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Referral!Guide!
Schedule the Discharge to Improve Flow' Guide to Senior Care Options & Patient Care Assisted / Alzheimer’s – Home Healthcare – Hospice – Home Care Private Duty Nursing - Skilled Nursing & Rehabilitation – Rehabilitation Hospital! MOBILE'AND'DIGITAL'AVALIABLE''
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Announcing the 2014 Annual Conference !
Friday, September 5, 2014 www.cmsaaz.com!
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CONTENTS !
Arizona - Vol. 3 Issue 3
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Schedule the Discharge to Improve Flow
>Providing a Process for Scheduling nthe Discharge >Orchestrate the Discharge >Synchronize Admissions & Transfers to Discharge Schedule
Understanding Assisted Living
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Understanding how nice, safe, and comfortable Assisted Living can be for your patient, loved one, or yourself begins with knowing more about the benefits. Sponsored By: Bethesda Gardens Assisted Living
Levels of Care ALZHEIMER’S 4 Programs and assistance designed with those with memory loss; some communities will provide specially trained security measures to prevent residents from wandering. ASSISTED LIVING 5 Residential living for seniors who would benefit from assistance with daily activities, some level of healthcare service are provided. HOME CARE
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Allowing a non-medical home care assistant (caregiver) provide transportation, meals, and daily needs. SKILLED NURSING & REHAB
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Licensed and equipped to provide healthcare which meets the needs of more extensive physical issues, and assist residents to regain mobility.
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ALZHEIMER’S !
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ASSISTED LIVING !
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Welcome Home
Join us for a tour and stay for a free lunch!
Embark on an active lifestyle at Bethesda Gardens! With social and recreational activities, it’s an adventure every day. No Long-Term Contracts
Enriching Activities and Outings
Elegant Living Atmosphere
Spacious Floor Plans
Compassionate Care Staff Available 24/7
Transportation Available
Call to schedule a tour today!
13825 N. Cave Creek Rd., Phoenix, AZ 85022
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Understanding Assisted Living Assisted living is a residential option for seniors who want or need help with some of the activities of daily living— things like cooking meals, getting to the bathroom in the middle of the night, keeping house, and traveling to appointments. An assisted living facility may be a good choice if you need more personal care services than you can get at home or an independent living retirement community, but you don’t need the round-the-clock medical care and supervision of a nursing home. Assisted living facilities offer the safety and security of 24-hour support and access to care. Day or night, help is only a phone call away. However, privacy and independence are encouraged. A good facility like Bethesda Gardens Assisted Living can assist to develop a Please say, “I found you in
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personalized plan that meets your needs and accommodates your disabilities, while giving you the freedom to do what you can for yourself. Some provide apartment-style living with scaled down kitchens, while others provide rooms. In some, you may need to share a room unless you're willing to pay higher cost. Most facilities have a group dining area and common areas for social and recreational activities. In the U.S., each state has its own specific licensing requirements for assisted living, so you’ll want to check to see what services can be provided. BROUGHT TO YOU BY
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ASSISTED LIVING
At Park Wood A ssisted Living you will enjoy a life full of recreations, fine dining and friends, as well as a relaxing, care free, active adult lifestyle.
Ask about our Grand Opening & Veteran specials!
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SCHEDULE THE DISCHARGE TO IMPROVE FLOW Failure to synchronize admissions and discharges commonly results when discharges are not managed efficiently. Creating a more consistent and predictable discharge schedule can help improve flow. Traditionally, hospitals have attempted to "batch" discharges by establishing a set time for all patients to be discharged; however, this approach has been largely unsuccessful. Scheduling the discharge creates a continuous flow process, spreading discharge times throughout the day. This approach streamlines the process, better addresses the needs of patients and families, and helps coordinate the placement of patients who are admitted and transferred with discharges that occur throughout the day. CHANGES FOR IMPROVEMENT Provide a Process for Scheduling the Discharge Provide a process for scheduling the date and time that patients will be discharged one day in advance or on the day of Please say, “I found you in
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discharge. In some units, particularly surgical units, the discharge can often be planned a day ahead of time. Although for some patients the date and time of discharge cannot be planned a day in advance, the hospital should still be able to coordinate the discharge. In most cases, orchestration of the discharge is left to chance, creating a chaotic situation. Having a planned discharge time helps everyone involved orchestrate their activities toward a common goal. Reaching the goal will most likely require centralized planning and scheduling. To test this change, hospitals should start with a prearranged set of appointment times. Patients can then be placed in defined appointment "slots," based on unit resources, admission history, and discharge history, with input from nursing and other affected disciplines. Ideally, morning appointments should be used for patients identified for discharge the next day. Saving appointments later in the day ccccCase Management Social Work.�
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!for patients identified on the day of discharge allows for the time needed to orchestrate the discharge.
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! TIP: Record data about the ability of the system to comply with the schedule and document reasons for noncompliance to identify bottlenecks and processes needing improvement. Orchestrate the Discharge A set series of tasks must occur prior to discharging a patient. These tasks include examination and sign-off by appropriate providers and patient education. For each patient, the time of discharge and the tasks that need to be performed will be provided one day ahead of time. This allows for everyone involved in the discharge to selforganize on the day of discharge to get the work done within the window necessary to meet the scheduled discharge time. TIPS: Place a whiteboard by the patient’s bed with the scheduled discharge time to remind all parties of the goal. Communicate the discharge schedule with hospital disciplines through the use of white board on the unit, an extranet, or a dedicated phone line. Synchronize Admissions and Transfers to the Discharge Schedule Once a discharge schedule is in place, internal transfers of patients — for example, from an ICU to a patient care unit — can be synchronized to that schedule. Individual units can begin scheduling and orchestrating the movement of their patients at the local level. This synchronization allows local, unit-level control and system-wide optimization to occur simultaneously. Communication and planning across units is important to create a process for placing admissions and transfers into beds made available by patients discharged out of the hospital. Many hospitals use bed huddles to coordinate this planning. Bed boards placed in a central location (or made available electronically) are a communication tool that helps to link admissions and transfers to anticipated discharges. TIPS: Place a whiteboard by the patient’s bed with the scheduled discharge time, in order to remind all parties of the goal. Hold daily (or more frequent) bed huddles to coordinate planning across units/departments for linking admissions and transfers to planned discharges out of the hospital. Use a consistent method to communicate bed availability and distribute beds throughout the day, such as a designated person ("bed czar"), a manual bed board, or an electronic or web-based tool. Institute for Healthcare Improvement
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HOME CARE !
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ComForcare Senior Services ComForcare is a premier provider of non-medical, private duty home care services for people of all ages. Our caregivers can assist people with the activities of daily living in any setting they call home, whether it be a private residence, nursing facility or an independent or an assisted living community.
We are available 24 hours a day, 365 days a year and provide a wide range of personal services including: Ĺ˜ *URRPLQJ +\JLHQH Ĺ˜ %DWKLQJ 7RLOHWLQJ Ĺ˜ 0HDO 3UHSDUDWLRQ
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Tracy Sulzer, 51 %61 %+$ CEO Melissa Dunn, %$ COO Certified Senior Advisor (CSA)™
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480-827-2600
www.sephoenixaz.comforcare.com
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