Infinite Legacy’s Post

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Emergency medicine physician, Hashem E. Zikry, MD recently admitted an 84-year-old patient to the ER, diagnosed her with congestive heart failure, and put in an order for her to be admitted upstairs. To Zikry’s dismay, two days later, he returned to the ER to find her waiting for treatment on the same stretcher he left her on. If you work in emergency medicine, you’re likely familiar with stories like these. As the boarding crisis continues to escalate in ER’s across the country these situations will sadly only become more common. In a recent column for The Washington Post, Zikry shares more about his experience with this problem and his thoughts about the future of emergency medicine: “As hospitals scramble to regain their footing (and their profit margins), the financial incentive structure that undergirds U.S. medicine has gone into overdrive. Inpatient beds that might previously have been reserved for patients, such as the 84-year-old woman, who require essential care but generate very little money for the hospital, are increasingly allocated for patients undergoing more lucrative procedures.” “Boarding leads to a cascade of harms — including ambulances diverted to hospitals far from patients’ homes, patients charged for beds they haven’t yet occupied and overwhelmed emergency medicine personnel leaving the field because of burnout.” “The solution is actually clear: use data from past years to predict future admission needs, then save that number of beds on inpatient floors.” “So why haven’t we implemented this strategy across the country? Because that would require administrators to change the way the health-care business runs. When efficiency and profitability are the guiding values, empty hospital beds are seen as waste, not crucial buffers facilitating acute care.” “We need to rethink how hospitals can (and should) make money. If they were rewarded financially for holding a certain number of inpatient beds open, change would follow…” What has been your experience with boarding in emergency rooms? What would you add to the discussion on how to alleviate this growing concern? Find the full column here: https://lnkd.in/g_8pPr3w #boarding #hospitals #emergencyrooms #physician #medicine #healthcare

The lion’s share of palliative care physicians dwell in more densely populated communities, creating #DISPARITIES among the #rural seriously ill population. Recent research has found that more than 90% of board certified #palliative physicians and nurse practitioners nationwide were located in metropolitan and urban areas in 2022. Only 10% of these palliative clinicians were in areas with the lowest socioeconomic levels. Only one palliative care physician existed per 8,632 seniors 65 and older in 2022, according to the research. Additionally, only one palliative nurse practitioner existed per 22,380 seniors in the same age group. Research: https://lnkd.in/e7A2ZqPJ #ruralhealth

After months of writing and rewriting my program goals, I finally have a process for palliative care that I can evaluate, extrapolate, and share with the entire nursing body at UMass. It wasn't easy. We know palliative care is an under utilized resource for skilled nursing facilities. We know that palliative care allows patients the flexibility to continue seeking curative treatments for their chronic disease, while enjoying the ability to be pain and anxiety free. We know the palliative care interdisciplinary team who develop and implement individualized plans of care, strive for the ability of patients to be in full control of their healthcare choices. We know the barriers rural patients face in their access to quality care. We know that healthcare is not a one-size-fits-all service, and that palliative care addresses the diversity in healthcare by meeting the patient where they are in life. But not everyone knows what exactly palliative care is and isn't. I quickly found out that in areas where there is little to absolutely no palliative care representation, skilled nursing facilities are hesitant to adopt/implement a new program, regardless of the fact that many of them are already providing palliative care to their residents, and not realizing it. Not one skilled nursing facility that I spoke with (and I spoke with most of them), felt that an in-house palliative care program was something they could accommodate. Dejected, but not defeated, I started contacting assisted living facilities, and one, who has a large footprint in Illinois said "Yes". While the goals and evaluations are the same, the objective may not be. If we still accept that preventative hospitalizations can be mitigated with palliative care education on the factors that contribute to UTIs, & pressure injuries AND we accept that falls, the most common and serious health issue in community care, can be traced to UTIs, then could we not deduce that working with the most important group in a facility, the CNAs on UTI identification & prevention techniques, would indeed correlate to our goal of reducing preventative hospitalizations in our aging population? The facility may not be the same, but the populace is, and I still contend that urinary tract infections are the most insidious of healthcare experiences for the aging, and by avoiding them, we can essentially avoid the cascade of consequences that follow them. And THAT, is my process! I start the education tomorrow. I can't wait! #palliativecare #assistedliving #communityliving #prevention #education

Read how Auscura is using Intelligent Automation to control excessive emergency department use. #articialintelligency #healthcare #emergencymedicine #predictiveanalytics American Academy of Emergency Medicine (AAEM) American College of Emergency Physicians Society for Academic Emergency Medicine Emergency Nurses Association Modern Healthcare American College of Healthcare Executives Council of Residency Directors in Emergency Medicine

