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Continence Care Part 1: Introduction for Practice Improvement
presented by Christine Cave DNP
Jeri Lundgren, RN, BSN, PHN, CWS, CWCN, CPT
Jeri Lundgren is a Registered Nurse who has been specializing in post-acute care since 1990. She has a Bachelor of Science degree in nursing. Ms. Lundgren is board-certified as a Certified Wound Care Nurse (CWCN) by the WOCN Society and a Certified Wound Specialist (CWS) by the American Board of Wound Management. Ms. Lundgren is the president and owner of Senior Providers Resource, LLC. She provides consultation to nursing homes, assisted living facilities, and home health agencies on a wide range of issues, including wound prevention and management. Ms. Lundgren is nationally recognized as a wound care expert and has presented on wound management to 31 state associations and national associations, such as NADONA, AANAC, and the National Association of State Veterans Homes. Ms. Lundgren has authored wound care manuals for long-term care and home health. She is published in the peer-reviewed journal The Wound Care Advisor. Ms. Lundgren was a contributor to the Nursing Home Pressure Ulcer Change Package for Centers of Medicare and Medicaid Services. She was the author of Prevention and Treatment of Pressure Ulcers: A Practitioner’s Guideline, Minnesota Department of Health. Ms. Lundgren has trained the Minnesota, Kentucky, and Indiana Departments of Health on pressure injury prevention and management. Ms. Lundgren has presented for and served as the wound care expert for the CMS QIN-QIO pressure injury initiatives in Minnesota, Wisconsin, Illinois, Kentucky, Indiana, Florida, and Wyoming. Ms. Lundgren was also the lead wound care expert for Indiana’s “We Will” campaign to reduce pressure injury rates across the state for both phase I and phase II.
Kristen L. Mauk, PhD, DNP, RN, CRRN, GCNS-BC, GNP-BC, ACHPN, FAAN
Dr. Mauk has been a Professor of Nursing for many years. Prior to moving to Colorado, she was a Professor of Nursing at a large private university in Indiana for nearly 25 years, and there she held the first Kreft Endowed Chair for the Advancement of Nursing Science, a position dedicated to gerontological nursing. She earned a BSN from Valparaiso University, an MS in Adult Health from Purdue University, a PhD from Wayne State University, a Post-Master’s GNP certification from University of Virginia, and a Doctor of Nursing Practice (DNP) degree from Valparaiso University. Dr. Mauk has 37 years of experience in chronic illness nursing, rehabilitation, and gerontological nursing and teaches in these specialties at both the graduate and undergraduate levels. She is certified in rehabilitation, as a gerontological nurse practitioner and clinical nurse specialist, and as an advanced palliative care and hospice nurse. She has authored or edited eight books, including three that were recognized with an AJN Book of the Year Award. She has served on editorial boards for Rehabilitation Nursing and Geriatric Nursing and has written numerous articles and book chapters. Dr. Mauk is a frequent presenter at conferences at the regional, national, and international levels. She is the Co-Founder and President of Senior Care Central/International Rehabilitation Consultants, providing educational, clinical, and legal nurse consulting in rehabilitation and senior care in the U.S. and internationally. Dr. Mauk is also a recent past president of the Association of Rehabilitation Nurses (ARN) and has served ARN in many roles, most significantly including the Council of Leaders, Editor of the 5th edition of the Core Curriculum, PRN course faculty, the task force to develop the ARN Professional Rehabilitation Nursing Competency Model, and current Editor-in-Chief of Rehabilitation Nursing. Some of Dr. Mauk’s recognitions include: Suzanne Smith INANE Mentoring Editors Award (2017), Nominee for the 2016 National Robert Foster Cherry Award for Great Teachers, three AJN Book of the Year Awards (2017, 2010, & 1999), CASE/Carnegie Indiana Professor of the Year (2007), VU Caterpillar Award for Excellence in Teaching (2007), ARN Educator Role Award (2007), and the ARN Distinguished Service Award (2005). Dr. Mauk has taught nurses and students in China over the past few years. She has a passion for helping other countries to develop rehabilitation nursing into a strong specialty to promote quality care for their aging populations and those with disabilities.
Pat Quigley, PhD, MPH, ARNP, CRRN, FAAN, FAANP
Dr. Patricia Quigley, PhD, MPH, ARNP, CRRN, FAAN, FAANP, Nurse Consultant, is a retired Associate Director of the VISN 8 Patient Safety Research Center of Inquiry and is both a Clinical Nurse Specialist and a Nurse Practitioner in Rehabilitation. Her contributions to patient safety, nursing, and rehabilitation are evident at a national level, with emphasis on clinical practice innovations designed to promote elders’ independence and safety. For over 40 years, Dr. Quigley has practiced in the field of rehabilitation nursing, including 32.5 years with the Veterans Administration. She serves as patient safety expert for fall and injury reduction to the American Hospital Association, Washington State Hospital Association, Alaska State Hospital and Nursing Home Association, and their Hospital Engagement Networks – now Hospital Improvement Innovation Networks. She also served as fall and fall injury prevention subject matter expert for the 2013 AHRQ National Falls Toolkit and the 2008 and 2013 Institute for Healthcare Improvement Reducing Serious Injurious Falls on Medical Surgical Units. Dr. Quigley serves as a committee member of the NQF Patient Safety Standing Committee and past member of the NQF Patient Safety Complications Steering Committee, nominated by ANA. Her leadership resulted in redesign measurement of patient safety indicators for falls and fall injuries that link organizational, unit, and patient-level variables that are relevant and evidence-based. With a legacy as primary and co-investigator on health services and rehabilitation research, she has conducted large-scale studies to examine trends and cost savings on national interventions to reduce harm from falls. Dr. Quigley has served as principal or co-investigator in 35 research studies, totaling over $7.5 million. She has a track record of interdisciplinary research with health economists, epidemiologists, and statisticians for population-based outcomes research. Dr. Quigley has co-authored and served as associate director for eleven VISN 8 Patient Safety Center of Inquiry center grants from 1999-2016, totaling over $13 million. She has authored or co-authored more than 60 peer-reviewed manuscripts and more than 50 non-peer-reviewed manuscripts, book chapters, products, and media works. Dr. Quigley is grounded in practice, with a legacy of leadership in healthcare outcomes related to functional improvement, rehabilitation outcomes, and continuum of care. For over 20 years, she led an interdisciplinary clinical team in the development of evidence-based assessment tools and clinical guidelines related to assessing veterans’ risk for falls and fall-related injuries across multiple medical centers. Additionally, she provides ongoing consultation to the nursing staff, quality management, and patient safety coordinators for management of complex patients at risk for falls.
