Catholic Medical Center

HEALTH CENTER CLUSTER

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - PROJECT ABSTRACT - CONSTRUCTION AND OPERATION OF A MEDICAL “SIMULATION AND INNOVATION CENTER” (SIM LAB) ORGANIZATION: CATHOLIC MEDICAL CENTER PROJECT TITLE: EUI#: NE8YG9EKJWF6 ADDRESS: 100 MCGREGOR STREET, MANCHESTER, NH 03102 PROJECT DIRECTOR: KERI DEGEN PHONE: 603.663.6056, FAX: 603.663.6067 EMAIL: KERI.DEGEN@CMC-NH.ORG WEBSITE: CATHOLICMEDICALCENTER.ORG THE SIMULATION AND INNOVATION CENTER AT CATHOLIC MEDICAL CENTER (SIM LAB) WILL PROVIDE MULTI-DISCIPLINARY TRAINING IN NURSING AND OTHER CLINICAL SKILLS, PROCEDURES, QUALITY CONTROL, TEAMWORK AND COMMUNICATIONS. PARTICIPANTS WILL DEVELOP THEIR CRITICAL THINKING SKILLS, LEARN TO WORK AS A TEAM IN EMERGENCIES, PRACTICE PHYSICAL-ASSESSMENT SKILLS, AND RECEIVE A REALITY-BASED EDUCATION. ADDITIONALLY, THE SIM LAB WILL HELP IMPROVE EDUCATION AND TRAINING, QUALITY OF CARE, PATIENT COMMUNICATIONS, CLINICAL OUTCOMES, AND RECRUITMENT AND RETENTION OF STAFF, ALL OF WHICH WILL BE TRACKED TO MEASURE THE SUCCESS OF THE CENTER: THE NEW FACILITY WILL PROVIDE STATE-OF-THE-ART FACILITIES FOR HEALTHCARE SIMULATION PROGRAMMING. HEALTH CARE SIMULATION INCLUDES TECHNIQUES THAT CREATE SITUATIONS AND ENVIRONMENTS THAT ALLOW PROFESSIONALS AND STUDENTS TO EXPERIENCE A REPRESENTATION OF A REAL HEALTH CARE EVENT FOR PURPOSES OF PRACTICING, LEARNING, EVALUATING, TESTING, AND UNDERSTANDING SYSTEMS, PROCESSES AND PROCEDURES. THE SIM LAB WILL SIGNIFICANTLY BENEFIT MULTIPLE CONSTITUENCIES IN THE GREATER MANCHESTER AREA, THE STATE OF NEW HAMPSHIRE AND THE BROADER HEALTHCARE ECOSYSTEM. CMC AND SAINT ANSELM COLLEGE HEALTHCARE STAFF, STUDENTS AND FACULTY WILL BENEFIT FROM THE SIM LAB'S EDUCATIONAL OPPORTUNITIES, ON-THE-JOB TRAINING AND IMPROVED WORKFORCE AND STUDENT RECRUITMENT AND RETENTION. PATIENTS WILL BENEFIT BY IMPROVED HEALTHCARE QUALITY, ENHANCED PATIENT COMMUNICATIONS AND EXPERIENCES