Caring Headlines — July 16, 2015 Jeanette Ives Erickson (Continued)
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Headlines CaringJuly 16, 2015 TThehe BBarbaraarbara AA.. DDunderdale,underdale, RRN,N, LLectureecture oonn tthehe FFutureuture ooff NNursingursing Gwen Sherwood, RN, professor and associate dean of Academic Affairs for the School of Nursing at the University of North Carolina at Chapel Hill, returns as this year’s Dunderdale visiting scholar See story on page 4 The newsletter for PPatientatient CCareare SServiceservices Massachusetts General Hospital Jeanette Ives Erickson AArere wwee uutilizingtilizing hhomeome hhealthealth ccareare aass mmuchuch aass wwee ccouldould bbe?e? cross the country, hospi- tals are strategizing ways to improve systems, increase There are many effi ciency, and decrease levels of care, costs while ensuring patients receive uninterrupted, high- and matching the quality care. One area of focus that has emerged as part of this effort is a Jeanette Ives Erickson, RN, senior vice president patient to the A for Patient Care and chief nurse closer look at patient progression throughout the appropriate level is continuum of care — ensuring that the right care of a hospital room. Being able to sleep in their is delivered at the right time and in the right lo- own beds, eat the foods they’re accustomed to, and key. Many patients cation. The goal is to help patients achieve their be close to family and pets can have a positive im- highest level of health and functionality so they pact on recovery and quality of life. And with ad- are discharged to can resume their lives with equal or greater com- vances in technology and communication, it’s eas- long-term acute- fort than when they were admitted. ier than ever to provide care at home that once There are many levels of care, and matching necessitated hospitalization. care, rehabilitation, or the patient to the appropriate level is key. Many With national forecasts projecting a 17% in- patients are discharged to long-term acute-care, crease in the number of patients who’ll receive skilled nursing facilities. rehabilitation, or skilled nursing facilities. But care at home over the next fi ve years, it’s import- But one option that one option that might be being under-utilized in ant that MGH clinicians be knowledgeable about our efforts to match patients to the correct level the kinds of services available from home health- might be being under- of care is home health care. care agencies, including nursing care, physical and utilized is home More and more, home health care is a viable occupational therapy, nutritionists, social workers, option for patients with a wide range of needs and home health aides. Many home health agen- health care. due to illness or injury. Most patients prefer to be cies provide wound care, IV infusions, maternal- in their own homes versus the unfamiliar setting child healthcare, and population-specifi c care for a continued on next page Page 2 — Caring Headlines — July 16, 2015 Jeanette Ives Erickson (continued) growing number of chronic illnesses. Patients with eCare. That means that once MGH goes live in Alzheimer’s or dementia; brain injury; cancer; dia- April of next year, we’ll all be part of the same betes; heart conditions; neurological disorders; pul- electronic health information system, able to At a time monary disease; and stroke may be candidates for share medical records, billing information, care home health care. notes, and all relevant communication about when more and We’re fortunate to be part of the Partners Health- patients within our system. Care System with access to our own home health Data shows that MGH makes fewer referrals more patients are care program. Partners HealthCare at Home (PHH) to home health care agencies than other aca- seeking care, it’s was recognized as one of the top home-care agencies demic medical centers across the country. And in the country last year by HomeCare Elite (an an- of all MGH patients referred to home-care vital that we utilize nual listing of the most successful home-care pro- agencies in our geographic area, only 39% were viders in the United States, published by the Na- referred to Partners Health Care at Home. all the resources tional Research Corporation and DecisionHealth). At a time when more and more patients are at our disposal to Partners HealthCare at Home is a full-service seeking care, it’s vital that we utilize all the re- agency that offers expert care to patients from birth sources at our disposal to ensure optimal pro- ensure optimal to end of life. It’s the second largest home-care pro- gression and high-quality care throughout the vider in New England with more than 470,000 cer- entire continuum. Home health care is a viable progression and tifi ed visits and 450,000 private-care hours in more option for many patients. And it doesn’t hurt high-quality care than 200 cities throughout eastern Massachusetts. that one of the top home care agencies in the PHH liaisons are available on-site at MGH to help country is in our own back yard. throughout the facilitate referrals and help you decide whether For more information about Partners