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Clinical News
Program Partners Paramedics with Hospice Nurses to Avoid Ambulance Rides(3/1/2017)
When hospice patients panic and call 911, these specially trained Community Paramedics assess them instead of automatically transporting them to the ER.
The Missing ‘Triple Aim’ Factor: Clinician Satisfaction(1/11/2017)
Should the Institute for Healthcare Improvement have created a Quadruple Aim? Veteran Healthcare at Home executive Robert Love makes a strong argument for adding "Clinician Satisfaction" as a fourth leg of the IHI's famous Triple Aim goal.
Tina Marrelli's "Home Care Nursing:" An HCTR Book Review(12/14/2016)
Looking for a last-minute Christmas gift? Tina Marrelli's "Home Care Nursing: Surviving in an Ever-Changing Care Environment," should be the shelf — no, front and center on the desk — of every Healthcare at Home owner, administrator, nurse and therapist.
New York to Let Aides Administer Meds(12/7/2016)
Home care aides in New York who get additional training will be able to give medication to patients under a new state law.
Telephone Talks with Nurse Can Reduce Hospital Re-admissions, Study Says(12/7/2016)
Software vendors such as Ankota and Triple Aim Technologies have been trying to convince us of the efficacy of regular phone calls to patients following discharge from a hospital stay. Now there is research indicating they were right.
Free Dementia Care Resource Offered(11/30/2016)
With so many healthcare at home providers trying to teach families how to care for dementia patients, we decided to pass along this excellent resource from a UK home care agency. This article describes some of the publication's highlights. You may download it and share it with families at no charge. (Note: most of the author's British spelling conventions left intact.)
NIH Scientists Identify Potent Antibody that Neutralizes Nearly All HIV Strains(11/16/2016)
Many HCTR readers work for or operate hospices. We thought you would be interested in reading about this breakthrough in the treatment of HIV.
Online Learning Company Founder Wants to Transform Caregiving(11/16/2016)
A single bad seminar experience led to the launch of one of home care's earliest, and most successful, online learning companies. Sharon Brothers describes how she was inspired to create the Institute for Professional Care Education.
HomeHero Completes 3-Month Accelerator Program with Cedars-Sinai(8/10/2016)
In a three-month trial, HomeHero provided free transportation to a few Cedars-Sinai patients, driving them home from the hospital at no charge.
Revised Clinical Procedures Take HHA From Average to Five (Super) Star Status(7/13/2016)
Healthcare reform requires a different way of providing care, asserts Cathy Sorenson, administrator of Home Healthcare Hospice and Community Services in Keene, New Hampshire. The new care practices she implemented, based on a program designed by Arnie Cisneros, rocketed her agency's case-mix index from .81 to 1.37, episode HHRG average from under $2,200 to over $3,600, and virtually eliminated claims denials.
Use of Health Navigators for Improved Patient Activation in Home Health Care(6/29/2016)
Merrily Evdokimoff, RN, PhD, teaches Community Health Nursing at the University of Massachusetts-Boston. In this guest article, she references several examples of the value of lay medical navigators in healthcare systems. She suggests it is time healthcare at home providers give the movement a serious look.
Data Analysis Underscores Value of Home Health in the Medicare Comprehensive Care for Joint Replacement Payment Model(6/15/2016)
In conjunction with Dobson | DaVanzo and Associates, the Alliance has released a new data analysis on the Centers for Medicare & Medicaid Services' (CMS) Comprehensive Care for Joint Replacement (CJR) model, which found that the use of home health after a hospital stay is associated with cost effective care and lower readmission rates for Medicare patients who have undergone major joint replacement surgery. The analysis closely examines the distribution of discharges for patients from the hospital to various post-acute care (PAC) settings, the average Medicare payment per episode by first PAC setting, and the average readmission rate for related conditions.
Complete the Aging 2.0 Survey, Receive Conference Discount(6/1/2016)
Tell Aging 2.0 in a brief online survey how you use technology in senior care and they will reward you with a generous discount to their October conference in San Francisco.
The 5 Common Traits of Terrible Nursing Homes(4/20/2016)
We know, perhaps better than anyone, that sick people prefer to remain in hospitals as briefly as possible, but that they genuinely fear skilled nursing facilities, where they may stay for weeks, for months, or forever. This expose, written by a Colorado law firm, may give you the specifics you need to back up that opinion.
Relias Learning and NAHC Announce Strategic Partnership(1/27/2016)
Partnership addresses key training and development needs for the growing healthcare at home sector.
Clinician Feedback Shapes Mobile Application Design(12/2/2015)
Allscripts User Experience Researcher Leigh McClure used ride-alongs to learn how to design a new mobile application.
VNAA Congratulates 47 Members Named to 2015 HomeCare Elite(11/4/2015)
The national association for not-for-profit healthcare at home providers, the Visiting Nurse Associations of America, released the list of its members recognized this year for clinical excellence.
Elite Team Builds Point-of-Care System for HEALTHCAREfirst(9/30/2015)
How can you go wrong when you get Mary St. Pierre, Tina Marrelli, Suzanne Sblendorio, Stan Bell and the User Experience Lab at a major university to design your clinical point-of-care software?
Patient survey finds 55% of respondents' med history incomplete during doctor visits (9/30/2015)
The next time you find yourself having doubts about the value of the services you offer, consider this finding published recently by Surescripts about a problem best solved by nurses seeing patients in their homes.
Some Nurses Chart in the Home Twice as Often as Other Nurses(7/1/2015)
One of the major problems facing healthcare at home providers is clinical documentation accuracy. Inaccuracy can become extremely expensive but its primary cause is preventable. Clinicians are always more accurate when they complete paperwork in the presence of the patient. Anything that can be done, via policy, encouragement, or providing better software, can help. One software company has determined that its clinical application is part of the solution rather than part of the problem.
"Healthcare in Transition" Message Harsh, Helpful(4/22/2015)
The second annual "Healthcare in Transition" seminar, held last week in Scottsdale, Arizona, challenged home health and home care executives to adapt or die as the U.S. healthcare system changes around them. While perhaps not the easiest messages to hear, the seminar's multi-disciplinary experts delineated problems facing in-home care providers today — and new ones to come in the near future — and offered solutions to help them understand the steps they must take to transform their agencies for survival.
SingFit Wins CES Innovation Award(1/7/2015)
Startup software company was founded by music therapist Andy Tubman; offers unique mental exercise app for persons with Alzheimer's and other forms of dementia, stroke victims, and autistic children.
Patient Self Management — With Assistance From the Most Familiar Home Care Team(11/19/2014)
Who belongs on the care team of a person managing chronic conditions? According to some high-powered speakers at last month's Partners Healthcare Symposium, supported by some exciting new technologies, the answer includes family, friends and patients themselves, and not limited to professionals with letters after their names.
Clinicians Improve Outcomes by Connecting to a Circle of Care(11/12/2014)
Donna Thomson is the author of The Four Walls of My Freedom, a riveting and redemptive family memoir, in which she tells her very personal story of raising a son with cerebral palsy. It is a passionate appeal to change the way we think about “the good life.” This article summarizes the book's theme and describes the technology system Donna uses to support caregiver communication, the core of patient care coordination. She describes here the difference between a one-to-one patient relationship and a network of caregivers that includes family support on the team. The software system she describes that keeps her in the loop with Nicky's other caregivers is free to families.
VNAA Releases Updated Clinical Procedure Manual(11/12/2014)
VNAA’s new Clinical Procedure Manual, available on paper or in digital format, features the latest home health and hospice best practices, offers guidance for more than 300 procedures specifically for home health and hospice care.

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