As health care continues to face provider shortages, aging populations, and the rising prevalence of chronic diseases, NPs are taking on growing roles as providing important solutions to these challenges. NPs bring a comprehensive skill set to primary care settings where long-term relationships and whole patient health management are key. The extensive training and education empowers NPs to perform a variety of tasks traditionally handled by physicians, from diagnosing and treating various conditions to prescribing medications. Studies have consistently shown positive NP outcomes including high patient satisfaction, reduced hospitalization rates, and overall cost-effectiveness in managing long-term health problems. Now more than ever, nurse practitioners play a growing and vitally important role in the face of our current healthcare challenges. #NursePractitioners #CareForPA #PrimaryCare #FutureOfHealthCare #FullPracticeAuthority #PatientAccess

It saddens me and concerns me that 4 of the 8 services being suspended in this publication are that of Obstetrical services. As a nursing champion for Maternal-Child Health and as someone who lives in a rural community, this is concerning. It's a very layered and complex problem with having adequate staffing, volume, reimbursement, and the litigative nature of providing care in this service line. What's the solution?

Hospital referrals to nursing homes have doubled in early 2023 compared to last year, but rejection of admissions also increased.... With the end of the public health emergency, providers need to prepare for the changes in policy, practice, and waived requirements. Previously waived regulatory flexibilities regarding patient decision-making are now lifted, leading to a need for increased transparency and access to information for patients and their families when selecting post-acute care providers. Placing patients in post-acute care after hospital discharge remains challenging, with home health agencies referral rejection rates hitting an all-time high. Increased hospital ALOS can lead to higher costs, as patients require more resources and care for each additional day they spend in the hospital. It can also lead to longer wait times and decreased patient satisfaction and access to care. #postacutecare #skillednursing #homehealthcare #caretransitions #patientdischarge https://lnkd.in/gDmCwF65

Corstrata's exciting recent momentum in some of the fastest growing areas of US healthcare: Remote patient monitoring, hospital-at-home, industry partnerships, and other new and aligned delivery, business, and payer models for #ostomy and #woundcare. These are care settings/models and conditions where many of the stakeholders have historically been very traditional in their approaches. The below partnership between Health Recovery Solutions and Corstrata is one of many very strategic ones achieved in the past 18 months (several others are executed but not yet announced), with more to come. This month's shakeups in the wound care #ctp / #biologics US reimbursement LCDs (with possibly more to come) may have been a wake up call for forward-thinking executives, investors, and medtech / payer / healthcare services firms to embrace the models and infrastructure Corstrata and other firms have developed and proven in recent years. They have proven to be viable and sustainable in both pandemic and post-pandemic environments. Well done to Katherine Piette, Joseph Ebberwein, to your entire team, and to all of your partners. I'm proud to be on Corstrata's advisory board (via Diligence Wound Care Global) and a shareholder (via Wound Care Global Holdings).

#hiring Care Coordinator-RN, Orlando, United States, fulltime #jobs #jobseekers #careers #Orlandojobs #Floridajobs #HealthcareMedical Apply: https://lnkd.in/gucfqanU The RN care coordinator will coordinate team-based care to provide health services and education to patients and families through effective partnerships with the PCP, community resources and medical professionals, the patient's medical home team, and the Nemours organization. Provides Care Coordination in the Primary Care setting by utilizing critical thinking skills and nursing expertise in order to optimize patient outcomes amongst designated populations within the practice. Works with patients and families to ensure both medical and psychosocial needs are met in order to promote health and well-being. Addresses gaps in care and promotes timely access to appropriate care, increasing the utilization of preventative care and healthy behaviors to improve the health of the population at risk.Essential Functions-Assist with the identification of patients in the practice with special health care needs; add them to the appropriate registry and use the registries to plan and monitor care. Monitors and audits patient registries/lists in accordance with NCQA Standards. Assists children with special health care needs and families in obtaining needed care to optimize quality of life and outcomes when possible.Initiate family contacts and facilitate patient access to, and communication between, physicians and other team members.Identify patient and family needs, gaps and/or barriers to care and patient/family strengths and assets. Assess biopsychosocial needs of at-risk patients, i.e., single parents, substance abuse, complex medical patients, behavioral health issues, etc. facilitating appropriate connection to resources available to assist the patient and family to meet needs and overcome barriers to care.Works cooperatively with families, patients, other members of the treatment team, social service agencies, community resources, and public agencies. Collaborates with the family and team to arrange for health care needs. Acts as a liaison for agencies and families with identified healthcare needs.Utilizes the nursing process to coordinate the care of an identified population of pediatric patients throughout the healthcare continuum.Coordination of services such as, transportation, referrals, and compliance. Assists families and patients through the healthcare system by acting as patient advocate and navigator connecting patients to relevant community resources with the goal of enhancing patient health and wellbeing.Serve as point of contact, advocate and informational resource for family, patient, care team, school systems and their school nurses, community resources, and state agencies. Facilitates meetings/calls between patient /family, care team, payors, and outside agencies as needed.Educates patient/family about a condition