http://www.jmu.edu/

Mission of the Collaborative

◦ To create a climate that fosters innovation

together

Mission of the Collaborative Steering

Team

◦ To oversee the efforts and facilitate the

success of the JMU-RMH Collaborative

Sharon Lovell, Interim Dean, College of Integrated Science and Technology

Emily Akerson, Associate Director, Institute for Innovation in Health and Human Services

James Shaeffer, Associate Vice Provost for Outreach and Engagement

Mark Graham, Faculty Member, College of Business

Kay Harrison, V.P. of Business Development

Deborah Thompson, Director of Corporate Communications

Carrie Willetts, Director of Orthopedics, Spine and Sports Medicine/Rehab Services

Jonathan Lough, Director of Imaging Services

James Madison University

Rockingham Memorial Hospital

Provide guidance, support, structure to

collaboration

Review collaboration ideas

Disseminate information/maintain website

Facilitate collaboration

Track outcomes

The Family Academy was designed to help parents raise their children to be healthy, happy, and ready for school by providing:

Support

Resources

Education

Over 60 families were served in the Family Academy. A database was used to track progress

Renamed “Interprofessional Chronic Illness Clinic: Teaming for Success in Self Management.”

Currently writing HRSA Grant: Nurse Education, Practice, Quality, and Retention (NEPQR)

Deadline May 29, 2012

$1.5 million over 3 years

A 6-week educational program for persons

with chronic illnesses covers nutrition,

exercise, use of medications, evaluating new

treatment options, effective communication,

and strategies for addressing problems.

Outcomes include: decreased days in the

hospital, improvement in health behaviors

and health status.

Chronic Disease Self Management Program

in Harrisonburg/Rockingham County

◦ 6 Master Trainers

◦ 28+ Group Leaders

◦ 3 Tomado Group Leaders (Spanish curriculum)

◦ 25+ 6 week workshops completed

◦ 238+ Individuals with chronic illnesses

completed the workshops

Lacritin is a natural human tear protein being developed as a new topical therapeutic to treat dry eye, microbial infections, and corneal wound healing. In conjunction with this, a team is developing an ELISA-based immunoassay to detect lacritin and variants of lacritin in human tears. They are interested in obtaining tear samples from healthy individuals as well as individuals with ocular infections or diseases.

a = tear gland / lacrimal gland

b = superior lacrimal punctum

c = superior lacrimal canal

d = tear sac / lacrimal sac

e = inferior lacrimal punctum

f = inferior lacrimal canal

g = nasolacrimal canal

EBP promotes the collection, interpretation, and integration of valid and applicable patient-reported, clinician-observed, and research-derived evidence. Research/workshops linked to topics identified by clinical nurses include: ◦ Foley catheters in the OR

◦ Umbilical cord care

◦ Pain management in the confused

patient

◦ Scopolamine patches and nausea and more

JMU Professor Lincoln Gray analyzed

data from RMH heart failure patients to

examine the relationship between

gender and costs. In contrast to

patterns found at the average U.S.

hospitals, preliminary results indicate

that females do not exhibit a statistically

different pattern of costs compared to

male heart failure patients. A

manuscript based on this study is being

prepared in collaboration with RMH

colleagues.

RMH and JMU, in collaboration with the Healthy Community Council, provided support to a Federally Qualified Community Health Center (FQHC) in Harrisonburg and Rockingham County. In just 3 years, the practice has grown to 46 employees serving 5,889 patients with a 2012 budget of $3.5 million.

In September, the HCHC will hold a grand opening of

this new facility on Port Republic Road, a visual

reminder of the actual magnitude of community health

needs being met.

Goal: Collaborate in developing integrative health education and practice

◦ Examples underway: Mindfulness based stress reduction

classes offered by JMU’s Dr. Steven Keffer and Dr. Rob Kyler at RMH.

Mindfulness based stress reduction collaborative research project

A major proponent, Dr. Russ Greenfield, provided a public lecture, consultation, and continuing medical education

This collaboration between

RMH and JMU faculty in Communication Sciences and Disorders seeks to provide services for persons with voice, speech, swallowing and upper airway disorders which are currently unavailable in the Shenandoah Valley or other readily accessible points in Virginia.

Designed for RMH,

campus and community

health clinicians

Goal: Train clinicians to

assess and safely manage

suicide risk

Onsite x-ray

services for

JMU’s student-

athletes at

athletic events

Guest lectures

Clinical teaching

Goal: Educate community health workers

and others

Focus on clinical research topics and

evidence based practice topics of interest

to clinical nurses on units

Journal clubs have been implemented on

every unit

A Code Blue/Rapid Assessment Team Scenario was developed for use in the Simulation Labs at both JMU and RMH

Educational programs, and a simulation was developed through the Collaborative as one of the elements of the RMH Portfolio

RMH achieved Joint Commission Accreditation in March 2012 as an Advanced Primary Stroke Center

Suggested development of clinical

simulations in interprofessional

collaborative practice in hospital

environments

RMH and JMU combined resources and expertise to predict the effects of Medicaid cutbacks resulting from Virginia’s fiscal budget tightening.

