Program Certification and Clinician Credentialing

1. Program Certification and Clinician Credentialing

2. Palliative care program Presented by: Dr. Tarek Mahdi Martha Uribe, LCSW Raul Moreno, RN Jackie Eskandr, RN Chaplain Kenneth Ross

3. Parkview Community Hospital • Parkview is a 193-bed acute care hospital located in Riverside, CA. We opened in 1957 with 50 beds. • We are the only non-profit community hospital in Riverside (since 1967). • Our mission is to be a community hospital focused on the needs of the local population, 50% of which are Latino. • Services include a very busy emergency room, maternal/child services, and general medical and surgical services (no cardiac or neurosurgery).

4. Centers of Excellence • Joint Replacement - Been given the Blue Shield Center of Distinction for Quality. Offer the MAKOplasty robotic arm for hip replacement and partial knee replacement/ resurfacing • Maternity Care – Given “Baby Friendly”designation - one of only 119 in the entire nation--sponsored by W.H.O. in recognition of hospitals and birthing centers that offer an optimal level of care for breastfeeding. • Sweet Success, gestational diabetes care—diabetes education for pregnant women. • Neonatal ICU (NICU)- Community Level/Level III. (provides care to seriously ill newborns, except those needing surgery). And Parkview is the only hospital in the area with NICView Webcam.

5. Centers of Excellence, cont. • Bariatric (weight loss) Surgery – ASMBS Center of Excellence, Blue Cross, Blue Shield, Aetna, CIGNA Centers of Distinction. Resolves or improves many other diseases, ie, diabetes and hypertension. • Pulmonary Care – for treatment of COPD; we have a “Better Breathers” support group. • Palliative Care – Joint Commission Advanced Certification - 19th in the nation. Palliative care will be key to providing better care for patients with serious, chronic conditions.

6. The Palliative Care Program • JCAHO Certified on August 23, 2012 • Team Members: • Martha Uribe, LCSW/Program Coordinator • Chaplain Ken Ross • Jackie Eskandr, RN • Raul Moreno, RN • Tarek Mahdi, MD

7. Road to Certification • Administration support • Full time coordinator • Team building • Job descriptions • Policy & Procedures • Education • Weekly meetings

8. 2013 Data

9. 2013 Data

10. 2013 Data

11. 2013 Data

12. JCAHO Performance Improvement Areas • Palliative Care Nursing Screening • Patient Satisfaction Survey • Pain Management • POLST

13. Performance Improvement #1Palliative Care Nursing Screening • Goal: To insure all patients admitted to Parkview Community Hospital have a valid Palliative Care Nursing screening. • Barriers: • Developing a simple screening tool • Having it embedded in the nursing assessment electronically • Low tool utilization

14. Performance Improvement #1Palliative Care Nursing Screening

15. Palliative Care Nursing Screening Tool • Two or more hospitalizations in the past year • Prolonged lengths of stay >5 days • Diagnosis of cancer • Admissions from a nursing home • Diagnosis of Dementia • No needs identified

16. Performance Improvement #2Patient Satisfaction • Goal: To asses the effectiveness of the program. • Barriers: • Developing a survey • Having it completed within 30 days after discharge • Sensitivity of the call

17. Performance Improvement #2Patient Satisfaction

18. Performance Improvement #2Patient Satisfaction Survey

19. Performance Improvement #3Pain Management • Goals: To ensure patients receive appropriate pain management.

20. Performance Improvement #4POLST completion • Goals: To ensure patients with live discharges have a completed POLST. • Barriers: • Lack of understanding from nursing and Physicians • Hospital policy

21. Performance Improvement #4POLST completion

22. Comments/Questions?