PARTNERSHIP AS A STRATEGY TO REDUCE ACUTE CARE HOSPITALIZATION St. Joseph’s Hospital Certified Home Health Agency Liver

1. PARTNERSHIP AS A STRATEGY TO REDUCE ACUTE CARE HOSPITALIZATIONSt. Joseph’s HospitalCertified Home Health AgencyLiverpool, N.Y. 13088 Carol A. Schram, BSN,RN Margaret Kozsan, BS, RN

2. PARTNERSHIP • We define partnership as a relationship • The relationship creates a response • The response can be positive or negative • A relationship has a direct impact on the outcome of care

3. WHO ARE OUR PARTNERS IN CARE? • QIO and benchmark agencies • Our Network • Patient/caregiver • Referral sources

4. UTILIZING OUR PARTNERS • Review of QIO and benchmarking • Surgical wounds • Heart failure

5. UTILIZING OUR PARTNERS con’t • Review of organizational processes and care practices • Record audits • Staff interviews • Standards of Care analysis • Staffing

6. Don’t tell me!

7. DISCOVERIES • Inconsistent assessment strategies • Need for consistent education for all disciplines • Little promotion of patient self-management • Inconsistent staffing patterns

8. Bite the Bullet!

9. IMPLEMENTATION STRATEGIES • Revision of our Standards of Care • Participation in QIO activities • Supervisory staff access to patient information

10. OUTCOMES • Interdisciplinary process • Consistent staff • Increased patient participation • Reduction in acute care hospitalization

11. POSITIVE OUTCOME!