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Faith CommunityNursingandTransitional Care inthe ChurchTamaria P. Yarbrough, LBSW, MBACommunity Engagement forCommunity Health and Wellness
The Faith and HealthMovement Rediscovery andembracing of Scripturalteaching about therelationship between faithand health A return to the historicalroots of the hospitals Changes in the way thatcongregations viewmission
Faith CommunityNursing(Parish Nursing)Faith community nursing is the specializedpractice of professional nursing thatfocuses on the intentional care of the spiritas part of the process of promotingwholistic health and preventing orminimizing illness in a faith community.(American Nurses Association, 2005).
PurposeTo Challenge The health caresystem to providewhole person care.The nursingprofession toreclaim the spiritualdimension ofnursing care.The faithcommunity torestore its healingmission.
Parish Nursing Practice Integrator of Faith andHealth Personal HealthCounselor Health Educator Referral Agent Coordinator of Volunteers Developer of SupportGroups Health Advocate
Health Education/Health Promotion Health andWellnessNewsletter Bulletin Board InformationStations
Westberg Institute A leader in parish nurseeducation, research,and support, servingparish nurse programsand parish nursesaround the UnitedStates, Canada, and inother countries Church Health Center1210 Peabody AvenueMemphis TN 38104 nitynursing
Transitional Care Journal of Christian Nursing118 April/June 2016, Volume 33 Number 2 , p 112 –ABSTRACT:The Medicare mandatory readmission reduction program hashospitals scrambling to reduce 30-day readmissions. AFaith Community Nurse (FCN) Transitional Care Model wasdeveloped from systematic literature review of predictivefactors of readmission and pre- and post dischargeinterventions that decrease readmission. The model presentsspecific FCN care that occurs pre- and post-hospital dischargeto support the patient in transitioning from one level of careto another, move toward wholistic health, and avoidunnecessary readmission.
Transitional Care Continued Article ContentHospitals have been scrambling in recent years to reducereadmission rates. With passage of the Affordable Care Act in 2010,Medicare was required to set up a readmission reduction programto lower readmission rates after hospital discharge.Payment penalties began in October 2012 for hospitals subject tothe Inpatient Prospective Payment System (IPPS). Hospitals lost upto 1% of every Medicare payment if the hospital had an excessive30-day readmission for only three specific diagnoses-acutemyocardial infarction, congestive heart failure, and pneumonia.The penalty increased to up to 2% for 2013 readmissions and 3% for2014 readmissions. In 2015 exacerbation of chronic obstructivepulmonary disease (COPD) and total hip and knee arthroplasty wereadded as additional diagnoses to measure hospital performance. In2017, coronary artery bypass surgery will be added (Centers forMedicare & Medicaid Services, 2015). Modern Healthcare reportsthat only 799 of more than 3,400 IPPS hospitals performed wellenough in 2015 to avoid penalties in 2016 (Rice, 2015).
Transitional Care Continued 2 Pilot Churches – 2016 4 Churches – 2017 2018 – TOTAL of 9 CHURCHES 5 AME churches joined the program in January 2018 2 additional churches will also join in 2019 2 reports TOTAL for Faith Community/Health Ministry Leaders tocomplete per month 2017 numbers for TC Objective was lower than PICC Coalitionreadmission rate
PICC-COMMUNITY ENGAGEMENTCOMMITTEEMEMBER NAME:TASKDECEMBER# PTS.FOLLOWED#READMITTEDUNUSUAL OCCURRANCESDECEMBERPACKETSUNUSUAL OCCURANCE/STORY2017DISTRIBUTEDPACKETS CATION(S)/#ATTENDEES2017Obj. 1 – ChurchReadmissionTrackingTASKObj. 2 – End of LifePacketsTASK2017Obj. 3 – CommunityEducationTASKDECEMBER2017Obj. 4 - PublicityPUBLICITYLOCATIONS/TOPICS
PICC ‐ Community Engagement forCommunity Health and Wellness2017: Objective1Objective #1: Church ReadmissionTracking2017 Total Followed: 1192017 Total Readmitted: 1915.97% All Cause Readmission Rate2018 Total Followed: 1632018 total Readmitted: 2414.07% All Cause Readmission Rate
End of Life/Advanced Directive 525 packets distributed in 2016 800 packets distributed in 2017 Goal was 500Goal was 500700 packets distributed in 2018 Goal was 500 To be continued in 2019 with adjustments to packet EOL objective shared with Jasper, Florence, Montgomery andSelma Coalitions
For MoreInformation/Contact Debbie Duke, MSN, RNCongregational Health Program DirectorCenter for Faith and HealthCollege of Health SciencesSamford UniversityCongregational Health Ministrieshttp://nursing.samford.edu/
For MoreInformation/Contact Tamaria P. Yarbrough, LBSW, MBAAlacare Home Health and HospiceArea Manger of Business Development205.422.4511 CellTamaria.Yarbrough@alacare.comPICC CommitteeCommunity EngagementCommunity Health and Wellness
Thanks!
Nursing (Parish Nursing) Faith community nursing is the specialized practice of professional nursing that focuses on the intentional care of the spirit as part of the process of promoting wholistic health and preventing or minimizing illness in a faith community. (American Nurses Association, 2005).
