HealthStream offers performance learning management solutions to help develop your healthcare staff into leaders and reduce turnover.
View All ProductsHealthStream works with healthcare organizations to create engaging and high-quality training videos for your staff and management.
View All ProductsImprove care quality and save money by making informed decisions about your healthcare facility and staff with HealthStream's reporting analytics solution.
View All ProductsHealthStream's proven methods for the improvement and overall engagement of your healthcare staff foster a positive workplace and increase retention rates.
View All ProductsThe leadership development program from HealthStream helps mold your high-potential healthcare employees into proven leaders.
View All ProductsFulfill compliance requirements with a variety of programs and courseware designed to address critical regulatory requirements as well as educate staff to recognize and mitigate risks.
View All ProductsBy increasing your healthcare staff's focus on quality and safety with HealthStream, they can help to reduce medical errors and readmission rates.
View All ProductsLearn about what HealthStream's healthcare policy management software and how it can help aid your organization efforts.
View All ProductsHealthStream's education helps address diversity, equity, and inclusion within your organization, as well as promoting health equity in the communities you serve.
View All ProductsDeliver custom or industry designed product training directly to patient and resident care environments to reinforce proper use.
View All ProductsTeach your healthcare staff about the revenue cycle and claim management through targeted training and video tools from HealthStream.
View All ProductsNurture the skills of your nurses and medical staff to help mold them into effective leaders with development training from HealthStream.
View All ProductsIn all areas of resuscitation, from neonatal to elderly care, clinical deterioration is a risk that can be avoided with the help of HealthStream's training programs.
View All ProductsHealthStream's EMS Program offers a comprehensive, CAPCE accredited EMS course library that meets National Registry annual recertification.
View All ProductsMake sure your clinicians have the support they need to provide competent care with clinical competency training and development from HealthStream.
View All ProductsThe suite of healthcare onboarding solutions available from HealthStream aids in nurse retention and improved patient outcomes.
View All ProductsGive your healthcare staff the decision support and skills training they need with the online products available from HealthStream.
View All ProductsHealthStream's solutions allow your healthcare workforce to be confident and competent with the knowledge they are upholding the highest of standards.
View All ProductsHealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All ProductsHealthcare scheduling software designed to optimize staffing requirements & elevate patient care
View All ProductsPrecisely align staffing and needed resources to enable efficient patient flow and high-quality, cost-effective patient care.
View All ProductsHealthStream’s free nurse schedule app, NurseGrid™, is built to help you care for your staff and engage with their specific needs.
View All ProductsMitigate risk and elevate your quality of care. Improving both clinical and business outcomes starts with a smarter, more integrated approach to regulatory training, continuing education and quality management.
Learn MoreThis blog post excerpts an article in the Q4 2015 issue of PX Advisor, our quarterly magazine designed to bring you thought leadership and best practices for improving the patient experience. We interviewed Mitchel T. Heflin MD, MHS Associate Professor of Medicine, Duke University School of Medicine; Eleanor McConnell PhD, RN, GCNS-BC Associate Professor, Duke University School of Nursing; and Loretta Matters MSN, RN, Associate Director, Center of Excellence for Geriatric Nursing Excellence, Duke University School of Nursing about the Duke Inter-Professional Frail Elder Care certificate program that HealthStream is helping to develop as part of our Living Labs initiative.
Tell us a little bit about the new certificate program—how does it work, what are the topic areas involved, care settings, etc.?
Changing this trajectory, or at least caring for people effectively across this period of time, requires not just attending to the “admitting diagnosis” but to the variety of factors that constitute high quality care for older adults. We have chosen five initial focus areas based on our assessment of the evidence and feedback from teams of professionals who care for frail elders. Increased expertise in these areas would prepare clinicians to impact frailty-related adverse outcomes among older adults across the care continuum. These topic areas include:
Can you describe the differing ways in which frontline staff, prescribers, and allied staff are currently equipped to face these challenges? What new skills do they need?
Members of the care team often are trained to perform a set of tasks or duties that apply narrowly to their functions in caring for a person with a single disorder. Yet care for older adults requires understanding of how multiple diseases interact with each other, and with aging. Failing to understand these complexities can create gaps in care, leading to delayed diagnosis of problems, and setting the stage for transitions that are especially risky for the frail elder population. Failing to appreciate the importance of team care can likewise lead to delayed care or unresolved care needs. To address the care needs of older adults across the care spectrum, we have characterized the nature of the problems and desired staff performance from an interprofessional perspective.
What makes your program unique?
