Allina Hospitals and Clinics Aftercare Proposal

Allina Hospitals and Clinics
Aftercare Proposal

Jamie Otto / Mike Borell / Emily Keenan

Start of
Aftercare

The end for doctors and nurses but
the beginning for patients and
families.


Allina Mission Statement
Our Mission
We serve our communities by providing exceptional care, as we
prevent illness, restore health and provide comfort
to all who entrust us with their care.

Our Vision
We will:
put the patient rst;
make a di erence in people’s lives by providing exceptional
care and service;
create a healing environment where passionate people thrive
and excel; and
lead collaborative e orts that solve our community’s health
care challenges.

Our Values
INTEGRITY We match our actions with our words.
RESPECT We treat everyone with honor, dignity
and courtesy.
TRUST We act in the best interests of our patients, physicians,
communities and one another.
COMPASSION We create a caring environment for our
patients and one another.
STEWARDSHIP We use our resources wisely.


Project Purpose Statement
• To explore the information provided to
patients before starting at-home recovery.

• In order to empower the patient, connect
them to caregivers, and make them more
independent and goal-driven in their
aftercare.

• So that Allina can facilitate and encourage
their patients’ aftercare habits and increase
their quality service ratings.


Current Practices
• Sit down before discharge

• Bulky Packets

• Check-in Calls

• Check-in Visits

• Care Guides


Case Studies
Judy
Gender: Female
Age: late 50s
Connection: Mother to a child
who had a heart transplant
and has been a patient herself
What worked in the past?
The personal connection between doctors, extended stay patient, and nurses has been great
for her. It became a real community dedicated to the wellbeing of her daughter. She and
her daughter used MyChart to show the multiple doctors they were in contact with what
medications the other practitioners had her daughter on and keep everything in one place.

What would Judy like to see in aftercare?
The family should be included if they will have a large part in the patient’s care, and patients
who aren’t frequent hospital visitors should know what questions to ask.

What would Judy like to see inside of the hospital?
There should be room for family to go and visitors to stay inside of the rooms. There should
also be information about how to take charge of your own care.

How was the communication with the care team?
Fantastic, because she took the initiative and learned how to ask the right questions. After
spending so much time in medical facilities, she has learned how they function and how to
navigate them.

What were some obstacles in aftercare Judy has experienced?
Sometimes, working with a hospice nurse is necessary and other times it is not. She has
experienced both good and bad ones. Also, there needs to be support for people getting out
of surgery since, while she and her daughter did, some people do not have that.

How much access should family or support networks be given?
If it is a child, the parents or guardian should have total access. Otherwise, the patient
should be able to hand pick what information people are given.

Other Comments:
She believes that a patient needs to advocate for themselves and learning how to do that is
really how someone successfully takes charge of their own care.


Judy

“It was a stressful situation during release and it was hard to
remember what the doctor said later.”


Budd

"In the case of the elderly or those patients that cannot properly
take care of themselves, their support networks should be the
focus of the aftercare instruction. Either that, or the family and
loved ones should speci cally have a place to go with their
questions."

Dawn

"They are counting on the people to be independent."


Caleb

“If someone is not pushing you to do your physical therapy, it’s impossible to do.”

“There’s things we don’t understand as patients, but doctors need to know.”


Insights
• Information
• Emotional Aspects
• Disconnect
• Patient Driven
• Dependence
• Family


Current Proposal
The Aftercare Counselor
Changes to Online Care

Jamie Otto / Mike Borrell / Emily Keenan

•Medical Professional/Counselor/Friend
•Bridge between home and hospital
•From pre-release to end of aftercare


•Answers questions to avoid the
revolving door hospital

•Keeps patients accountable for their
health

•Position can be lled by medical students,

psychology students, social work students,

and retired doctors and nurses.

What others do


Changes to Online Care

CONGRATULATIONS! YOUR WEEKLY PROGRESS:

50
Time(mins)
40 Miles

30

20

10

0

Time Vs Miles Ran
You’ve reached your weekly
ﬁtness goal! Celebrate with a
Fruit and Yogurt Parfait. 30
This week
25 Last Week
20
Because you performed at
15
least 15 minutes of Cardio 5
10
days this week, you’ve reduced
5
your risk of heart disease by
0
25%. Miles Ran


Future Proposal
The Aftercare Community


Technological Care
Wireless heart monitors and
pedometers, connected to online
database

Ability to track progress on your
smartphone or personal computer

Retain phone services for those
without Internet access

Structure of the
Aftercare Community
CARE GUIDE

SUPPORT SUPPORT SUPPORT SUPPORT SUPPORT
NETWORK NETWORK NETWORK NETWORK NETWORK


Services of an
Aftercare Community
Home consultations

Group meetings with other locals in
recovery

Advanced technological care

Personalized support connected to
your own existing community, support
network, and home caregivers


Services in the Home

Conversations about recovery

Check-ups with your counselor

Phone calls and online care

In-home cooking lessons with a
licensed dietitian or nutritionist


Connections with
Local Area


SUPPORT
NETWORKS

C
CARE
GUIDE


We welcome your
comments and feedback


Allina Hospitals and Clinics Aftercare Proposal

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