Group focuses on interdisciplinary

approaches to the discovery, development,

and study of potential medicines

Dr. Steve Keffer (JMU) and Dr. Rob Kyler

(RMH) offer 8-week MBSR programs at

RMH

Currently exploring the possibility of

offering the programs at JMU

Dr. Margaret Bagnardi (JMU faculty member), Leslie Ney (RMH nurse) and George Curran (RMH medical librarian) work with clinical nurses to conduct research, implement evidence – based care and evaluate the results ◦ “linking academia and the

bedside”

RMH nurses worked with Dr. Margaret Bagnardi and George Curran to develop a research project designed to test a pain assessment tool for cognitively impaired persons

The tool is well tested in long term care facilities but has not been tested in acute care settings

Retrospective examination of patient records

Test results demonstrated that the

scopolamine patches were effective and that

the length of stay for surgical patients was

reduced

Presented a research poster on the findings

Study comparing the use of monitor and the

scale

Findings: Ramsey Sedation Scale was just as

effective for monitoring

◦ Possible savings of $100 per patient

◦ Presented a research poster on the findings

JMU offered an option for urgent care flu

clinic space at a time and location that helped

to meet needs related to the H1N1 virus

In 2007 A JMU faculty member worked with

RMH to survey RMH healthcare workers

about their perceptions of the RMH Infection

Prevention & Control program

Educational tools were developed and are used

for orientation and other educational events

Additional data collected in 2009

Individuals from RMH and JMU have developed an evidence based health education program for women and girls

A Community health assessment informed the development of an evidence based health intervention plan

A collaboration to provide a unique practicum

for JMU nursing students—Staff nurses

partner with instructors for a synergistic

learning environment

Stroke is the third most common cause of death in Virginia and the main cause of disability.

Because One Stroke is Enough a stroke conference was implemented to assist healthcare providers with integration of scientific clinical guidelines for stroke prevention and clinical practice. Nurses, allied healthcare professionals, nursing students and EMS providers who are concerned with the management of strokes attended the successful October 2011 conference.

A second Conference is being planned for October 11, 2012.

Program implemented in October 2010 where JMU premed undergrads are able to gain significant clinical experience by working alongside the Emergency Department Physician to help document a thorough and accurate medical record

On course to expand as the program has been well received by the physicians and there is a growing interest from the premed student body

Photo courtesy of Madison Magazine

Developing wetlands

and water quality

Diabetes Education

Community Health

Center

Audiology (Joint

Professional Practice)

Joint IRB

Chronic Illness

Strategies Classes

Research and

Education in

Integrative Health

Evidence Based

Practice

LEED Education

DVD

2008 2009

Code Blue /Rapid Assessment Team Scenario –

Simulation for RMH and JMU

Infection Prevention & Control Educational

Curriculum

Evidence Based Practice Initiatives

◦ Pain Assessment in Cognitively Impaired

Patients

◦ Effectiveness of scopolamine patches for

nausea control and stay reduction in

Ambulatory Surgical Center

◦ Use of the bispectral index monitor and

Ramsey sedation scale in sedated patients in

the CCU

Retrospective Research project – Gender

differences in heart failure

Medical Imaging for JMU Athletics

Research Rounds

Dedicated Education Unit

Stroke Conference

Emergency Department “Scribe” program for pre-professional health students

2010 2011

Develop a comprehensive concussion program in Harrisonburg/Rockingham County. Goals:

1. Establish a concussion advisory council and develop a sports concussion program strategic plan for Harrisonburg/Rockingham County.

2. Build knowledge in concussion prevention and management through programs targeted at the following unique audiences: coaches, players, parents, and medical professionals.

3. Create access to medical resources in the community for concussion treatment and management.

In 2007 A JMU faculty member worked with RMH to survey RMH healthcare workers about their perceptions of the RMH Infection Prevention & Control program

Educational tools were developed and are used for orientation and other educational events

Additional data collected in 2009

Peer-reviewed manuscript published

Let’s CHAT (Create Healthy Activities Together) Pilot program offered to at least 50 adult community members and 12 children ages 3 – 5 years old

Purpose is to determine the effectiveness of using a comprehensive approach (physical activity, nutrition education and social support) to preventing, identifying and managing chronic disease

Research demonstrating link between

family history of abuse and/or alcoholism

and chronic pain in adulthood

Implications for chronic pain patients and

health care providers

Implement a worksite exercise and health program in one RMH department and assess the effect on health-related fitness, cardiac risk factors, life satisfaction and well-being, and illness and injury.

JMU students and faculty will provide training and testing

RMH staff will handle planning and promotion

Program will provide an essential service for these health care providers while generating data for research projects

Partnership between the Harrisonburg Community

Health Center, Rockingham Memorial Hospital,

Institute for Innovation in Health and Human

Services at James Madison University.

Part-time Nurse Practitioner and RN Case Manager

visit 5 homeless shelters to provide preventive care/

urgent care/chronic care

All supplies are carried in a Suitcase on Wheels.

In 1st 5 months of operation, 48 unduplicated

homeless clients seen.

Current cost-benefit analysis being completed

Sharing research

findings

Uniting

collaborators

Conceiving new

ideas

Home-visiting programs at JMU and RMH

provide education, resources and support

through intensive home visiting by trained

community health workers

Provide interprofessional nursing, social

work and clinical psychology consultation

for family centered care plan development

Goal: Educate community health workers and others

Created in 2006, this game

is set in a fictional

community based on the

Harrisonburg area. Face the

Case presents players with

unique and complex

scenarios involving

compromised health

literacy. See

http://ftc.cit.jmu.edu/ for

more information.