Health- PHH might be the right choice for your patient. Care at Home or to arrange an in-service for entire continuum. As part of the Partners HealthCare network, your area, call the PHH Referral Service Center Home health care PHH has just gone live with their portion of Partners at 781-290-4200. is a viable option for many patients. In this Issue And it doesn’t hurt The Barbara A. Dunderdale, RN, Lecture on the Carol A. Ghiloni Oncology Nursing that one of the top Future of Nursing .........................................................1 Fellowship .....................................................................11 home care agencies Jeanette Ives Erickson ...............................................2-3 Creating a Welcoming Environment • Utilizing Home Health Care for Patients with Disabilities ...............................12 in the country The Barbara A. Dunderdale, RN, Lecture on the Hand Hygiene ..................................................................13 is in our own Future of Nursing ..................................................4-5 Professional Achievements .......................................14 back yard. Ramadan at MGH ......................................................6-7 Announcements .............................................................15 Clinical Narrative ........................................................8-9 • Sarah Brooks, RN Fielding the Issues ..........................................................16 • Selecting New Glucometers Still Alice: Understanding Alzheimer’s ...................10 (Cover photo by Michelle Rose) July 16, 2015 — Caring Headlines — Page 3 Nursing The Barbara A. Dunderdale, RN, Lecture on the Future of Nursing — by Jane Keefe, RN, program development manager t was standing room only in O’Keeffe was failing, and over the course of the next 30 hours, Auditorium, June 25, 2015, for the 2nd Blackman bled to death. Sherwood returned again this annual Barbara A. Dunderdale, RN, Lecture year as the Dunderdale visiting scholar, accompanied by on the Future of Nursing. Dunderdale, an Lewis Blackman’s mother, Helen Haskell, founder and alumna of the MGH School of Nursing, is president of the non-profi t organization, Mothers Gwen Sherwood, widely known and highly regarded for her Against Medical Error. Haskell has worked tirelessly to work as a staff nurse, nursing director, mentor, establish and cultivate this coalition of parents whose RN, professor and patient advocate, and most recently, as se- mission it is to promote safety in the healthcare system. nior major gifts offi cer in the Development Offi ce Sherwood and Haskell veered from traditional lecture Iwhere she’s raised millions of dollars to help advance format, sharing an abbreviated version of the Lewis Black- associate dean of the mission of MGH. The Dunderdale Lecture on continued on next page Academic Affairs the Future of Nursing was es- tablished in appreciation of for the School Dunderdale’s years of service and contributions to the of Nursing at MGH community. Gwen Sherwood, RN, pro- the University of fessor and associate dean of Academic Affairs for the North Carolina School of Nursing at the University of North Carolina at Chapel Hill, at Chapel Hill, was the inau- gural Dunderdale visiting returned again scholar last year. Her address this year as the at that time was set against the backdrop of a case study Dunderdale involving the tragic death of Lewis Blackman, a healthy, visiting scholar. 15-year-old boy who died fol- lowing elective surgery at a large teaching hospital. Those caring for Blackman had missed critical signs that he (Photos by Michelle Rose) Page 4 — Caring Headlines — July 16, 2015 Nursing (continued) man video, then delving deeper into the Offi ce of Quality & Safety, facilitated a lunch-time discus- case, interview-style, exploring the vari- sion with Dunderdale, Sherwood, and Haskell on the role of ous failures that led to Blackman’s death. safety narratives in our journey to foster a just culture at They talked about “nurses’ work,” and MGH. Discussion focused on some of the unique challenges Sherwood and the importance of identifying system we face at MGH as a major academic medical center. break-downs; not relying on work- Associate chief nurse, Theresa Gallivan, RN, pointed out Haskell’s take-away arounds; communicating effectively to that in any academic medical center, medical residents rotate coordinate care; engaging patients and in and out of service at regular intervals. Nurses are largely message was that, families in decisions that affect their responsible for ensuring continuity and overseeing the care; and welcoming them into bedside breadth of care. “Safety belongs rounds and hand-overs. Dunderdale noted that fostering a just culture where in- Earlier in the day, Sherwood and quiry and the reporting of adverse events are encouraged en- to all of us, but it Haskell had an opportunity to dialogue ables staff to collaborate with nurses and other clinicians in begins with me. It with staff on the Ellison 18 Pediatrics providing the safest, highest quality care possible. Unit and the Pediatric Intensive Care This year’s Barbara A.