emergency Department Triage, Shital Shah, Anay Patel, Dino P. Rumoro, Samuel Hohmann, Francis Fullam

Patient Experience Journal

Emergency departments (ED) overcrowding, long wait, and uncomfortable waiting room conditions may lower perceived quality of the patient experience and satisfaction. This study investigates the relationship between patient satisfaction and communication of expected wait times, at the point of triage. A pre-post (11/4/ 2008 – 2/5/2009) group design with convenience sample (n=1,209) of all discharge adult ED patients was utilized for this study. A static expected wait time model (i.e., average wait time + one standard deviation) based on time of the day, day of the week and triage levels was employed to communicating expected wait time at triage while …

Patient And Family Partner Involvement In Staff Interviews: Designing, Implementing, And Evaluating A New Hiring Process, Sara-Grey M. Charlton, Shannon Parsons, Kimberly Strain, Agnes T. Black, Candy Garossino, Leanne Heppell

Patient Experience Journal

Healthcare organizations in Canada and the United States are seeking to enhance their ability to offer patient and family centred care (PFCC). One aspect of PFCC is the participation of Patient and Family Partners (PFPs) in a variety of roles within healthcare organizations. This article describes the creation and evaluation of a hiring process that utilized a PFCC interview tool (PFCCIT) and collaborated with PFPs in interviewing candidates for healthcare positions. An evaluation of the new hiring process was designed, including an on-line survey of candidates and semi-structured interviews with healthcare leaders and PFPs. Survey results indicated candidates felt the …

Bringing Patient Advisors To The Bedside: A Promising Avenue For Improving Partnership Between Patients And Their Care Team, Karine Vigneault, Johanne Higgins, Marie-Pascale Pomey, Josée Arsenault, Valérie Lahaie, Audrey-Maude Mercier, Olivier Fortin, Alain M. Danino

Patient Experience Journal

This paper presents an innovative model of care, which brings patients who have already been through a similar experience of illness (patient advisors) directly to the bedside of patients, where they are viewed as full-fledged members of the clinical team. As part of a pilot project, three patient advisors were recruited and met with patients who had sustained a traumatic amputation and were admitted to the only center of expertise in replantation of the upper limb in Canada. Several individual interviews and focus groups with patients and patient advisors have revealed very promising results. Indeed, patients have expressed …

Patient Leadership: Taking Patient Experience To The Next Level?, David Mcnally, Steve Sharples, Georgina Craig, Dr Anita Goraya, Frcgp

Patient Experience Journal

NHS England commissioned the project described in this article to explore how patients and carers can, acting as leaders, make a real difference in improving experience of care. The work was carried out on a collaborative basis, co-designing the scope of the research with patient leaders and commissioners. We gathered case examples across England that had involved patient leaders in using patient and carer feedback to improve experience of care. A Patient Leaders Expert Advisory Group selected four case examples that were visited to undertake a more detailed study and subsequently discussed and agreed the key learning points and conclusions. …

The Critical Role Of Family In Patient Experience, Brian Boyle

Patient Experience Journal

In this commentary Brian Boyle raises a simple, yet critical point about the value of family in the care experience. He offers, "When you are focusing on the goals for the patient's recovery, the doctors work with the nurses, specialists, and patient's family to decide on the appropriate care plan for the patient on both a short- and long-term basis. It is vital that this multi-disciplinary approach occurs during the formation of the care plan and is frequently updated as time goes on. The loved ones of a patient may not have a medical license or healthcare background, but their …

The State Of Patient Experience, Jason A. Wolf Phd

Patient Experience Journal

As the patient experience movement continues to flourish, there is greater alignment that experience encompasses all we do in healthcare – not simply a customer encounter, but how we engage people in mind, body and spirit, how we integrate the critical aspects of care from quality to safety to service and how we link the very complexities of our healthcare systems globally to provide for easy journeys for those receiving care. In sharing data from the latest study for The Beryl Institute on patient experience, the trends of this growing movement are seen as positive and a set of clear …

Improving The Integration Of Launch And Reentry Operations Into The National Airspace System, Gwendolyn Mazzotta, Daniel P. Murray

Space Traffic Management Conference

With increasing commercial space activities occurring in the National Airspace System, the FAA has identified a need for more efficient management of the NAS with respect to commercial space operations. Current methods for integration of aviation and space activities employ a segregation approach, in which hazard areas are constructed around launch and reentry operations and sections of airspace are closed to other users. Mission objectives and vehicle characteristics dictate the extent of the closure in terms of location, duration, and volume of airspace affected. Launches, reentries, and other operations have an effect on other NAS stakeholders, causing delays, changes to …

Audacious Visions: The Intellectual-Activist Legacies Of W.E.B. Dubois, The Institute Of The Black World, And Walter Rodney, Derrick White

South

By 1969 the nature and terrain of the Black freedom movement had profoundly changed. The nonviolent direct action portion or "classical phase" of the movement had led to clear political successes with the 1964 Civil Rights Act and the 1965 Voting Rights Act.^[1] The movement had also made tremendous inroads in altering public racial discourse. Racial epithets were less acceptable to in polite or in public conversation. Despite these successes, Martin Luther King, Jr., before his assassination, asked profound questions about the next stage of the movement. King’s last book, Where Do We Go From Here?: Chaos or Community …

Combining Faculty, Instructional Design, And Library Services To Provide Students A Framework For Information Evaluation, Linda Leake, Samantha Mcclellan

Kentucky Convergence Conference

The creation of the course-embedded Critical Thinking & information Evaluation Module series resulted from the need for undergraduate students to start their academic careers with a framework for evaluating information. Pulling from the Paul-Elder Critical Thinking Framework and focusing abstract information literacy concepts on the commonly-used resources of Wikipedia, Google, and scholarly journal articles, the presenters will delve into module creation to implementation of these modules and discuss the logistics of this process to guide other faculty-librarian-instruction designer collaborations.

