Seniors: What to Do When You Have Trouble Sleeping

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Seniors: What to Do When You Have Trouble Sleeping

It is not uncommon for people to experience changes in their sleep patterns as they age. Seniors tend to feel sleepy earlier in the day but have a hard time falling asleep and staying asleep through the night. Such poor sleep can quickly turn into sleep deprivation, which can have significant — even dangerous — effects on a person’s life. The good news is, just because poor sleep is common among older adults doesn’t mean you have to accept it as a fact of life. Here are some tips for improving your sleep:

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Weighing in on Long-Term Care : How to Plan and Pay

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Weighing in on Long-Term Care : How to Plan and Pay

Do you have a plan in place for long-term care? If you or a loved one should have to live in an assisted-living home or a nursing home, how will you pay for it? It’s important to think things through in advance so you don’t need to explore your options during a crisis.

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WHY PATIENT SATISFACTION MATTERS

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WHY PATIENT SATISFACTION MATTERS

WHAT IS PATIENT SATISFACTION?

A distinction is sometimes made between measuring a patient’s experience vs. their satisfaction Patient’s review of their care experience is based on what they did or did not experience in their interactions obtaining health care Patient satisfaction is based on patients’ rating of the perception of the care they received Clearly what a patient experiences significantly influences their perception of their care experience + perception = “satisfaction”

WHAT DO PATIENTS WANT?
According to a recent Harris Poll, key factors that contribute to patient satisfaction in rank order are:
•That they are treated with dignity and respect
•That their providers listen carefully to their health concerns
•The provider is easy to talk to
•The provider takes their concerns seriously
•The provider is willing to spend enough time with them
•The provider truly cares about them

WHY IS PATIENT SATISFACTION IMPORTANT?

•Public reporting and comparison on performance, such as HCAHPS
•interest and incentives to improve patient experience
•Evidence suggests strong correlation between patient satisfaction and healthcare outcomes

WHAT ARE THE DIMENSIONS OF PATIENT SATISFACTION?

Communication
•Do providers and staff listen to patients?
•Do patients receive clear, correct information about their diagnosis, medication, care? Access to Care
•How long do patients wait to see their provider?
•Can patients access same-day or next-day appointments? Care Coordination
•Is care quick and easy or confusing and delayed?
•Do providers and care settings work together?

WHAT ARE THE DRIVERS OF PATIENT SATISFACTION?

Leadership commitment to improving patient experience Staff and providers are fully engaged
•Patient impressions of services are being delivered, how the services are being delivered and patient-provider interactions
•Staff are supported and find a match between personal values and those of the organization Respectful partnership between patients and providers/staff
•Enable patients to participate in their care
• Anticipate and respond to patient and family needs Reliable, quality care delivered 24/7 Evidence-based care
•Care is collaborative -internal
•Coordination across sites -external
• What happens when something goes wrong
•Patients

CONCLUSION

A high level of patient satisfaction
• Is of critical importance in healthcare
• Is driven by experience and perception
•Is achieved through a patient-centered approach which leaders, providers, patients and families can influence by working together now the expected outcomes

 

Care Analytics is a tablet-based software that assesses skilled nursing facilities and provides feedback to make quality improvements for patient satisfaction in real time. To advance the patient experience, providers must understand patient needs and address targeted opportunities within patient populations. Care Analytics provides meaningful and actionable insights into every aspect of patient perception. We work with facilities across the globe to collect feedback through real-time point of care tablet based assessments. We provide straight-forward steps focusing on the key drivers of exceptional patient experiences. Our model is based on the marriage of big data and years of experience with improving patient satisfaction
 

 

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HOW ARE WE DOING? NURSING HOME SELF ASSESSMENT SURVEYS AND PATIENT SATISFACTION

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HOW ARE WE DOING? NURSING HOME SELF ASSESSMENT SURVEYS AND PATIENT SATISFACTION

Care Analytics assessments are important because they give you a realistic view of what is happening in the day-to-day practice of your facility. They help you sort out problems that need considerable work from issues that appear to be working reasonably well and perhaps need only staff reminders to be on track. Unlike surveys in which you try to put your best foot forward, this is a survey that requires you to look at both feet honestly and constructively. If the issues that arise through the survey process then become part of a multidisciplinary approach to fix the problems, your staff’s day-to-day work should become more manageable and more satisfying.

Utilizing the surveys at your facility can provide you with the feedback necessary to improve quality of care, increase patient and family satisfaction, as well as provide staff the tools needed to better manage patient transitions.

 

THE NEEDS OF THE VERY ELDERLY ARE NOT BEING MET


When Care Analytics has analyzed comments from the Very Elderly, major themes have been:
•Failure to meet needs for information
•The chaos of having so many clinicians
•Not having enough time
•Responsiveness and toileting
•General hygiene

The Very Elderly represent an increasingly important segment of patients from clinical and business perspectives. Because of their greater health issues, their health care needs are greater and more complex, and facilities are more likely to fall short of meeting those needs. Data demonstrate that communication and coordination issues are particularly important challenges in the care of the Very Elderly. Patient satisfaction assessments can tip of facilities to the needs of the elderly patients in a timely manner.