RESULTING IN BETTER OVERALL HEALTHCARE OUTCOMES. IMPROVED HEALTHCARE OUTCOMES AND ENHANCED PATIENT COMMUNICATIONS REDUCES THE COST OF CARE TO PATIENTS AND PAYORS OF OUR HEALTHCARE SYSTEM AS WELL AS REDUCES RISK MANAGEMENT COSTS. THE NEEDS ADDRESSED THROUGH THIS PROJECT ARE: - WORKFORCE DEVELOPMENT - TODAY’S HIGHLY DEMANDING HEALTHCARE ENVIRONMENT REQUIRES EFFECTIVE CRITICAL THINKING AND CLINICAL SKILLS FOR OPTIMAL PATIENT OUTCOMES IN COMPLEX CARE SITUATIONS. ADDITIONALLY, HEALTHCARE IS DRIVEN BY CHANGING TECHNOLOGY, THE SHARING OF INFORMATION AND DATA, ALL WITH THE GOAL OF REDUCING MEDICAL ERRORS, REDUCING MEDICAL COSTS AND IMPROVING PATIENT OUTCOMES. THE SIM LAB OFFERS AN OPPORTUNITY TO FACILITATE THESE CHANGES AND IMPLEMENT ADVANCED CLINICAL SIMULATIONS IMPROVING CLINICAL COMPETENCY, CONFIDENCE AND OUTCOMES. - WORKFORCE RECRUITMENT AND RETENTION CHALLENGES - NEW HAMPSHIRE’S WORKFORCE SHORTAGE IS MOST PROMINENT IN NURSING. THE SHORTAGE IS DRIVEN BY A NUMBER OF FACTORS: RETIRING NURSES OR THOSE CHOOSING TO LEAVE THE PROFESSION; THE AGING PATIENT POPULATION IS INCREASING THE LEVEL OF CARE REQUIRED; A NURSING FACULTY SHORTAGE IS LIMITING PRE-LICENSURE ADMISSION CAPACITY; AND THE PROFESSION CAN BE SO DEMANDING THAT THERE IS CONTINUED BURNOUT, PARTICULARLY AFTER THE YEAR ALL HEALTHCARE PROVIDERS EXPERIENCED WITH COVID-19. NURSING SHORTAGES CREATE SCHEDULING CHALLENGES, EXACERBATING THESE ISSUES BY REQUIRING EXISTING NURSES TO WORK LONGER, NON-TRADITIONAL HOURS. WITH HIGHER PAY AVAILABLE IN NEARBY BOSTON, RETENTION IS AN ISSUE AS WELL. COMPETITION AMONG THE HOSPITALS FOR NURSES IS CUT-THROAT. THE SIM LAB OFFERS AN OPPORTUNITY TO IMPROVE RECRUITMENT AND RETENTION. - MEDICAL ADVANCEMENT, RESEARCH AND ECONOMIC DEVELOPMENT - THE MULTI-PURPOSE DESIGN OF THE PROPOSED SIMULATION ROOMS WILL ALLOW FOR FLEXIBILITY IN RUNNING VARIABLE SIMULATION ACTIVITIES INCLUDING MEETING FUTURE NEEDS OF THE DEVELOPING REGENERATIVE MEDICINE

