scholarly journals ECHO Care of the Elderly: Innovative Learning to Build Capacity in Long-term Care

2021 ◽  
Vol 24 (1) ◽  
pp. 36-43
Author(s):  
Navena R. Lingum ◽  
Lisa Guttman Sokoloff ◽  
James Chau ◽  
Sid Feldman ◽  
Shaen Gingrich ◽  
...  
Keyword(s):  
Health Care ◽  
Capacity Building ◽  
Health Care Providers ◽  
Self Efficacy ◽  
Long Term Care ◽  
The Elderly ◽  
Care Providers ◽  
Term Care ◽  
Building Program

Background Older adults are entering long-term care (LTC) homes with more complex care needs than in previous decades, resulting in demands on point-of-care staff to provide additional and specialty services. This study evaluated whether Project ECHO® (Extension for Community Healthcare Outcomes) Care of the Elderly Long-Term Care (COE-LTC)—a case-based online education program—is an effective capacity-building program among interprofessional health-care teams caring for LTC residents. Methods A mixed-method, pre-and-post study comprised of satisfaction, knowledge, and self-efficacy surveys and exploration of experience via semi-structured interviews. Participants were interprofessional health-care providers from LTC homes across Ontario. Results From January–March 2019, 69 providers, nurses/nurse practitioners (42.0%), administrators (26.1%), physicians (24.6%), and allied health professionals (7.3%) participated in 10 weekly, 60-minute online sessions. Overall, weekly session and post-ECHO satisfaction were high across all domains. Both knowledge scores and self-efficacy ratings increased post-ECHO, 3.9% (p = .02) and 9.7 points (p < .001), respectively. Interview findings highlighted participants’ appreciation of access to specialists, recognition of educational needs specific to LTC, and reduction of professional isolation. Conclusion We demonstrated that ECHO COE-LTC can be a successful capacity-building educational model for interprofessional health-care providers in LTC, and may alleviate pressures on the health system in delivering care for residents.

scholarly journals Managing the long term care of inflammatory bowel disease patients: The cost to European health care providers

2011 ◽  
Vol 5 (4) ◽  
pp. 301-316 ◽  
Author(s):  
James Buchanan ◽  
Sarah Wordsworth ◽  
Tariq Ahmad ◽  
Angela Perrin ◽  
Severine Vermeire ◽  
...  
Keyword(s):  
Health Care ◽  
Inflammatory Bowel Disease ◽  
Health Care Providers ◽  
Long Term Care ◽  
Care Providers ◽  
Term Care ◽  
European Health ◽  
Inflammatory Bowel ◽  
The Cost

scholarly journals Perspectives and experiences of compassion in long-term care facilities within Canada: a qualitative study of patients, family members and health care providers

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Lorraine Smith-MacDonald ◽  
Lorraine Venturato ◽  
Paulette Hunter ◽  
Sharon Kaasalainen ◽  
Tamara Sussman ◽  
...  
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Health Care Providers ◽  
Long Term Care ◽  
Family Members ◽  
Care Providers ◽  
Term Care ◽  
Care Facilities

scholarly journals Improving Quality and Access to Care in Long-Term Care Settings

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 328-328
Author(s):  
Nancy Dudley ◽  
Nancy Dudley
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Health Care Providers ◽  
Low Income ◽  
Workplace Violence ◽  
Independent Living ◽  
Long Term Care ◽  
Care Providers ◽  
Term Care

Abstract Innovative delivery models that assure access to quality care in long-term care settings are needed for the diverse high-risk aging U.S. population. The 2008 National Academy of Medicine report, “Retooling for an Aging America: Building the Health Care Workforce” highlighted the need for changing the roles of health care providers in order to provide high-quality and cost-effective care to older Americans. Moreover, from the providers’ perspective, workplace violence in health care institutions, such as nursing homes, negatively affect the delivery, quality, and accessibility of health care. In this symposium, we identify needs and care provisions in the context of older adults aging in long-term care settings and discuss the implications for policy and health care transformation. This symposium comprises three distinct presentations: (1) identifying and addressing the needs of diverse older adults aging in low-income independent living facilities in community health practice; and based on pilot survey results from nurses in the State of New Hampshire, (2) reframing residents’ violence directed toward providers as self-protection and (3) proposing legislative and policy changes designed to meet the needs of staff and residents of long-term care facilities. These presentations represent efforts across long-term care settings to improve access and quality of care in the context of diverse older adults aging in the U.S.

scholarly journals COVID-19 Perspectives of Assisted Living and Health Care Providers in Seven States

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 271-271
Author(s):  
Philip Sloane ◽  
Johanna Hickey ◽  
Kali Thomas ◽  
Julia Thorp ◽  
Meredith Poole ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Assisted Living ◽  
Infection Prevention ◽  
Long Term Care ◽  
Patient Access ◽  
Care Providers ◽  
Psychosocial Needs ◽  
Term Care

Abstract Thirty percent of COVID-19 deaths in long-term care were in assisted living (AL), indicating challenges providing care. This project recruited AL administrators and medical and mental health care providers in a seven-state stratified random sample of 250 communities; it asked what was most challenging responding to COVID-19, what was successful, how to have better dealt with COVID-19, and how others could have helped. The most common challenge was addressing residents’ psychosocial needs, explained as “No contact - no hugging. The seniors require touch. It's something we've always done, and we can't do; we're required not to do it.” Successes included infection prevention, and in hindsight, administrators discussed staffing. Related to external entities, one commented, “Come in the building and see what we're doing. Don't sit behind a freaking screen and act like you know what we're doing.” Providers stressed patient access to care and social isolation. Implications will be discussed.

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