 

Care Analytics is a tablet-based software that assesses skilled nursing facilities and provides feedback to make quality improvements for patient satisfaction in real time. To advance the patient experience, providers must understand patient needs and address targeted opportunities within patient populations. Care Analytics provides meaningful and actionable insights into every aspect of patient perception. We work with facilities across the globe to collect feedback through real-time point of care tablet based assessments. We provide straight-forward steps focusing on the key drivers of exceptional patient experiences. Our model is based on the marriage of big data and years of experience with improving patient satisfaction

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MEASURING PATIENT SATISFACTION: HOW TO DO IT AND WHY

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MEASURING PATIENT SATISFACTION: HOW TO DO IT AND WHY

PATIENT SATISFACTION SURVEYS ARE A GOOD IDEA — TRUE OR FALSE?

If you're inclined to answer “false,” you might choose from any number of objections. Perhaps you're not convinced the data are reliable. Perhaps you don't believe the results justify the costs. Or perhaps you don't want to be measured simply for the sake of being measured. All are legitimate concerns, but, as you'll see, they can be overcome. The truth about patient satisfaction surveys is that they can help you identify ways of improving your facility. Ultimately, that translates into better care and happier patients. “Unless a facility is not interested at all in information, a patient satisfaction survey can be useful, and it shows your staff and the community that you're interested in quality. It demonstrates that you are looking for ways to improve.

If that's not enough of a reason to push you nearer to the point of surveying your patients, consider this: Whether you think patient satisfaction surveys are good or bad, the fact of the matter is that the marketplace you work in is demanding that data on patient satisfaction be used to empower consumers. As many facilities know if they do not get on board and try to make the data as good as possible and get their scores as high as possible, they are going to be hurt in the marketplace.

KEY POINTS:
•A patient satisfaction survey can demonstrate that a practice is interested in quality and in doing things better.
•When choosing (or designing) a survey questionnaire, look for three things: brevity, clarity and consistency.
•Even an in-house survey can be statistically correct if practices stick to some basic rules.

STATISTICAL CORRECTNESS One of the main criticisms of patient satisfaction surveys is that their results are not reliable. It's true that not all surveys meet the standards for statistical reliability. But you can, if you stick to these guidelines. Sample size. When you distribute your questionnaire, try to survey the largest group possible. Response rates. Thirty percent to 35 percent is a typical response rate for a mailed survey, where Care Analytics Tablet based assessments have a 99% response rate. Number of responses. An adequate response rate is important, but what trumps that is the number of responses you receive. If you've managed to get a 40 percent response rate on your survey, but you've surveyed only 100 patients, don't kid yourself that you have enough data to draw meaningful conclusions. The more responses you can get, the more valid and reliable your results are likely to be..

ANALYZING THE DATA. Analyzing the data may be the most complex part of the survey process. Usually, you can get a survey put together in-house, you can get a database of people you want to send it out to, and you may happen to come up with a reasonable response rate. The primary challenge emerges when the completed surveys are returned. If you don't have someone in-house with strong analytic and database-management skills, you are prone to end up with a stack of surveys that are never analyzed adequately. That's where you're going to get the meaning and the value out of it. If your facility does not have the time or resources to analyze your survey data, consider outsourcing this step to a firm that specializes in health care data analysis. WHAT DO I DO WITH THE RESULTS? While you don't have to act on every suggestion that your patients give you, you should take action on the key items that are causing dissatisfaction. Remember that your goal is to improve quality, not to place blame.

 

Care Analytics is a tablet-based software that assesses skilled nursing facilities and provides feedback to make quality improvements for patient satisfaction in real time. To advance the patient experience, providers must understand patient needs and address targeted opportunities within patient populations. Care Analytics provides meaningful and actionable insights into every aspect of patient perception. We work with facilities across the globe to collect feedback through real-time point of care tablet based assessments. We provide straight-forward steps focusing on the key drivers of exceptional patient experiences. Our model is based on the marriage of big data and years of experience with improving patient satisfaction

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Nursing Home Patient, Family, and Staff Satisfaction Critical Data to Assess Quality

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Nursing Home Patient, Family, and Staff Satisfaction Critical Data to Assess Quality

THE RESIDENTS’POINT OF VIEW


Question to residents: “What does high quality care mean to you?”

Answer: “Good staff”=

1.“they want to help”

2.“they are kind, nice, good to me”

3.“there are enough of them”

4.“they are polite, courteous, respectful, treat me with dignity”

5.“they are friendly, cheerful, pleasant, jolly”

6.“they are patient, they have time for me”

7.“they are patient, listen, take complaints seriously”

8.“they relate well, positively”

9.“they are well-trained, qualified, skilled, knowledgeable”

Patient Satisfaction Assessments capture customer’s expectations & satisfaction.

