Enhancing the Crouse Crouse ExperienceExperience for Patients with

Hearing/Vision LossAn AuroraAurora--CrouseCrouse

Collaboration

Promising Practices in the Care of Elders: Innovative Ideas Grown in CNY

May 4, 2010

Aurora of Central New YorkAURORA of Central New York Inc. is a not-for-profit 501©(3) community based organization with a mission to serve individuals of all ages who are blind, visually impaired, deaf, hard of hearing, late-deafened and deafblind throughout Central New York.  The organization has existed for over 90 years and provides vision and hearing rehabilitation and support services to improve the self-sufficiency, community access and quality of life for people with vision and hearing loss.

Services include rehabilitation teaching, orientation and mobility, adaptive technology training, social work, outreach and community education, employment readiness training, job placement, support groups, Interpreter Referral Service, American Sign Language (ASL) instruction and a Used Hearing Aid Program.

 

The primary area of service is Onondaga, Cayuga, and Oswego Counties with Interpreter Referral Services provided throughout a 14 upstate county area.

Crouse Hospital Adult Volume (Seniors = 65+)

505520

540

580.3

254

304

354

404

454

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554

604

654

704

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Senior Volume 65+ UCL

+2 Sigma +1 Sigma

Average -1 Sigma

-2 Sigma LCL

Mean Volume Age 19-64 (Excluding Maternal/Child)

Crouse Hospital

NICHE (Nurses Improving the Care of

Healthsystem Elders)

Geriatric Resource Nurses

Strengthening the Relationship

Capitalize on the resources in both organizations

Address an issue important to both of us

Project Goal To develop a curriculum in a variety of user-

friendly formats All levels of staff

Epidemiology of vision/hearing loss Implications for care Interactive sensitivity training Technical assistance in service delivery to this

patient population

Implications for Care

Patient orientation, understanding and compliance with care routines.

complications due to falls, disorientation and delirium

Patients may withdraw, isolate or develop depression

Implications for Care

Misinterpretation of patient status Repeated readmissions or follow-up

visits to ER Erroneous diagnoses or transitions

which overestimate the patient’s ability for follow up care

Baseline Data

Did we acknowledge your sensory loss?(% did not)

Vision & Hearing Loss 57.14% Vision Loss 90.24% Hearing Loss 25.00% Overall 57.13%

Baseline Data

Did we offer services through Aurora?(% did not)

Vision & Hearing Loss 100.00% Vision Loss 97.50% Hearing Loss 100.00% Overall 99.17%

Baseline Data

Did we offer services assistive devices?(% did not)

Vision & Hearing Loss 94.74% Vision Loss 100.00% Hearing Loss 83.33% Overall 92.69%

Baseline Data

“I was very satisfied with how the hospital addressed my sensory needs.”(% did not)

Vision & Hearing Loss 75.00% Vision Loss 91.75% Hearing Loss 75.00% Overall 80.58%

(Most answered “I don’t know”)

Admission Assessment

Admission Assessment

Alerting the Team

Alerting the Team

Support For Patients

Enhancing the Crouse Experience for Patients with

Hearing/Vision Loss

Educational EvaluationThe Presentation Itself: poor fair avg good excel

Held my interest 1 5 35

Was well organized 2 4 35

Included useful handouts 1 1 7 32

Included visual materials 4 37

Answered my questions 2 8 31

Made me more aware 4 37

Additional Outcomes The CTM-3 will average 75% by Dec 2010

(baseline = 74.25%) Patient satisfaction scores for treatment of

vision or hearing loss will average 3 out of 4 by Dec 2010.

The number of referrals to Aurora from Crouse Hospital will increase by to 25 patients by Dec 2010.