Linda M. Shell, DNP, MA, RN
Dr. Linda Shell is an advanced practice nurse, consultant, and educator with a passion for developing leaders, delivering quality care, and challenging the status quo of long-term care. As principle of lindashell.com, she collaborates with organizations on education, leadership development, building resilience, fall prevention, dementia programming, and sleep improvement. Dr. Shell has served on various boards, including Leading Age of Minnesota and the Minnesota Gerontological Society. She has been instrumental in the development and delivery of numerous leadership programs across the country and facilitates Leadership Academy for LeadingAge of MN. She also serves as adjunct professor of nursing at Bethel University in St. Paul. As author of the proprietary evidence-based SurTHRIVELeadership learning platform, she has touched the lives of thousands of leaders though many local, state, and national conferences. She is known for her engaging and inspirational style. Linda@lindashell.com www.lindashell.com
Tina Marrelli, MSN, MA, RN, FAAN
Tina Marrelli is the President of Marrelli and Associates, Inc., a publishing and consulting firm working in home care for more than 30 years. Tina is the author of 13 books, including the Handbook of Home Health Standards: Quality, Documentation, and Reimbursement, (6th edition, 2018). Other books include A Guide for Caregiving: What’s Next? Planning for Safety, Quality, and Compassionate Care for Your Loved One and Yourself (2017), Hospice and Palliative Care Handbook (3rd edition, 2018), The Nurse Manager’s Survival Guide (4th edition, 2018), and the best-selling home health aide educational system, Home Health Aide Guidelines for Care: A Handbook for Care Giving at Home and its accompanying Nurse Instructor Manual. Tina served on the workgroups that defined the first hospice nurse standards as well as serving as a reviewer in 2014 for the revised Home Health Nursing: Scope and Standards of Practice through the American Nurses Association. Tina attended Duke University, where she received her undergraduate degree in nursing. She also has master’s degrees in health administration and in nursing. Tina has worked in hospitals, nursing homes, and public health, and has practiced as a visiting nurse or manager in home care and hospice for more than 20 years. Tina also worked at Medicare’s central office (CMS) for four years on Medicare Part A home care and hospice policies and operations as well as serving as the Interim Branch Chief for Medicare Part B. Tina loves policy and the nuances that frame care, practice, and delivery. Tina is an international health care consultant, specializing in home care and models of care provided in the community to people at home. Tina and her team of specialized consultants have been in business since 2002 and provide services related to the “design and implementation of challenges to providing home and community-based care.” In that capacity, they have served over 100 clients throughout the world, clients who represent varying segments of service to home care and/or related products. Services include custom presentations, software development, educational services, serving as Team Leader with a team that served as quality monitors to the OIG, accreditation services, new organizational start-ups, due diligence, feasibility studies, and more. Tina has been the editor of three peer-reviewed publications, most recently for Home Healthcare Nurse (now Home Healthcare Now), on which she served as the Editor-in-Chief for eight years. She is also an Emeritus Editor for Home Healthcare Now. In addition, Tina serves on the editorial boards of the Journal of Community Health Nursing and The American Nurse. Tina is the Chief Clinical Officer for e-Caregiving, www.e-Caregiving.com, a web-based support and educational system for family and friend caregivers created to support advocacy and improve care across the health care continuum.
Cathleen Armato, RN, CHPN, CHC, CHPC
Cat Armato is an experienced executive with 18 years in the home care and hospice industry. She has served in various roles during that time, including VP of Operations and Chief Compliance Officer for a nationwide provider. In 2012 Cat became a consultant and has assisted multiple organizations with their compliance and quality efforts, from program assessment to full program development and implementation. Cat has served as a compliance consultant for a large organization under a Corporate Integrity Agreement. This multi-year, multi-site project involved assessments of operations, quality of care, and clinical documentation. She has also provided clinical and claim reviews for over 1,200 records of various providers, many with multiple billing periods. Cat has experience providing guidance and support to providers and their legal counsel during investigations by Zone Program Integrity Contractors, Specialty Medical Review Contractors, Medicaid Integrity Contractors, Medicare Administrative Contractors and investigations with the Department of Justice and the Office of the Inspector General. She also has extensive experience in due diligence evaluations. Cat is a contributor/reviewer for multiple health care publications by Tina Marrelli, including: Home Care Nursing © 2017, Handbook of Home Care Standards © 2018, Hospice and Palliative Care Handbook © 2018, and A Guide for Caregiving © 2017. She also served as assistant author for The Nurse Managers Survival Guide: Practical Answers to Everyday Questions by Tina Marrelli.
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Stephanie Peterson, RN, BSN,
Swedish Medical Center
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Mike Couch, RN, BSN,
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Alicia Jancola, RN, BSN,
Ida Culver Health Care Center