WHY COLLECT AND PUBLICALLY REPORT SATISFACTION DATA?
Four Main Reasons:

•The Humanistic Reason
•The Efficiency Reason
•The Marketing Reason
•The Economic Reason


ALSO the data and Percentages are People:
•Voices of people
•Perception is reality
•Public relations force


We have found Four Drivers of Satisfaction
•Communication
•Pain management
•Personal needs
•Response to call bells

THE FAMILIES MOST IMPORTANT FEATURE OF QUALITY
According to families:
•Warm staff interaction
•Cleanliness
•Resident grooming
•No pressure sores
•Food choice
•Daily routine choice

Drivers of Consumer Satisfaction
•Competency of staff
•Care (concern) of staff
•Nursing care
•Respectfulness of staff
•Nursing assistant care
•Safety of facility
•Meeting choices/preferences

STAFF SATISFACTION PREDICTS FAMILY SATISFACTION

Satisfied employees report:  •Better supervision•Better training•Better work environments

Higher Employee Satisfaction Creates: •Fewer resident falls •Fewer pressure ulcers •Fewer catheters •Less nurse turnover and absenteeism •Less CNA absenteeism •Higher occupancy rates

Power of Staff Satisfaction Influences •Turnover •Relationships with co-workers, residents, and families •Quality of care •Regulatory compliance

High Turnover = Low Quality

STRUCTURAL MEASURE OF QUALITY

Staff Satisfaction influences Overall satisfaction and Recommendations to others: •Evidence-based •Availability –limited •Recommendation –quarterly updates

Results are Interrelated •Implement principles of culture change –Enhanced leadership practices •Employee Satisfaction –Low turnover, high retention, low absenteeism •Workforce performance •Consumer satisfaction •Clinical outcomes •Regulatory compliance

Care Analytics fosters sustained change and continuous improvement –Drive evidenced-based practices that enhance quality of care and quality of life •Validate superior performance

 

Care Analytics is a tablet-based software that assesses skilled nursing facilities and provides feedback to make quality improvements for patient satisfaction in real time. To advance the patient experience, providers must understand patient needs and address targeted opportunities within patient populations. Care Analytics provides meaningful and actionable insights into every aspect of patient perception. We work with facilities across the globe to collect feedback through real-time point of care tablet based assessments. We provide straight-forward steps focusing on the key drivers of exceptional patient experiences. Our model is based on the marriage of big data and years of experience with improving patient satisfaction

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WAYS TO IMPROVE PATIENT SATISFACTION SURVEY SCORES

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WAYS TO IMPROVE PATIENT SATISFACTION SURVEY SCORES

Patient experience matters. In fact, it’s so important it’s considered a marker of quality patient care, and it is used to determine incentives, Value-Based Payment Modifier reimbursements, amount of shared of savings received by accountable care organization participants, and it is a requirement for maintenance of certification. Yet, it is one of the quality measures that physicians and medical facilities reportedly find most difficult to change.

1. Provide information that’s easy to understand. Facilities sometimes provide too many facts at once, leaving patients to ponder on the first sentence while the doctor has moved on. When explaining important information, consider using the most important points and discuss only these. Provide small chunks of information at a speed the patient can process, and check for understanding after each point. Strategies to improve the patient’s recall of instructions include such as providing event-based and location-based instructions. For example: “Take your antibiotics before breakfast and dinner”

2. Show patients you respect their opinions and that you have heard them. A small investment of just 90 seconds is generally enough time for patients to share their perceptions of the illness, their feelings, and expectations. Also, remember that one of the most effective communication tools for caregivers is silence. Waiting for just two more seconds before responding to a patient can elicit additional important information from the patient. Similarly, waiting an additional two seconds after asking the patient a question allows the patient more time to formulate a meaningful response.

3. Create the perception of adequate time. Caregivers face enormous time pressures, and talk time is at a premium. However, omitting pleasantries is a false economy, as a hurried patient may withhold crucial information necessary for clinical care. Therefore, don’t appear rushed. Avoid checking your watch and talking with one hand on the door handle.

4. Involve the patient in the decision-making process. Here are a few proven techniques suggested by "Skills for Communicating with Patients": • Give the patient a choice. • Share your rationale. • Encourage patient contribution.

5. Create high patient satisfaction. Little things can make a big difference. Be sure to: • Provide a good introduction. • Acknowledge a patient’s waiting time. • Use humor. • Avoid blocking behaviors such as offering advice and reassurance before the main problems have been identified.

6. Be empathic. When patients provide clues about how they are feeling, respond with an empathic response.

7. Understand the patient’s experience and perspective. Consider the patient's interests, work, and hobbies, as well as the patient's condition, experiences with it, ideas about it, and feelings toward it. This will show respect, foster an open dialogue, and enable you to devise treatment strategies the patient is more likely to commit to achieving.

Incorporating these simple techniques into your daily interactions with patients will provide them with a better experience, help them achieve better outcomes, and benefit you and the facility at the same time.

 

Care Analytics is a tablet-based software that assesses skilled nursing facilities and provides feedback to make quality improvements for patient satisfaction in real time. To advance the patient experience, providers must understand patient needs and address targeted opportunities within patient populations. Care Analytics provides meaningful and actionable insights into every aspect of patient perception. We work with facilities across the globe to collect feedback through real-time point of care tablet based assessments. We provide straight-forward steps focusing on the key drivers of exceptional patient experiences. Our model is based on the marriage of big data and years of experience with improving patient satisfaction

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