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News Article | February 21, 2017
Site: marketersmedia.com

Capital Health Care Network's facility, The Oaks of West Kettering in Dayton Ohio achieved a deficiency free rating from the Ohio Department of Health and Welfare. This is a rare achievement for a survey which evaluates physical plant, housekeeping, nursing and resident activity factors.Dayton, United States - February 20, 2017 /PressCable/ — The Oaks of West Kettering skilled nursing center recently received, and is celebrating a deficiency-free state survey, helping to kick off the challenge to other Capital Health Care Network communities. The nursing home was examined in January by a team from the Ohio Department of Health and Welfare, and no issues were noted! “This is a rare occurrence and does not happen without a lot of work, preparation, teamwork and focus,” said Mark Knepper, COO Capital Health Care Network- Senior Care Division. Ohio State inspectors have a comprehensive list of what they’re looking for during a survey, including areas such as the physical plant, housekeeping, nursing and activities for residents. And a deficiency-free survey is unusual. “A lot of people understand that in this industry it is very difficult to obtain a deficiency-free survey, with all the regulations,” said Theresa Lippoli, Administrator of The Oaks of West Kettering. During their four day evaluation, the Ohio Department of Health’s work included looking at residents’ charts, interviewing residents, reviewing compliance with Medicare and Medicaid regulations, and assessing processes in place for preventing abuse and neglect. “In today’s world with numerous regulations, it is indeed impressive to see a facility functioning as a team at this level. We are very proud of this accomplishment and it symbolizes the Capital Health Care Network’s commitment to the residents we serve,” stated Mark Knepper, COO Capital Health Care Network-Senior Care Division. The Oaks of West Kettering is part of the Capital Health Care Network, providing seniors with assisted living, independent living, skilled nursing and rehabilitation, home care, and hospice services for 30 years. Their mission of excellence in helping seniors age on their own terms has resulted in recognition by the American Health Care Association for the National Quality Award, and 5 – Star Ratings at other facilities. For more information contact: Theresa Lippoli, Administrator The Oaks of West Kettering 1150 West Dorothy Lane Dayton, Ohio, 45409 (937) 293-1152 Contact Info:Name: Theresa LippoliEmail: theresa.lippoli@capitalhcn.comOrganization: Capital Health Care NetworkAddress: 5020 Philadelphia Dr,, Dayton, OH 45415, United StatesPhone: +1-937-293-1152For more information, please visit https://capitalhealthcarenetwork.comSource: PressCableRelease ID: 171539

Hanly J.G.,Dalhousie University | Hanly J.G.,Capital Health | Su L.,University Forvie Site | Omisade A.,Capital Health | And 3 more authors.
Journal of Rheumatology | Year: 2012

Objective. We examined the association between responses on a screening questionnaire and objective performance on a computer-administered test of cognitive abilities in systemic lupus erythematosus (SLE). Methods. The Cognitive Symptom Inventory (CSI) and Hospital Anxiety and Depression Scales (HADS) questionnaires were compared in patients with SLE or rheumatoid arthritis (RA). The Automated Neuropsychological Assessment Metrics (ANAM) was used to evaluate cognitive performance in patients with SLE. Efficiency of performance was measured by "throughput" (number of correct responses per minute) and "inverse efficiency" (response speed/proportion of correct responses). Linear regression was applied to log-transformed CSI scores to examine their associations with ANAM scores and other factors. Results. Patients with SLE (n = 68) or RA (n = 33) were similar in age, sex, ethnicity, and education status (p > 0.05). Patients with SLE had higher total CSI scores (33.6 ± 10.5 vs 29.4 ± 6.8, respectively; p = 0.041) and attention/concentration subscale CSI scores (15.7 ± 5.3 vs 13.3 ± 3.4; p = 0.016) compared to patients with RA. In patients with SLE there was a positive association between CSI scores and neuropsychiatric (NP) events at the time of testing (p = 0.0006), HADS anxiety (p < 0.0001), and depression (p < 0.0001) scores. After adjustment for age, education, disease duration, and NP events at the time of testing, there was no significant association (p > 0.05) between ANAM and CSI scores in patients with SLE. The results were similar using either "throughput" or "inverse efficiency" or the number of impaired ANAM subscales after adjustment for simple reaction time. Conclusion. The CSI self-report questionnaire of cognitive symptoms does not reliably screen for efficiency of cognitive processing in patients with SLE. Rather, cognitive complaints reported in the CSI are influenced by the presence of anxiety and depression. The Journal of Rheumatology Copyright © 2012. All rights reserved.

