allina hospitals and clinics aftercare proposal

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  • 1. Allina Hospitals and ClinicsAftercare Proposal Jamie Otto / Mike Borell / Emily Keenan

2. Start of AftercareThe end for doctors and nurses butthe beginning for patients and families. Jamie Otto / Mike Borell / Emily Keenan 3. Allina Mission Statement Our Mission We serve our communities by providing exceptional care, as we prevent illness, restore health and provide comfort to all who entrust us with their care. Our Vision We will: put the patient rst; make a di erence in peoples lives by providing exceptional care and service; create a healing environment where passionate people thrive and excel; and lead collaborative e orts that solve our communitys health care challenges. Our Values INTEGRITYWe match our actions with our words. RESPECTWe treat everyone with honor, dignityand courtesy. TRUST We act in the best interests of our patients, physicians, communities and one another. COMPASSIONWe create a caring environment for our patients and one another. STEWARDSHIPWe use our resources wisely.Jamie Otto / Mike Borell / Emily Keenan 4. Project Purpose Statement To explore the information provided topatients before starting at-home recovery. In order to empower the patient, connectthem to caregivers, and make them moreindependent and goal-driven in theiraftercare. So that Allina can facilitate and encouragetheir patients aftercare habits and increasetheir quality service ratings.Jamie Otto / Mike Borell / Emily Keenan 5. Current Practices Sit down before discharge Bulky Packets Check-in Calls Check-in Visits Care GuidesJamie Otto / Mike Borell / Emily Keenan 6. Case StudiesJudyGender: FemaleAge: late 50sConnection: Mother to a childwho had a heart transplantand has been a patient herselfWhat worked in the past?The personal connection between doctors, extended stay patient, and nurses has been greatfor her. It became a real community dedicated to the wellbeing of her daughter. She andher daughter used MyChart to show the multiple doctors they were in contact with whatmedications the other practitioners had her daughter on and keep everything in one place.What would Judy like to see in aftercare?The family should be included if they will have a large part in the patients care, and patientswho arent frequent hospital visitors should know what questions to ask.What would Judy like to see inside of the hospital?There should be room for family to go and visitors to stay inside of the rooms. There shouldalso be information about how to take charge of your own care.How was the communication with the care team?Fantastic, because she took the initiative and learned how to ask the right questions. Afterspending so much time in medical facilities, she has learned how they function and how tonavigate them.What were some obstacles in aftercare Judy has experienced?Sometimes, working with a hospice nurse is necessary and other times it is not. She hasexperienced both good and bad ones. Also, there needs to be support for people getting outof surgery since, while she and her daughter did, some people do not have that.How much access should family or support networks be given?If it is a child, the parents or guardian should have total access. Otherwise, the patientshould be able to hand pick what information people are given.Other Comments:She believes that a patient needs to advocate for themselves and learning how to do that isreally how someone successfully takes charge of their own care. Jamie Otto / Mike Borell / Emily Keenan 7. JudyIt was a stressful situation during release and it was hard to remember what the doctor said later. Jamie Otto / Mike Borell / Emily Keenan 8. Budd"In the case of the elderly or those patients that cannot properlytake care of themselves, their support networks should be the focus of the aftercare instruction. Either that, or the family andloved ones should speci cally have a place to go with their questions." Jamie Otto / Mike Borell / Emily Keenan 9. Dawn"They are counting on the people to be independent." Jamie Otto / Mike Borell / Emily Keenan 10. CalebIf someone is not pushing you to do your physical therapy, its impossible to do.Theres things we dont understand as patients, but doctors need to know.Jamie Otto / Mike Borell / Emily Keenan 11. Insights Information Emotional Aspects Disconnect Patient Driven Dependence Family Jamie Otto / Mike Borell / Emily Keenan 12. Current ProposalThe Aftercare CounselorChanges to Online Care Jamie Otto / Mike Borrell / Emily Keenan 13. The Aftercare CounselorJamie Otto / Mike Borell / Emily Keenan 14. The Aftercare CounselorMedical Professional/Counselor/FriendBridge between home and hospitalFrom pre-release to end of aftercare Jamie Otto / Mike Borell / Emily Keenan 15. The Aftercare CounselorAnswers questions to avoid therevolving door hospitalKeeps patients accountable for theirhealthPosition can belled by medical students,psychology students, social work students,and retired doctors and nurses. Jamie Otto / Mike Borell / Emily Keenan 16. What others doJamie Otto / Mike Borell / Emily Keenan 17. Changes to Online CareCONGRATULATIONS!YOUR WEEKLY PROGRESS:50 Time(mins) 40Miles 30 20100Time Vs Miles Ran Youve reached your weekly tness goal! Celebrate with a Fruit and Yogurt Parfait.30This week25Last Week20Because you performed at 15 least 15 minutes of Cardio 510days this week, youve reduced 5 your risk of heart disease by 025%. Miles RanJamie Otto / Mike Borell / Emily Keenan 18. Future ProposalThe Aftercare Community Jamie Otto / Mike Borrell / Emily Keenan 19. Technological Care Wireless heart monitors andpedometers, connected to onlinedatabase Ability to track progress on yoursmartphone or personal computer Retain phone services for thosewithout Internet access Jamie Otto / Mike Borrell / Emily Keenan 20. Structure of theAftercare CommunityCARE GUIDESUPPORT SUPPORTSUPPORT SUPPORT SUPPORTNETWORK NETWORKNETWORK NETWORK NETWORKJamie Otto / Mike Borrell / Emily Keenan 21. Structure of theAftercare CommunityCARE GUIDESUPPORT SUPPORTSUPPORT SUPPORT SUPPORTNETWORK NETWORKNETWORK NETWORK NETWORKJamie Otto / Mike Borrell / Emily Keenan 22. Structure of theAftercare CommunityCARE GUIDESUPPORT SUPPORTSUPPORT SUPPORT SUPPORTNETWORK NETWORKNETWORK NETWORK NETWORKJamie Otto / Mike Borrell / Emily Keenan 23. Structure of theAftercare CommunityCARE GUIDESUPPORT SUPPORTSUPPORT SUPPORT SUPPORTNETWORK NETWORKNETWORK NETWORK NETWORKJamie Otto / Mike Borrell / Emily Keenan 24. Services of anAftercare Community Home consultationsGroup meetings with other locals inrecovery Advanced technological care Personalized support connected toyour own existing community, supportnetwork, and home caregivers Jamie Otto / Mike Borrell / Emily Keenan 25. Services in the Home Conversations about recovery Check-ups with your counselor Phone calls and online care In-home cooking lessons with alicensed dietitian or nutritionistJamie Otto / Mike Borrell / Emily Keenan 26. Connections with Local Area Jamie Otto / Mike Borrell / Emily Keenan 27. Connections with Local Area Jamie Otto / Mike Borrell / Emily Keenan 28. SUPPORT NETWORKSCCAREGUIDEJamie Otto / Mike Borrell / Emily Keenan 29. SUPPORT NETWORKSCCAREGUIDEJamie Otto / Mike Borrell / Emily Keenan 30. We welcome yourcomments and feedbackJamie Otto / Mike Borell / Emily Keenan

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