Browsing by Author "Hartwell, Jennifer"

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    Addressing Mental Health Needs of Health Care Workers through Peer Support Groups During the COVID-19 Crisis
    (Indiana University, 2020-12) Thornsberry, Tanner; Nault Connors, Jill; Welch, Julie; Hayden, Julie; Hartwell, Jennifer; Ober, Michael; Sotto-Santiago, Sylk; Draucker, Claire; Wasmuth, Sally; Boustani, Malaz; Overley, Ashley; Monahan, Patrick; Kroenke, Kurt
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    Creation of a Virtual Nutrition Support Team to Improve Quality of Care for Patients Receiving Parenteral Nutrition in a Multisite Healthcare System
    (Wiley, 2019-12) Meyer, Michelle; Hartwell, Jennifer; Beatty, Amy; Cattell, Theresa; Surgery, School of Medicine
    Background Parenteral nutrition (PN) is a complicated therapy in which having specially trained clinicians can provide benefit, but it can be difficult to provide this level of expertise to all patients requiring PN. Creation of a virtual nutrition support team (NST) model allows patients across multiple hospitals to receive care from NST clinicians using remote conferencing technology on a daily basis. This study reviewed retrospective data from before and after implementation of the virtual model to assess quality indicators. Methods The NST was developed including a team of dietitians and pharmacists with a physician medical director. Practice guidelines were developed to provide consistent methods for ordering and monitoring patients receiving PN. Patient charts in both the preintervention and postintervention groups were reviewed for indication for PN, duration of therapy, blood glucose levels, and demographic data. Results A greater proportion of patients in the postintervention period had appropriate orders (97.2%) compared with patients in the preintervention period (58.9%) (P < 0.001). A greater proportion of patients in the postintervention period had blood glucose levels within the range 65–180 mg/dL (83.5%) compared with patients in the preintervention period (62.2%) (P < 0.001). Conclusion A virtual team model was applied to remotely manage patients receiving PN in a large healthcare system. This resulted in optimized care of patients by reducing inappropriately prescribed therapy and improving blood glucose control.
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    A Trauma Patient Advocate Is a Valuable Addition to the Multidisciplinary Trauma Team: A Process Improvement Project
    (Southeastern Surgical Congress, 2016-08) Hartwell, Jennifer; Albanese, Kelly; Retterer, Abby; Martin, Stacey; O'Mara, M. Shay; Surgery, School of Medicine
    Any member of the MDTT could request a consultation and assistance from the TPA on an individual basis after identifying specific patient needs on rounds and meeting the criteria of one or more of the following: patients with complex care issues such as poly trauma, having multiple consultants or service lines involved in the care of the patient, difficult family situations such as dealing with estranged family, difficult family communication due to work and travel schedules, need for assistance in decision-making for discharge planning such as choosing a skilled nursing facility, or need for improved communication and coordination of medical care such as coordinating schedules for combined service line cases. [...]we determined that the addition of the TPA to our busy, urban Level I trauma service was well received by the MDTT, subjectively improved team communication and efficiency, and was perceived to increase patient and family engagement and satisfaction with the trauma experience.