NUTRITION & IMMUNITY PODCAST SERIES: Pressure Injury

Abbott Nutrition Health Institute (ANHI)

Panel of world-renowned experts discuss nutrition guidelines for caring for COVID-19 patients.

  • NUTRITION CARE FOR PRESSURE INJURIES: GUIDELINES TO OPTIMIZE OUTCOMES
  • THE ROLE OF HYDRATION IN ACUTE INFLAMMATORY PROCESS & RECOVERY
  • NATIONAL BLUEPRINT: ACHIEVING QUALITY MALNUTRITION CARE FOR OLDER ADULTS, 2020 UPDATE
  • NUTRITION SUPPORT OF THE COVID-19 ICU PATIENT
  • A REVIEW OF THE SCCM/ASPEN COVID-19 RECOMMENDATIONS
  • NUTRITIONAL NEEDS OF COVID-19 PATIENTS IN-HOSPITAL & POST-DISCHARGE

THE GLYCEMIC CONTROL IMPLEMENTATION GUIDE: IMPROVING GLYCEMIC CONTROL, PREVENTING HYPOGLYCEMIA AND OPTIMIZING CARE OF THE INPATIENT WITH HYPERGLYCEMIA AND DIABETES

Society of Hospital Medicine (SHM)

Provide users with concise guidance and tips to help them assess their current state of care regarding glycemic control, gain institutional support, build an effective team, choose metrics to follow, implement proven interventions and continue to assess and improve over time.

Complex Care at NYC H+H: Operational Guide to Identify, Understand, and Treat High-Need Patients

NYC Health & Hospitals

This guide features open-source implementation tools which could be customized, and used to support other health system’s efforts to identify, understand, and treat patients with complex needs.
This guide provides step-by-step guidance on:
1) Risk scoring and stratification: using data and analytics to identify patients with complex needs;
2) Segmentation: combining analytics with clinical insight to understand patients with complex needs; and
3) Targeting: tailoring care models to fit needs and behaviors of patients with complex needs.

Conversation Guide to Improve COVID-19 Vaccine Uptake

IHI – Institute for Healthcare Improvement

This guide is intended to help health care staff and leaders have trust-building conversations about the COVID-19 vaccine, both at work and at home. Exploring people’s feelings about the vaccine through respectful, trust-building interactions over time offers the potential to increase the uptake of vaccinations. The guide helps health care staff and leaders begin to quickly engage in effective conversations about COVID-19 vaccination, enabling learning in practice and resolving issues that arise from such conversations. The focus is on having rich conversations to listen and learn about reasons and feelings for not getting vaccinated — and then seeking to have a dialogue about questions and concerns so that people can consider COVID-19 vaccination.

BOOST: Better Outcomes for Older Adults Safe Transitions

Society Hospital Medicine (SHM)

Evidence-based bundled intervention for hospitals to use to identify patients at high risk for readmission and guide the discharge plan based on identified needs assessed upon hospital admission; provides the patient a Transitional Record to guide them during the post-acute period.

Cost associated with implementation.

GRACE Team Care Model: Geriatric Resources for Assessment and Care of Elders (GRACE)

Agency Healthcare Research and Quality (AHRQ) & Indiana University School of Medicine’s Center for Aging Research

Designed as a promising solution to the health and health care challenges faced by low-income seniors with multiple chronic conditions, researchers at Indiana University developed the GRACE Team Care model  to assist primary care physicians (PCPs) working with low-income seniors to optimize health and functional status, decrease excess usage of health care services, and prevent unnecessary long-term nursing home placement.

IHI STAAR Root Cause Analysis Tool

Institute for Healthcare Improvement (IHI)

Chart Reviews of Patients Who Were Readmitted: This Root Cause Analysis (RCA) tool is one of those that we recommend for hospitals.

Conduct chart reviews of the last five readmitted patients. Reviewers should be physicians or nurses from the hospital and community settings. Reviewers should not look to assign blame, but rather to discover opportunities to improve the care of patients.

Project RED (Re-Engineered Discharge)

Project RED is supported by grants from the Agency for Healthcare Research and Quality (AHRQ) and the National Institutes of Health (NIH)-National Heart, Lung and Blood Institute (NHBLI), the Blue Cross Blue Shield Foundation, and the Patient-Centered Outcomes Research Institute.

Hospital based care transition model that coordinates the patient’s discharge plan throughout the hospitalization and then provides a post-acute discharge guide and follow-up telephone calls.

Project Re-Engineered Discharge is a research group at Boston University Medical Center that develops and tests strategies to improve the hospital discharge process in a way that promotes patient safety and reduces re-hospitalization rates. The RED (re-engineered discharge) intervention is founded on 12 discrete, mutually reinforcing components and has been proven to reduce rehospitalizations and yields high rates of patient satisfaction.  Virtual patient advocates are currently being tested in conjunction with the RED. In addition, Project RED has started to implement the re-engineered discharge at other hospitals serving diverse patient populations. We are also looking at the transitional needs from inpatient to outpatient care of specific populations (i.e., those with depressive symptoms). Finally, we are about to start a patient-centered project to create a tool that hospitals can use to discover factors (i.e., medical legal, social, etc.) in patients’ readmissions.

COVID-19 Resources on Vulnerable Populations

The Centers for Medicare & Medicaid Services Office of Minority Health (CMS OMH)

The Centers for Medicare & Medicaid Services Office of Minority Health (CMS OMH) has compiled Federal resources on the 2019 Novel Coronavirus (COVID-19) to assist our partners who work with those most vulnerable—such as older adults, those with underlying medical conditions, racial and ethnic minorities, rural communities, and people with disabilities.

Managing Chronic Pain in Adults With or in Recovery From Substance Use Disorders: TIP 54

Substance Abuse and Mental Health Services Administration (SAMHSA)

This guide equips clinicians with information for treating chronic pain in adults living with a history of substance use. The guide discusses chronic pain management, including treatment with opioids. It also includes information about substance use assessments and referrals. Available at no cost from SAMSHA.

Opioid Overdose Prevention TOOLKIT & Opioid Use Disorder Facts

Substance Abuse and Mental Health Services Administration (SAMHSA)

This toolkit offers strategies to health care providers, communities, and local governments for developing practices and policies to help prevent opioid-related overdoses and deaths. Access reports for community members, prescribers, patients and families, and those recovering from opioid overdose.

  • Scope of the Problem
  • Strategies to Prevent Overdose Deaths
  • Resources for Communities

Strategically Advancing Patient and Family Advisory Councils in New York State Hospitals

Institute for Patient and Family Centered Care (IPFCC)

The purpose of this project is to address gaps in knowledge about PFAC best practices. Specifically, the project aims to:

  1. Determine the prevalence of hospital-based PFACs in New York State;
  2. Document variation in hospital-based PFACs within New York State, including identifying differences in characteristics such as composition, structure, resources, management, and functioning;
  3. Assess the extent to which differences in hospital-based PFAC characteristics are related to selected outcomes, including safety and patient experience of care;
  4. Identify best practices for PFACs; and
  5. Recommend policy and practice changes for New York State to facilitate the spread of effective PFACs and PFA roles in hospitals