Feldman-Winter L.,Cooper University Hospital | Procaccini D.,Capital Health | Merewood A.,Boston University
Journal of Human Lactation | Year: 2012

Background: In June 2010, the Communities Putting Prevention to Work program (Centers for Disease Control and Prevention) funded a New Jersey (NJ) Office on Nutrition and Fitness, Department of Health and Senior Services project to reduce obesity and increase exclusive breastfeeding by increased implementation of the Baby-Friendly Hospital Initiative in the state of NJ. At baseline, NJ had no Baby-Friendly hospitals and no hospital was using an infant feeding policy that conformed to standards required by Baby-Friendly USA for designation. Goal: To create a model infant feeding policy that would be adaptable for use at multiple NJ hospitals preparing for Baby- Friendly designation. Methods: Project consultants created a policy based on existent policies from the American Academy of Pediatrics, the Academy of Breastfeeding Medicine, certified Baby-Friendly hospitals, and guidance from Baby-Friendly USA. This policy was submitted to Baby-Friendly USA, the US body responsible for Baby-Friendly designation. Results: Baby-Friendly USA requested changes; after adaptations, the policy was made available to targeted NJ hospitals via a statewide portal. The hospitals made relevant adaptations for their setting, and those that were ready submitted the policy during the Baby-Friendly designation process. The policy was acceptable to Baby-Friendly USA. Conclusion: A collaborative initiative can use a single breastfeeding policy template as an aid toward Baby-Friendly designation. Such work streamlines the process and saves time and resources. © The Author(s) 2012.

A service led by acute care surgeons managing trauma, critically ill surgical, and emergency general surgery patients via an acute care surgery model of patient care improves hospital efficiency and patient outcomes at university-affiliated hospitals and American College of Surgeons-verified trauma centers. Our goal was to determine whether an acute care surgeon led service, entitled the Surgical Trauma and Acute Resuscitative Service (STARS) that implemented an acute care surgery model of patient care, could improve hospital efficiency and patient outcomes at a community hospital. A total of 492 patient charts were reviewed, which included 230 before the implementation of the STARS [pre-STARS (control)] and 262 after the implementation of the STARS [post-STARS (study)]. Demographics included age, gender, Acute Physiology and Chronic Health Evaluation 2 score, and medical comorbidities. Efficiency data included length of stay in emergency department (ED-LOS), length of stay in surgical intensive care unit (SICU-LOS), and length of stay in hospital (H-LOS), and total in hospital charges. Average age was 64.1 + 16.4 years, 255 males (51.83%) and 237 females (48.17%). Average Acute Physiology and Chronic Health Evaluation 2 score was 11.9 + 5.8. No significant differences in demographics were observed. Average decreases in ED-LOS (9.7 + 9.6 hours, pre-STARS versus 6.6 + 4.5 hours, post-STARS), SICU-LOS (5.3 + 9.6 days, pre-STARS versus 3.5 + 4.8 days, post-STARS), H-LOS (12.4 + 12.7 days, pre-STARS versus 11.4 + 11.3 days, post-STARS), and total in hospital charges ($419,602.6 + $519,523.0 pre-STARS to $374,816.7 + $411,935.8 post-STARS) post-STARS. Regression analysis revealed decreased ED-LOS-2.9 hours [P = 0.17; 95% confidence interval (CI): -7.0, 1.2], SICU-LOS-6.3 days (P < 0.001; 95% CI: -9.3, -3.2), H-LOS-7.6 days (P = 0.001; 95% CI: -12.1, -3.1), and 3.4 times greater odds of survival (P = 0.04; 95% CI: 1.1, 10.7) post-STARS. In conclusion, implementation of the STARS improved hospital efficiency and patient outcomes at a community hospital.

Parrott Y.,Capital Health | Esmail S.,University of Alberta
Health Education | Year: 2010

Purpose: This paper aims to investigate the unique issues childhood burn survivors experience in relation to sex education and sexual development. Design/methodology/approach: Using a phenomenological approach, participants described their lived experiences with regards to sex education and the sexuality issues they encountered as child burn survivors. One-to-one semi-structured interviews and a focus group were used to gather data, which were analyzed using a constant comparison method. Findings: Results provide educators with better insight into the experiences of burn survivors as well as strategies for approaching sex education. Findings centered around five areas: exposure, sex education content, timing of sex education, characteristics of the educator and most appropriate methods of delivery. Research limitations/implications: Sexuality is a value-laden topic that has the potential to increase apprehension and decrease willingness to discuss. As a result, the sample may not be wholly representative across age groups, concerns or social attitudes regarding sexuality present within this population. Additional limitations are also noted. Future studies, which utilize a mixed method approach with a larger sample of both adolescent and adult burn survivors, would increase the value and generalizability of the findings. Originality/value: Research findings confirm that persons living with childhood burn injuries experience similar feelings and concerns regarding their sexuality as their able-bodied peers which contradict social views. However, mainstream sex education falls short of addressing their unique needs and as such this study's findings provide strategies to allow for appropriate knowledge acquisition to ease the transition from childhood to adulthood. © Emerald Group Publishing Limited.

