GT-OSVE: A Method to Teach Effective Interdisciplinary Team-Based Post-Hospital Transitional Care

MedEdPORTAL ◽  
2015 ◽  
Vol 11 (1) ◽  
Author(s):  
Timothy Farrell ◽  
Cherie Brunker
Keyword(s):  
Transitional Care ◽  
Interdisciplinary Team

scholarly journals ACE Model for Older Adults in ED

Geriatrics ◽  
2019 ◽  
Vol 4 (1) ◽  
pp. 24 ◽  
Author(s):  
Martine Sanon ◽  
Ula Hwang ◽  
Gallane Abraham ◽  
Suzanne Goldhirsch ◽  
Lynne Richardson ◽  
...  
Keyword(s):  
Older Adults ◽  
Emergency Department ◽  
High Risk ◽  
Hospital Admission ◽  
Transitional Care ◽  
Physical Therapist ◽  
Functional Decline ◽  
Interdisciplinary Team ◽  
Care Plans ◽  
Ace Model

The emergency department (ED) is uniquely positioned to improve care for older adults and affect patient outcome trajectories. The Mount Sinai Hospital ED cares for 15,000+ patients >65 years old annually. From 2012 to 2015, emergency care in a dedicated Geriatric Emergency Department (GED) replicated an Acute Care for Elderly (ACE) model, with focused assessments on common geriatric syndromes and daily comprehensive interdisciplinary team (IDT) meetings for high-risk patients. The IDT, comprised of an emergency physician, geriatrician, transitional care nurse (TCN) or geriatric nurse practitioner (NP), ED nurse, social worker (SW), pharmacist (RX), and physical therapist (PT), developed comprehensive care plans for vulnerable older adults at high risk for morbidity, ED revisit, functional decline, or potentially avoidable hospital admission. Patients were identified using the Identification of Seniors at Risk (ISAR) screen, followed by geriatric assessments to assist in the evaluation of elders in the ED. On average, 38 patients per day were evaluated by the IDT with approximately 30% of these patients formally discussed during IDT rounds. Input from the IDT about functional and cognitive, psychosocial, home safety, and pharmacological assessments influenced decisions on hospital admission, care transitions, access to community based resources, and medication management. This paper describes the role of a Geriatric Emergency Medicine interdisciplinary team as an innovative ACE model of care for older adults who present to the ED.

Attitudes of Interdisciplinary Team Members Toward Speech-Language Services in Public Schools

1986 ◽  
Vol 17 (3) ◽  
pp. 230-240 ◽  
Author(s):  
Lou Tomes ◽  
Dixie D. Sanger
Keyword(s):  
Public Schools ◽  
School Psychologists ◽  
Elementary School Principals ◽  
Team Member ◽  
Interdisciplinary Team ◽  
Survey Study ◽  
Language Programs ◽  
Team Members ◽  
Positive Attitudes ◽  
State Area

A survey study examined the attitudes of interdisciplinary team members toward public school speech-language programs. Perceptions of clinicians' communication skills and of the clarity of team member roles were also explored. Relationships between educators' attitudes toward our services and various variables relating to professional interactions were investigated. A 64-item questionnaire was completed by 346 randomly selected respondents from a two-state area. Classroom teachers of grades kindergarten through 3, teachers of grades 4 through 6, elementary school principals, school psychologists, and learning disabilities teachers comprised five professional categories which were sampled randomly. Analysis of the results revealed that educators generally had positive attitudes toward our services; however, there was some confusion regarding team member roles and clinicians' ability to provide management suggestions. Implications for school clinicians were discussed.

New CPT Codes Boost Pay for Transitional Care Services

2012 ◽  
Vol 42 (20) ◽  
pp. 1-2
Author(s):  
MARY ELLEN SCHNEIDER
Keyword(s):  
Transitional Care ◽  
Care Services

Hämophiliebehandlung als ganzheitliches Konzept der Patientenversorgung

2012 ◽  
Vol 32 (S 01) ◽  
pp. 25-S28
Author(s):  
H. Rott ◽  
G. Kappert ◽  
S. Halimeh
Keyword(s):  
Health Insurance ◽  
Effective Treatment ◽  
International Research ◽  
Statutory Health Insurance ◽  
Interdisciplinary Team ◽  
Legal Basis ◽  
University Hospitals ◽  
Innovative Treatment ◽  
Social Law ◽  
Treatment Concepts

SummaryA top quality, effective treatment of haemophilia requires an integrated therapeutical concept and an excellent cooperation of an interdisciplinary team. Since years different models are discussed in Germany in order to enlarge the offers for a suitable care of patients with hard to treat diseases. The healthpolitical targets are expressed in the changes of the Code of Social Law number V (SGB V) and in innovations in the statutory health insurance. This new legal basis provides opportunities to implement innovative treatment concepts outside university hospitals and paves the way for ambulant haemophilia centres to offer an integral care, all legally saved by a contract.The Coagulation Centre Rhine-Ruhr reveals as an example how haemophilia treatment in accordance with guidelines and with the latest results of international research can be realise in an ambulatory network.

Transitional care pathway for diabetes at Darent Valley Hospital, Dartford

2017 ◽  
Author(s):  
Mohamed Khonji ◽  
Naveed Khan ◽  
Kevin McEwan ◽  
Kishani Wijewarden ◽  
Alok Gupta
Keyword(s):  
Transitional Care ◽  
Care Pathway

Interdisciplinary Client Care with the Neuman Systems Model

1998 ◽  
Vol 6 (3) ◽  
pp. 310-319
Author(s):  
Kevin M. Marett ◽  
Rae Jeanne Memmott ◽  
W. Eugene Gibbons ◽  
Randy L. Bott ◽  
Lee Duke
Keyword(s):  
Interdisciplinary Team ◽  
Common Language ◽  
Complete Understanding ◽  
Content Areas ◽  
Five Dimensions ◽  
Neuman Systems Model ◽  
Systems Model ◽  
Client Care ◽  
Neuman Systems ◽  
Client System

This article describes how the Neuman Systems Model (NSM) can be used in a two-step process to provide both the form and the function for interdisciplinary client care. The NSM proposes five dimensions of human experience as being necessary for a complete understanding of a client system. This article takes these five content areas—psychological, physiological, spiritual, developmental, and sociocultural—and extrapolates them to their respective disciplines (e.g. nursing, social work, religion, psychology, etc.) to create a comprehensive interdisciplinary model for client care. The NSM also provides a common language and conceptual paradigm, congruent with allied disciplines. A demonstration project incorporating the NSM in the formation and functioning of an interdisciplinary team is described.

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