D EFIN IN G M O M EN TS - Barnes-Jewish Hospital
D EFIN IN G M O M EN TS - Barnes-Jewish Hospital
D EFIN IN G M O M EN TS - Barnes-Jewish Hospital
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staying on track through<br />
the Stay Healthy Clinic<br />
Being admitted to the hospital can be a frightening<br />
experience for some but for others, leaving the hospital<br />
causes more anxiety.<br />
While in the hospital, a team of health care<br />
professionals monitors a patient’s condition hourly<br />
and, at times, even more frequently. They provide<br />
care, guidance, instruction and support for each<br />
individual’s specific health needs.<br />
But when a patient leaves the hospital, they may not<br />
have a strong support system in place to keep them<br />
on track to reaching their optimum level of health.<br />
If they don’t take their medication, improve their<br />
diet or get check-ups, they might end up back in the<br />
hospital or the emergency room.<br />
The new Stay Healthy Clinic at <strong>Barnes</strong>-<strong>Jewish</strong> <strong>Hospital</strong>,<br />
which opened in September 2011, is designed to fill<br />
the gap when a patient needs help staying on the right<br />
track. Patients who are identified during their hospital<br />
stay as vulnerable—they have a diagnosis of heart<br />
failure, pneumonia, chronic obstructive pulmonary<br />
disease (COPD) or have had a heart attack and their<br />
social situation puts them at risk to return—are given<br />
an appointment in the clinic within a week of their<br />
initial discharge. Transportation and cab vouchers<br />
are available for the return visit.<br />
Pictured left to right: Henish Bhansali, MD,<br />
Kelly Dodds, RN, and patient Barbara Buckley.<br />
Henish Bhansali, MD, a Washington University<br />
physician who runs the clinic, reviews each patient’s<br />
record thoroughly to understand what happened<br />
during the hospital stay. He and nurse practitioner<br />
Kelly Dodds, RN, ANP-BC then meet with the patient to<br />
see if the patient understands and has been following<br />
discharge instructions, verify all of their medications<br />
and answer any questions.<br />
On a recent visit, Barbara Buckley discussed symptoms<br />
that she had been experiencing with Dr. Bhansali.<br />
Buckley suffers from a heart condition that has<br />
caused her to be hospitalized more than once.<br />
In addition to the Stay Healthy Clinic, <strong>Barnes</strong>-<strong>Jewish</strong><br />
has launched several programs to reduce patient<br />
readmissions. In some instances, nurses make home<br />
visits to released patients, helping them to set up pill<br />
boxes and coordinate their medications. The clinic<br />
could eventually see up to 50 patients a week for<br />
follow-up appointments.<br />
After addressing any lingering concerns from a<br />
patient’s hospitalization, the goal of the clinic is to<br />
connect each patient with a medical home, such as a<br />
family physician. “We have the chance to spend a lot<br />
of time with patients at the Stay Healthy Clinic, so<br />
we can truly get to the core of not only their medical<br />
issues but also their social issues. This is the part<br />
that I feel has the strongest impact on their overall<br />
medical care and outcomes,” says Dr. Bhansali.<br />
14 BARNES-JEWISH HOSPITAL • 2011 Annual Report<br />
D<strong>EF<strong>IN</strong></strong><strong>IN</strong>G MOM<strong>EN</strong><strong>TS</strong><br />
15<br />
STAY HE A LTHY CL<strong>IN</strong>IC