Carson V.,University of Alberta | Spence J.C.,University of Alberta | Cutumisu N.,University of Alberta | Boule N.,University of Alberta | Edwards J.,Capital Health
Research Quarterly for Exercise and Sport | Year: 2010

Little research has examined seasonal, differences in physical activity (PA) levels among children. Proxy reports of PA were completed by 1,715parents on their children in Edmonton, Alberta, Canada. Total PA (TPA) minutes were calculated, and each participant was classified as active, somewhat active, or inactive. Logistic regression models were conducted to examine associations between PA status and seasons. Significant seasonal differences were observed for TPA, weekday PA, weekend PA, and active play. Children were significantly more likely to be physically active in the summer and, spring and somewhat physically active in the summer and fall, relative to winter. Children living in cold climates are less likely to be physically active in the winter. © 2010 by the American Alliance for Health, Physical Education, Recreation and Dance.

Kisely S.R.,University of Queensland | Campbell L.A.,Capital Health
Schizophrenia Bulletin | Year: 2015

There is controversy as to whether compulsory community treatment (CCT) for people with severe mental illness (SMI) reduces health service use or improves clinical outcome and social functioning. To examine the effectiveness of CCT for people with SMI. We searched the Cochrane Schizophrenia Group's Trials Register and Science Citation Index (2003, 2008, 2012, and 2013). We obtained all references of identified studies and contacted authors where necessary. All relevant randomized controlled clinical trials (RCTs) of CCT compared with standard care for people with SMI (mainly schizophrenia and schizophrenia-like disorders, bipolar disorder, or depression with psychotic features). Standard care could be voluntary treatment in the community or another preexisting form of compulsory community treatment such as supervised discharge. We found 3 trials with a total of 752 people. Two trials compared a form of CCT called 'Outpatient Commitment' (OPC) versus standard voluntary care, whereas the third compared Community Treatment Orders with intermittent supervised discharge. CCT was no more likely to result in better service use, social functioning, mental state, or quality of life compared with either standard voluntary or supervised care. However, people receiving CCT were less likely to be victims of crime than those on voluntary care. Further research is indicated into the effects of different types of CCT as these results are based on 3 relatively small trials. © The Author 2015.

Chevalier B.A.,Capital Health
Nephrology nursing journal : journal of the American Nephrology Nurses' Association | Year: 2011

Heparin is commonly administered during hemodialysis to prevent clotting in the extracorporeal circuit. The authors' unit instituted a change in heparin type and preparation procedure based on patient safety and potential cost savings. Fifty patient charts were reviewed to determine whether the change affected specific patient outcomes. Economic impact measures included drug, supply, and labor costs. No changes in hemodialysis efficacy or rates of adverse events were observed. Annual cost savings were estimated to be $81,627 USD.

Cox J.L.,Queen Elizabeth Health science Center | Cox J.L.,Dalhousie University | Cox J.L.,Capital Health
Annals of Medicine | Year: 2015

Practical management of stroke prevention in patients with non-valvular atrial fibrillation (AF) requires physicians to find the optimal balance between maximizing prevention of ischaemic stroke and minimizing the risk of bleeding. Vitamin K antagonists have traditionally been used for stroke prevention in patients with AF; however, they have been associated with increased risk of bleeding, particularly intracranial haemorrhage. New oral anticoagulants (OACs) have shown similar efficacy to the vitamin K antagonist warfarin but with a reduced risk of bleeding, particularly life-threatening bleeding such as intracranial haemorrhage. Decisions about which new OAC therapy to use may be influenced by patient characteristics such as age, renal function, co-medication use, and bleeding risk. This review uses a case-based approach to highlight the practical management issues to be considered by the physician when selecting a new OAC for stroke prevention in patients with non-valvular AF. © 2015 Informa UK, Ltd.

Martell B.,Capital Health
Journal of Medical Imaging and Radiation Sciences | Year: 2010

By participating in some form of professional development, medical radiation technologists can increase their skill, knowledge, and competence, leading to improved quality, safety, and standards of practice. Participation will also demonstrate acceptance of the responsibility for medical radiation technologists' own professional development. Over the past 10 years, the profession of medical radiation technology has progressed dramatically, with many changes in technology. The need for medical radiation technologists to keep up-to-date on these advancements is evident. Many medical radiation technologists participate in some form of professional development, and the decision to do so is either mandated at the provincial level or it remains a personal one. Because education is a provincial matter, the continuity of professional development or continuing education for medical radiation technologists across the country does not exist. The purpose of this directed reading is to review the options available to medical radiation technologists for professional development, to provide an overview of professional development programs from various health care professional groups, to outline how to effectively introduce a professional development program to medical radiation technologists, and to recommend the most appropriate program to implement for medical radiation technologists. © 2010 Elsevier Inc. All rights reserved.

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