We have identified both core competencies that we expect of all healthcare staff, as well as role-specific competencies. For example, in the area of medications—ALL professionals should understand that geriatric syndromes such as malnutrition, falls, cognitive disturbance, and urinary incontinence may result from an adverse drug effect. Prescribers, however, need to have more in-depth knowledge of how to avoid high risk drugs and how to prescribe therapeutic alternatives. Likewise, medication reconciliation, which is already mandated by the Joint Commission, takes on added importance (and complexity) in elders who are also likely to be cared for by multiple providers.
In addition to role-specific differences in content, we have designed the modules to take into account both common and distinct implications for care in different care settings. For example, delirium onset is much more prevalent in the hospital than in other care settings. However, delirium can certainly be first observed in the clinic setting—either in the context of new-onset acute illness, or in the context of post-acute care. For this reason, it is important for ALL care settings to have the capacity to recognize and assess delirium, and to develop a setting appropriate response. However, opportunities in clinic and home care to observe behavioral indicators of delirium are much more limited than in hospital or residential LTC settings— so heightened awareness among staff is needed, along with setting-specific examples of what they might see and how they might engage family caregivers more effectively.
To make sure every member of the care team knows how to diagnose and handle situations, we are going to provide training in best practices that are supported by evidence. The content of the training will be provided at two levels: that which is applicable across the entire team and that which is customized by individual role, as appropriate.
HealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All Learning & PerformanceHealthStream offers performance learning management solutions to help develop your healthcare staff into leaders and reduce turnover.
View All ProductsHealthStream works with healthcare organizations to create engaging and high-quality training videos for your staff and management.
View All ProductsImprove care quality and save money by making informed decisions about your healthcare facility and staff with HealthStream's reporting analytics solution.
View All ProductsHealthStream's proven methods for the improvement and overall engagement of your healthcare staff foster a positive workplace and increase retention rates.
View All ProductsThe leadership development program from HealthStream helps mold your high-potential healthcare employees into proven leaders.
View All ProductsWhen you enact HealthStream's quality compliance solutions, you can do so with the confidence your healthcare organization will meet all standards of care.
View All Quality & ComplianceFulfill compliance requirements with a variety of programs and courseware designed to address critical regulatory requirements as well as educate staff to recognize and mitigate risks.
View All ProductsBy increasing your healthcare staff's focus on quality and safety with HealthStream, they can help to reduce medical errors and readmission rates.
View All ProductsLearn about what HealthStream's healthcare policy management software and how it can help aid your organization efforts.
View All ProductsHealthStream's education helps address diversity, equity, and inclusion within your organization, as well as promoting health equity in the communities you serve.
View All ProductsHealthStream offers professional training and education on how to best optimize your reimbursement process within your healthcare organization.
View All ReimbursementTeach your healthcare staff about the revenue cycle and claim management through targeted training and video tools from HealthStream.
View All ProductsImprove the preparedness of your staff, increase survival rates, and cut costs with the advanced resuscitation training services from HealthStream.
View All ResuscitationNurture the skills of your nurses and medical staff to help mold them into effective leaders with development training from HealthStream.
View All ProductsIn all areas of resuscitation, from neonatal to elderly care, clinical deterioration is a risk that can be avoided with the help of HealthStream's training programs.
View All ProductsHealthStream's EMS Program offers a comprehensive, CAPCE accredited EMS course library that meets National Registry annual recertification.
View All ProductsExpand the decision-making skills and effectiveness of your healthcare workforce with HealthStream's clinical development programs and services.
View All Clinical DevelopmentMake sure your clinicians have the support they need to provide competent care with clinical competency training and development from HealthStream.
View All ProductsThe suite of healthcare onboarding solutions available from HealthStream aids in nurse retention and improved patient outcomes.
View All ProductsGive your healthcare staff the decision support and skills training they need with the online products available from HealthStream.
View All ProductsHealthStream's solutions allow your healthcare workforce to be confident and competent with the knowledge they are upholding the highest of standards.
View All ProductsHealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All ProductsDelivers everything you need to request, gather, and validate information about a provider to create a single source of truth for downstream processes.
View All CredentialingMake sure your healthcare staff can schedule out appointments and work schedules with ease using HealthStream's line of software solutions.
View All Scheduling & Capacity ManagementHealthcare scheduling software designed to optimize staffing requirements & elevate patient care
View All ProductsPrecisely align staffing and needed resources to enable efficient patient flow and high-quality, cost-effective patient care.
View All ProductsHealthStream’s free nurse schedule app, NurseGrid™, is built to help you care for your staff and engage with their specific needs.
View All Products