University Supervisors' Perspectives On The Student Teaching Timeframe, Sally E. Arnett-Hartwick, Sarah Bradshaw

Online Journal for Workforce Education and Development

Structured Abstract

Objective: The purpose of this research study was to describe university supervisors’ perception of extending the student teaching time frame in a family and consumer sciences (FCS) teacher education program. Background: Recently, a Midwestern State University FCS teacher education program extended the length of student teaching from 10 to 16 weeks. To verify if the student teaching timeframe mattered in enhancing the development of FCS teacher candidates, this study sought the perspectives of university supervisors who worked in both timeframes. Method: Using a qualitative design, interviews were conducted with two FCS university supervisors who supervised student teachers in …

Application Of A Short-Term Aquatic Physical Therapy Program For A Patient With Chronic Low Back Pain And Radiculopathy: A Case Report, Marc Asta

Case Report Posters

Chronic low back (CLBP) pain is a common referral to outpatient PT. Radiculopathy has the potential to contribute to back pain. Aquatic PT is utilized at select sites to treat patients with various debilitating conditions. Aquatic PT has been shown to improve quality of life, disability and pain. There is limited understanding on the short-term effects of aquatic PT. Must work within the confines of approved PT visits by local and national insurance companies. The purpose of this case report was to investigate if six physical therapy visits with aquatic intervention for a patient with chronic low back pain and …

Lonergan’S Gem Model As A Tool To Foster Critical Thinking Skills., Theresa E. Bartolotta, Patricia A. Remshifski

Praxis Presentations

No abstract provided.

Oral History/Richard Howard, Caleb Howard

Cold War

Oral History by Richard Howard, who was in the Air Force during the Cuban Missile Crisis.

Faculty Senate Minutes Nov 12, 2015, Missouri University Of Science And Technology Faculty Senate

Minutes & Agendas

No abstract provided.

Easterner, Vol. 67, No. 8, November 12, 2015, Associated Students Of Eastern Washington University

Student Newspapers

This issue of the Easterner contains articles about an anti-sexual assault rally, a National Press Club award for dean Vickie Shields, social work senior secretary Carol Golden, a Global Studies Lecture Series speaker Bipasha Biswa, a student production of Pocatello, the Hot Dogs for Heroes charity event, the men's and women's basketball team, the football defeat to Northern Arizona University, and the end of the soccer season.

The Setonian, November 12, 2015, Seton Hall University

2015

No abstract provided.

Otter Realm, November 12, 2015, California State University, Monterey Bay

The Otter Realm

Dia de los Muertos -- CFA votes yes on strike authorization -- Making cents of your tuition dollar: What you pay at CSUMB -- Dissecting the life of a Biology student -- Startup Hackathon Monterey Bay kicks off Nov. 20 -- Nyob Zoo Xyoo Tshiab: Hmong community celebrates New Years -- Tap into your taste buds: Beer guide Key ingredients -- More gender neutral bathrooms needed on campus -- Letter from AS President: Ema Richardson -- Job search: Are startups for you? -- Shooting to kill? -- Understanding the police procedure: Dave Shaw, Administrative Commander for the Salinas Police Department …

Ua12/2/1 College Heights Herald, Vol. 91, No. 23, Wku Student Affairs

WKU Administration Documents

WKU campus newspaper reporting campus, athletic and Bowling Green, Kentucky news.

• Henderson, Andrew. Investigation Into Kappa Sigma Fraternity Chapter Ongoing
• Mayo, Marcel. Uproar from Dub the Pub Competition Continues – Topper Pub & Grill
• Lunsford, Matt. A Salute to Their Service Photospread – Veterans Day, Soldiers
• Henderson, Andrew. Art Guild Hosts Silent Art Auction
• French Film Festival to Enrich Students Culturally
• Bruce, Shelby. Literary Event Tonight to Engage Students – University Libraries
• Sullivan, Tommy. Students Host South African Luncheon
• Critchelow, Andrew. Great Albums Released by Kentuckians – Music Review
• Profumo, Morgan. Power Down Your Body to Power Up Your Brain …

The Tiger Vol. 109 Issue 49 2015-11-12, Clemson University

Tiger Newspapers 2015

No abstract provided.

Effectiveness Of Stevia Rebaudiana Whole Leaf Extract Against The Various Morphological Forms Of Borrelia Burgdorferi In Vitro, Priyanka Annabel Sugantham Theophilus, Maria J. Victoria, Kayla Socarras, Katherine R. Filush, Khusali Gupta, David F. Luecke, Eva Sapi

Biology and Environmental Science Faculty Publications

Lyme disease is a tick-borne multisystemic disease caused by Borrelia burgdorferi. Administering antibiotics is the primary treat-ment for this disease; however, relapse often occurs when antibiotic treatment is discontinued. The reason for relapse remains un-known, but recent studies suggested the possibilities of the presence of antibiotic resistant Borreliapersister cells and biofilms.In this study, we evaluated the effectiveness of whole leaf Stevia extract against B. burgdorferispirochetes, persisters, and bio-film forms in vitro. The susceptibility of the different forms was evaluated by various quantitative techniques in addition to differ-ent microscopy methods. The effectiveness of Stevia was compared to doxycycline, cefoperazone, daptomycin, and …

University Of Northern Iowa Secondary Teacher Education Senate Meeting Minutes, November 12, 2015, 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.