April 19, 2017
Bridge to better health
Healthy Living
What to know about high risk pregnancies. P.4
Around Town Road projects begin in St. Charles county. P.3 Uber, Lyft issue put to vote in St. Charles County. P.5
School
WSD students qualify for national conference. P.8 WSD announces support staff employees of the year. P.8 Photo by Ray Rockwell St. Charles County Ambulance District advanced practice paramedics Russ Allen (left) and Kimberlyn Tihen stand together outside the St. Charles County Ambulance District Headquarters in St. Peters.
Business
Joint effort between St. Charles County and BJC looks to help patients avoid unnecessary hospital readmissions By Brett Auten A joint-effort between two St. Charles County health professions is filling in the gaps when it comes to patient care. Mobile Integrated Health is the new initiative between paramedics of the St. Charles County Ambulance District and Barnes Jewish-Care Healthcare with the goal of teaching patients self-management all while avoiding unnecessary readmission. “This is a pilot to determine if an innovative approach would positively impact the patient’s ability to provide self-care with a chronic illness,” Kathleen Dougherty, Manager, Patient Care Evaluation at Barnes-Jewish St Peters Hospital, said. “A chronic illness does not go away, it must be managed by the patient, their family and health care team. This is accomplished through on-going, regular communication and learning.” Dougherty went on to say that when patients have a chronic illness, it can be over-
whelming at first and may require a change in diet, activity, medication and daily routine. Some patients will readmit to the hospital soon after discharge and this program is designed to provide additional support to those patients and their family by bringing an advanced paramedic into the health care team. The program starts at Barnes-Jewish St. Peters and Progress West Hospitals, where physicians and case managers identify patients at high-risk for readmission to the hospital following an in-patient stay for certain serious health conditions like congestive heart failure, pulmonary disease and pneumonia among others. Jill Skyles, VP of Nursing for both hospitals, said that without following the sometimes strict care plans and medication regimens, such conditions can make matters worse. “It can be particularly challenging for those who are newly-diagnosed and trying to adjust to new healthcare routines,” Skyles said.
Enter St. Charles County Ambulance District advanced practice paramedics Russ Allen and Kimberlyn Tihen. The two meet with the patient and BJC case managers prior to discharge and together, the group works to identify needs and goals for each patient. Individuals enrolled in the MIH program receive home visits from paramedics over a four-week period, where their health condition is monitored through any number of ways, physical exams, medication reviews, dietary discussion and management education. Lab and other diagnostic tests and interventions can also be performed and results are sent back to the individuals’ physicians. “We have demonstrated a real need,” Allen said. “We are passionate about the program and our patients motivate us.” According to numbers provided by the St. Charles County Ambulance District, from Nov. 1 to Feb. 15, the program enrolled 28 See HEALTH page 3
Serving St. Louis, St. Charles, and Lincoln Counties | FREE Online at mycnews.com | Vol. 19 No. 16 | 636-379-1775
Craft beer and BBQ to open in St. Peters. P.9
Movie San Diego Comic Con how big is too big? P.16
Weather FRIDAY Scattered Storms 63/49 SATURDAY Showers/ Storms Likely 63/49 SUNDAY Chance of Storms 63/49 FirstWarn Weather
prepared by meteorologist Nick Palisch. For the latest updates visit www.facebook.com/nickswx.