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Diabetes Type Ii Quality Improvement Using The My Own Health Report, Lynn Bennett Mcmorrow Fnp-C

College of Nursing and Health Sciences Doctor of Nursing Practice (DNP) Project Publications

Diabetes Mellitus Type II Quality Improvement Using the My Own Health Report

Lynn Bennett McMorrow

Rationale: To maintain Primary Care Medical Home status, Cold Hollow Family Practice (CHFP) is mandated to perform continuous quality improvement for chronically ill patients. To achieve this goal at CHFP, a formal quality improvement (QI) process using a validated health risk assessment tool, My Own Health Report (MOHR) was used to engage patients with Type 2 Diabetes (T2D) in dialogue regarding self change behaviors. The goal was to improve patient self-care management as evidenced by decreased HbA1c readings or weight as compared to non-participating patients, …

Standardizing The Process For Diagnosing Attention Deficit Hyperactivity Disorder (Adhd) In The Primary Care Setting, Louise Rosales

College of Nursing and Health Sciences Doctor of Nursing Practice (DNP) Project Publications

Standardizing the Process for Diagnosing

Attention Deficit Hyperactivity Disorder (ADHD) in the Primary Care Setting

Louise Moon Rosales, MSN, APRN

Purpose. Attention deficit hyperactivity disorder (ADHD) is a common problem that primary care providers diagnose and treat. Yet, there is a current lack of standardization to diagnose ADHD in many primary care settings. This purpose of this project was to standardize the process of diagnosing ADHD through introduction of screening instruments. Objectives included: assessment of clinician knowledge and attitudes about ADHD, implementation of a clinician-directed educational intervention, and development of a work flow procedure to standardize the diagnostic process.

Methods. …

Implementation Of A Deconditioning Prevention Program: Getting Dressed Makes A Difference, Seleem R. Choudhury

College of Nursing and Health Sciences Doctor of Nursing Practice (DNP) Project Publications

Implementation of a Deconditioning Prevention Program: Getting Dressed Makes a Difference

Seleem R. Choudhury MSN, MBA, RN, CEN, FAEN

Purpose. Deconditioning by immobility or bed rest affects essential body systems and diminishes functional capacity. Individuals age 65 and older have more hospital stays than any other age group. they also account for one out of three hospital admissions costing healthcare over $330 Billion annually. Numerous studies demonstrate this age group often struggle to get back to normal level of activity. . Empowering patients to dress and wear their own clothes can prevent deconditioning. Benefits to hospitals include reduced cost through …

Implementation Of Family Planning And Contraception For Female Inmates In Vermont, Callan Janowiec Fnp

College of Nursing and Health Sciences Doctor of Nursing Practice (DNP) Project Publications

Background and Objective(s): Unplanned pregnancies are disproportionately high among female inmates, and incarceration provides a unique opportunity for care may be otherwise difficult to obtain, including reproductive health and family planning services, specifically the provision of contraception. It is known that women are 14 times more likely to initiate contraception if education and services are provided within the prison (Clarke et al., 2006b). Despite decades of research identifying the unmet need, very few prisons around the country provide any sort of sexual health or family planning care to prisoners (Braithwaite, Treadwell, & Arriola, 2008).

Methods: This project involves the creation …

Enhancing Discharge Transitions At Gifford Health Care, Megan L. O'Brien

College of Nursing and Health Sciences Doctor of Nursing Practice (DNP) Project Publications

Enhancing Discharge Transitions at Gifford Health Care

Megan L. O’Brien, MS, FNP-BC, APRN

Purpose. During transitions of hospital discharge, errors and lack of education pose risks to patients resulting in dissatisfaction with hospital care, poorly attended follow-up appointments, and readmissions. Discharge planning that encompasses patient centered, multidisciplinary principles have been proven to reduce health care costs while increasing satisfaction among patients and staff. At Gifford Health Care in Randolph, Vermont, hospital readmission rates were below the national average of 15.9%, but the patient satisfaction scores were lower than state and national averages. To improve discharge transitions, this project utilized the …

Emergency Crisis Services For Psychiatric Boarder Patients At Central Vermont Hospital Ed, Ann E. Burzynski

College of Nursing and Health Sciences Doctor of Nursing Practice (DNP) Project Publications

Purpose: This project’s aim was to reduce the length of emergency department (ED) stays for psychiatric boarder patients at Central Vermont Medical Center (CVMC) and prevent unnecessary psychiatric inpatient admissions through access to psychiatric crisis stabilization care.

Methods: June of 2016, CVMC ED developed a unit called the Transitional Care Area (TCA). TCA staffing consisted of mental health workers and security staff. Training strategies were derived from national evidence-based psychiatric care emergency programs (i.e., Alameda Model), along with pertinent safety actions from The Joint Commission. Training modules focused on community social supports, behavioral crisis stabilization modalities, and development of crisis …