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

OP EARLY INTERVENTION SVCS W/RESPECT TO HIV DISEASE

SAINT VINCENTS CATHOLIC MEDICAL CENTERS OF NY

DEVELOPMENT OF COMPREHENSIVE DRUG/ALCOHOL AND MENTAL HEALTH TREATMENT SYSTEMS

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - PROJECT ABSTRACT ORGANIZATION: CATHOLIC MEDICAL CENTER (CMC) UIE #: NE8YG9EKJWF6 ADDRESS: 100 MCGREGOR STREET, MANCHESTER, NH 03102-3730 PROJECT DIRECTOR: KERI DEGEN PHONE: 603.663.6056, FAX: 603.663.6067 EMAIL: KERI.DEGEN@CMC-NH.ORG WEBSITE: CATHOLICMEDICALCENTER.ORG AMOUNT REQUESTED IN FIRST BUDGET PERIOD: $500,000 ACCORDING TO HEALTHCARE COST AND UTILIZATION PROJECT STATISTICAL BRIEF #227, “INDIVIDUALS WITH MENTAL HEALTH ISSUES AND SUBSTANCE USE DISORDER (SUD) ARE AMONG THE FASTEST GROWING PATIENT POPULATIONS IN U.S. HOSPITAL EMERGENCY DEPARTMENTS (ED’S). BETWEEN 2006 AND 2014, THIS POPULATION EXPERIENCED A 44% INCREASE IN ED VISITS.” THIS TREND HAS CONTINUED TO CREATE A CRISIS FOR MANY NH HOSPITALS ED’S, INCLUDING CMC. WITHOUT ADEQUATE ACCESS TO PSYCHIATRIC BEDS FOR ADMISSION, THESE PATIENTS OFTEN “BOARD” FOR HOURS, DAYS AND EVEN LONGER. THE CMC EMERGENCY DEPARTMENT (CMC ED) PROVIDES CARE TO INVOLUNTARILY ADMITTED PATIENTS IN A DESIGNATED AREA IN THE ED CALLED THE BEHAVIORAL HEALTH ANNEX. OFTEN TIMES PATIENTS WILL “BOARD” THERE FOR DAYS, WEEKS OR MONTHS UNTIL PROPER BED PLACEMENT IS AVAILABLE. THE ENVIRONMENT OF CARE IN THE ANNEX IS NOT SUFFICIENT TO MEET THE RECOVERY SUPPORT NEEDS OF THESE PATIENTS. OVER THE PAST TWO YEARS, THIS HAS RESULTED IN 10 CMC EMPLOYEES BEING PHYSICALLY ASSAULTED DURING A PATIENT OUTBURST OR ALTERCATION. CMC RECOGNIZES THE NEED TO EXPAND AND RENOVATE ITS ED BEHAVIORAL HEALTH ANNEX TO MEET THE GROWING BEHAVIORAL HEALTH AND/OR SUD TREATMENT NEEDS OF THE COMMUNITY. THE HOSPITAL IS IN THE PLANNING AND DESIGN PHASE OF AN EXPANSION AND RECONSTRUCTION PROJECT SET TO BREAK GROUND IN 2023, WHICH WILL INCLUDE THE CONSTRUCTION AND IMPROVEMENT BEHAVIORAL HEALTH/SUD BOARDING SPACE IN THE CMC ED. BEHAVIORAL HEALTH PATIENTS THAT USE THE CMC ED FOR THEIR CARE ROUTINELY HAVE DELUSIONS, HALLUCINATIONS AND HAVE A HIGH RATE OF CHEMICAL DEPENDENCY. THIS MAKES THEIR NEEDS VERY COMPLEX AND THEIR CAPABILITY TO FOLLOW TREATMENT RECOMM ENDATIONS IS OFTEN VERY POOR. THEY ARE FREQUENTLY UNEMPLOYED OR UNDEREMPLOYED AT BEST. THIS OFTEN LEADS TO POOR OR NO INSURANCE COVERAGE FOR BASIC TREATMENT LET ALONE MORE INTENSIVE INPATIENT TREATMENT. HIGH COMPLEXITY PLUS POOR TREATMENT ADHERENCE AND VERY LIMITED TREATMENT OPTIONS EXACERBATES THE CURRENT CRISIS. IT IS WELL KNOWN THAT THE STATE OF NH AND THE CITY OF MANCHESTER ARE WORKING TOGETHER TO SUPPORT THIS POPULATION AND CREATE WAYS TO INCREASE ACCESS TO INPATIENTS TREATMENT BUT THIS REMAINS A COMPLEX PROBLEM WITH NO QUICK FIX. THE CONSTRUCTION OF THE CMC ED BEHAVIORAL HEALTH ANNEX WILL PROVIDE A TEMPORARY RECOVERY ENVIRONMENT FOR PATIENTS WHERE THEY WILL BE TREATED WITH DIGNITY AND RESPECT WHILE THEY AWAIT INPATIENT TREATMENT. THIS WILL BENEFIT THE COMMUNITY BECAUSE IT WILL HELP TO REDUCE THE NUMBER OF PATIENTS IN CRISIS WHO LEAVE THE HOSPITAL AGAINST MEDICAL ADVICE PRIOR TO GETTING THE SUPPORT THEY NEED. AS A RESULT, THIS WILL SUPPORT A DECREASED NEED FOR LAW ENFORCEMENT INTERACTIONS AND/OR VIOLENCE IN THE CITY OF MANCHESTER.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

CAROL M. WHITE PHYSICAL EDUCATION PROGRAM

ARRA - INCREASE SERVICES TO HEALTH CENTERS

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

NCTSI CTS CENTERS IN NEW YORK CITY'S SCHOOLS