Day 1 :
Moses Cone Memorial Hospital, USA
Keynote: Advance Community Paramedicine Program: Reducing Hospital Readmissions of High Risk Heart Failure Patients
Time : 9:00-09:45
Monette recently completed her Doctor in Nursing Practice from American Sentinel University in Aurora, Colorado with a focus on Executive leadership. She is currently the director of a 30 bed heart failure unit at Moses Cone Memorial Hospital, a 500 bed acute care hospital that is a part of a 6 hospital enterprise in southeastern North Carolina. She has presented numerous evidence based posters to various national nursing conferences including the American Nurses association and the American Association of Critical Care Nurses.Monette recently completed her Doctor in Nursing Practice from American Sentinel University in Aurora, Colorado with a focus on Executive leadership. She is currently the director of a 30 bed heart failure unit at Moses Cone Memorial Hospital, a 500 bed acute care hospital that is a part of a 6 hospital enterprise in southeastern North Carolina. She has presented numerous evidence based posters to various national nursing conferences including the American Nurses association and the American Association of Critical Care Nurses.Monette recently completed her Doctor in Nursing Practice from American Sentinel University in Aurora, Colorado with a focus on Executive leadership. She is currently the director of a 30 bed heart failure unit at Moses Cone Memorial Hospital, a 500 bed acute care hospital that is a part of a 6 hospital enterprise in southeastern North Carolina. She has presented numerous evidence based posters to various national nursing conferences including the American Nurses association and the American Association of Critical Care Nurses.
Reducing hospital readmission for heart failure patients is a major focus for healthcare organizations to improve quality and reduce cost, following Center for Medicare and Medicaid rule to lower reimbursement to hospitals with increased readmissions for heart attack, heart failure and pneumonia. Advance community paramedicine program is an innovative approach to reducing hospital readmission by employing paramedics to conduct follow up visits to high risk heart failure patients. This quantitative non-experimental before and after comparative study of a single group using retrospective data of high risk heart failure patients. This study will attempt to establish statistically significant relationship between the advance community paramedicine program and heart failure patient’s readmission rate and address questions by describing correlation and causation based on objective measurement and observations (Hammer & Collinson, 2004). A non-probability convenience sample of approximately 100 records on patients, who were admitted to a heart failure unit before and after the community paramedicine program were implemented, will be retrieved from the electronic health system. Data will be analyzed using IBM SPSS version 23.0. Descriptive statistics will be used to describe the characteristics of the patients and the Chi-square, a non-parametric test will be used to analyze the variables that are measured on a categorical level (Kim & Mallory, 2014).
Molloy College, USA
Keynote: The impact of the Health Guardian for Longevity Program in bridging the gap to tailored-center health care for residents of the Se village in West Africa
Time : 9:45-10:15
Freida Pemberton is a Full Professor of Nursing at Molloy College, Rockville Centre, NY and served in the position of Director of the Graduate Nursing Program for four years. Dr. Pemberton has made numerous contributions to the advancement of the Molloy College community and the community at large. She developed its Graduate Nursing Informatics component of the Administration track. Dr. Pemberton is an American Nurses Credentialing Center (ANCC) Board Certified Informatics Nurse and continues to practice as a consultant in informatics. She has published on Distance Education, Development of a Faculty Learning Center, A Study on Nurses Attitudinal Tendencies and Impact of the Health Guardian for Longevity Program. She published numerous websites designed to meet the healthcare needs of communities with limited to no access to healthcare. Dr. Pemberton’s contributions to the Profession are far outreaching after 45 years in practice. She has an exhaustive list of awards and honorable mentions. Dr. Pemberton is also a Health Resources and Services Administration (HRSA) Grant Reviewer and on the Editorial Board for the COJ Nursing and Healthcare of Crimson Publishers. Dr. Pemberton has an involvement in health care organizational programs at local, national, international, and federal levels. She established the World Wide Holistic Health Outreach non-profit 501 c3 public charity serving indigenous communities both nationally and internationally. Dr. Pemberton continues to develop innovative telecommunication programs designed to meet the specific needs of clients both nationally and internationally. She enjoys challenging students to be innovators and design programs and services that will improve the human condition for all. She has developed enrichment programs for the advancement of students in primary and secondary education that focused on science, mathematics, and computers. Students are challenged to be visionaries and to continue outreach work that incorporates the advancements in telecommunication.
This case study explored the impact of bringing tailored health care to a village in West Africa using the Health Guardian for Longevity Program (HGFLP), an individualized tailored-fitted telehealth program that incorporates virtual, automation, and mobile technology (Pemberton, 2017). “The Health Guardian for Longevity Program takes in hand the assessed data, mobilizing the powerful tools of mobile, interactive, remote, video, and virtual technologies, as well as selected learning models, behavioral theories, and humor to treat patients as individuals” (Pemberton, 2017, a.1). In the village Wi-Fi was not an option, thus the delivery and operation of the program required technological modifications in automation and the reliance on assigned team leaders who lived within city limits, had transportation and access to Wi-Fi. The team leaders led groups of 25-38 people (100 participants) through the case study process. The researcher randomly selected the 100 participants in the study from a pool of 200, who were part of the on-site visit and health promotion program of 2014. The population spanned across the life cycle and was arranged in groups of School-Age, Adolescent-Age, Young Adult-Age, Middle Adult-Age and Older Adult-Age. This case study began in 2014 incorporating a new practice approach that differed from prior years with the implementation of the Health Guardian for Longevity Program. The qualitative case study explored the impact of the participants’ online use of the Health Guardian for Longevity Program related to their health status and sustainability following a healthcare crisis.
Data was collected from the 100 participants who used the program for 1.5 years, completed in 2016. The participants responded to the Health Guardian for Longevity Program Perception Questionnaire, a 10-item Likert-scale Instrument. The questionnaire was administered by team leaders and the data captured was analyzed by the primary investigator in 2016. Data collected was analyzed using the QDA Miner Lite software program. Prior research on the benefits of tailored-centered patient care, the meaningful use of technology in healthcare, and telehealth practice guided this study. The results of the analyzed data identified both effective and ineffective practices related to the use of the Health Guardian for Longevity Program. In response to three questionnaire items, it was identified that modifications were needed; 1. provide more intensive training for team leaders, 2. all narratives must be written in the language of the villagers, and 3. all health partners need to learn the native language. The findings from this research study provided specific strategies for sustainability of quality healthcare using telehealth practice, virtual, and mobile devices. This case study now serves as a case-based teaching and problem-solving learning module for the educator’s students enrolled in nursing informatics, research, and growth and development courses. A quantitative research design study is in progress, focusing on the clinical data captured in this study.