Browsing by Author "Nault Connors, Jill D."

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    How patient experience informed the SafeMed Program: Lessons learned during a Health Care Innovation Award to improve care for super-utilizers
    (Elsevier, 2019-03) Nault Connors, Jill D.; Binkley, Bonnie L.; Graff, J. Carolyn; Surbhi, Satya; Bailey, James E.; Emergency Medicine, School of Medicine
    • Program theory of change must account for the lived experiences of medically and socially complex patients in order to affect dysfunctional patterns of acute care utilization. • Mental and emotional health, access to self-management resources, and patient-provider communication are key issues of importance to super-utilizing patients. • Transformation of didactic, patient education sessions to interactive, self-management support group sessions achieved success in improving patient engagement. • Lack of collaboration and compliance-oriented healthcare culture are primary threats to successful implementation of innovative healthcare delivery programs. • Linkage and navigation roles of healthcare staff are important in improving patient access to existing community resources, but further health system investments are required to effectively integrate community-based and social services into care delivery. • Peer support interventions are underutilized but hold great promise for addressing behavioral health needs of medically and socially complex patients.
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    Use of Photovoice to engage stakeholders in planning for patient-centered outcomes research
    (BMC, 2019-11-28) Nault Connors, Jill D.; Conley, Marshall J.; Lorenz, Laura S.; Emergency Medicine, School of Medicine
    Background Research is needed to inform patient and provider decisions about how to best care for patients who go to the emergency department with complaints of chest pain when their symptoms are due to anxiety rather than a heart problem. However, this research may not be a high priority due, in part, to a lack of awareness for the severity of anxiety symptoms and the impact of anxiety on peoples’ daily lives. In this commentary article, we highlight the use of Photovoice as a unique method to share patients’ lived experience of anxiety with providers, researchers, and health system leaders. Main text A brief background on Photovoice methods, the process of patient partner involvement in Photovoice, and the project’s Photovoice results (posters, photos and captions) is presented. Conclusion Photovoice achieved its intended effects of increasing awareness of all stakeholders about the burden of anxiety in patients’ lives and the imperative of improving emergency department care for anxiety. This resulted in increased participation in a multi-stakeholder research partnership, critical health system support that included costs to the health system associated with implementing interventions to be tested, and submission of a patient-centered outcomes research proposal that is currently under review. In addition, Photovoice had positive benefits for participants including a therapeutic effect, may have increased group cohesion, and empowerment of patients as partners in the research process.
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    Why an Algorithmic “Rule-Out MI” Order Set Is Necessary But Not Sufficient Care for Chest Pain in the Emergency Department Setting
    (Sage, 2019) Nault Connors, Jill D.; Prittie, Alex; Musey, Paul I.; Emergency Medicine, School of Medicine