SPS 2017 Program SPS 2017 Program - Page 50

rate after discharge in 2010 was 20%. One of the greatest challenges in the US health care system is to provide quality care in a population which does not have access to specialty physicians due to factors like socioeconomic conditions and geographic limitations. Methods: Percentage analysis was done from the total active population of high risk homebound patients including but not limited to patients in pain management, behavioral health, and palliative care patients; with a focus on reduction of hospital readmissions and patient outcomes. Data were all collected from 2015 from March 2015 to July 2017 from the Bridgeway Health Plan in Maricopa County. Results: There were 224 total patients. 52 of the patients were TCM qualified. Data showed that the readmission rate was 9.6% on a 30-day readmission rate. Conclusions: The study was made to seek the benefits of house calls services in combination with Telemedicine collaborating with Accountable Care Organizations. Not only were the readmissions reduced, telemedicine in Homebound patients would allow easy access to health care, especially in rural areas, and it will also improve access to a network of specialists. It is predicted that hospital readmissions will be further reduced by 5% in 1 year if done with the combination of telemedicine and traditional care in the United States in the 3 rd quarter of 2017. 33. Impact of Wound TeleHealth Program on Homecare Operations & Quality Katherine Repko, MS, BSN, RM, Brenda Freymiller, MS, Becky Greenwood, RN, Mariko Nielson, MBA Intermountain Healthcare Background: Homecare (HC) nurses need wound care provider support for patients with complex wounds to facilitate assessment and recommendations that will promote healing process and decrease cost of care. Historically, the HC Wound Specialist Nurse would collaborate with HC nurses on complex, non-progressing wound patients through email and phone calls or, in cases where the patient lived in the Salt Lake City or Provo areas, would schedule and travel to the patient’s home for a shared visit with the assigned HC nurse. These visits would result in a request for orders from the PCP for a treatment change or a referral to a wound clinic. To receive homecare services, a patient must be home-bound and for some patients, arranging travel to a wound clinic for specialized care is very challenging. Some patients decline wound clinic services because of the cost and difficulty of transporting to a brick and mortar clinic site. Methods: In January 2017, the Wound and Homecare teams began a pilot to provide TeleHealth consultations in the patient’s home using Skype for Business. Patients targeted had non-progressing wounds or wounds requiring daily dressing changes, and significant challenges in transporting to a wound clinic. Once identified, treatment options were explained to the patient and an order for Wound TeleHealth was obtained. The HC nurse obtained patient consent, facilitated scheduling the consult, and updated the treatment plan as directed by the TeleHealth Provider. The HC Wound Specialist Nurse also started utilizing the Skype for Business application to perform shared visits in real time. Results: Homecare Wound Specialist in-person shared visit costs and frequency were reduced by 89% and 66% respectively. Visits previously limited by geographic location have now been expanded to support all locations within Intermountain Homecare. Conclusions: TeleHealth effectively brings needed wound care expertise to HC patients with complex wounds. 34. The e-Mentor Program: A Post- Orientation Support Tool for New ICU RNs Sally Richter MN, RN, CCRN-E, Jennifer Fiegel, Erin Saunders Banner Health Background: For new to service (NTS) and new graduate (NG) registered nurses (RNs) hired into critical care, the postorientation time frame for these RNs and their peers can be a stressful time necessitating extra resources to ensure adequate development and retention. Based on a program by Brindise et. al. (2015), a pilot program pairing experienced Tele-ICU RNs with post-orientation NTS and NG bedside RNs in two intensive care units (ICUs) was developed to provide support and facilitate their transition to competency. Methods: The e-Mentor program was piloted in a rural hospital setting and in an urban hospital setting. The goals were to provide support; improve confidence; and improve critical thinking in the post-orientation bedside RN (participants). A structured program was developed for e-Mentors and participants. E-Mentors evaluated the participant each shift. Meetings were held with participant and e-Mentors every 30 days to evaluate progress. Participants and e-Mentors also completed program evaluations. Results: The e-Mentor program pilot consisted of 2 RNs with NTS experience in the rural setting and 7 RNs in the NTS/NG experience level in the urban setting. The e-Mentor evaluations demonstrate participants’ improved time management and critical thinking skills with all reaching the top level of “functions independently “at program end. Participant comments reveal feelings of supportiveness and greater confidence. The most positive results/comments were seen with the NG RNs. Conclusions: The e-Mentor program developed supportive relationships between experienced Tele-ICU RNs and postorientation ICU RNs. This mentorship helped to foster confidence and critical thinking. Additional program benefits include increased future utilization of Tele-ICU RNs and improved bedside RN retention. Further study is warranted. 50 | Page rate after discharge in 2010 was 20%. One of the greatest challenges in the US health care system is to provide quality care in a population which does not have access to specialty physicians due to factors like socioeconomic conditions and geographic limitations. Methods: Percentage analysis was done from the total ac- tive population of high risk homebound patients including but not limited to patients in pain management, behavioral health, and palliative care patients; with a focus on reduction of hospital readmissions and patient outcomes. Data were all collected from 2015 from March 2015 to July 2017 from the Bridgeway Health Plan in Maricopa County. Results: There were 224 total patients. 52 of the patients were TCM qualified. Data showed that the readmission rate was 9.6% on a 30-day readmission rate. Conclusions: The study was made to seek the benefits of house calls services in combination with Telemedicine collab- orating with Accountable Care Organizations. Not only were the readmissions reduced, telemedicine in Homebound pa- tients would allow easy access to health care, especially in rural areas, and it will also improve access to a network of specialists. It is predicted that hospital readmissions will be further reduced by 5% in 1 year if done with the combination of telemedicine and traditional care in the United States in the 3 rd quarter of 2017. 33. 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