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Interdisciplinary Team Walking Rounds ~Patients in Motion~

Interdisciplinary Team Walking Rounds ~Patients in Motion~. Presented by: Roselle Fallar, RN, MDS Coordinator Beth Garver, Executive Director Gem Sison, PT, Rehab Director Nadine Domingo, RN, DON. IDT Walking Rounds ~ Key Players. Physician. ED DON DSD. ***Assumes ownership of process.

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Interdisciplinary Team Walking Rounds ~Patients in Motion~

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  1. Interdisciplinary TeamWalking Rounds~Patients in Motion~ Presented by: Roselle Fallar, RN, MDS Coordinator Beth Garver, Executive Director Gem Sison, PT, Rehab Director Nadine Domingo, RN, DON

  2. IDT Walking Rounds ~ Key Players Physician ED DON DSD ***Assumes ownership of process

  3. Practice of IDT Walking Rounds • Walking Rounds are completed on a regularly scheduled basis • allows for direct observation of the resident’s functional status. • completed via face-to-face contact at the bedside with the resident/family to identify all changes of condition.

  4. Practice of IDT Walking Rounds The objective of the process is to identify resident need and determine potential referrals/ interventions to impact positive functional change.

  5. RATIONALE • Participation in the IDT Walking Rounds process impacts our clinical and operational business at several levels. • The IMPACT ~ • Incorporates the resident, family, entire clinical team immediately upon admission & continuing throughout stay • More timely communication with physician • Proactive process • Improved resident and family satisfaction

  6. The IMPACT ~ • Improved accuracy of medical record documentation • Improved compliance with interventions for patients at-risk:  ROM  Physical/Chemical Restraints  Skin  Medication Management • Weight loss • Serves as a timely referral process • Better use of facility staff resources • IDT Progress Note provides supportive documentation

  7. The IMPACT ~ • IDT members see the resident through their own expertise developing a holistic picture of the resident • IDT members see the resident through their own expertise developing a holistic picture of the resident • Indirect education and learning for support staff of conditions that constitute a change in function • Greater accuracy of case mix scores • Decrease in the number of hours spent in specific condition meetings • Decrease in workman compensation claims

  8. QUALITY INDICATORS

  9. DISCHARGE OUTCOMES Hospital Home 2007 2010 2008 2009

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