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2025 annual report: Delaware’s crisis care continuum
No full textThis is the Behavioral Health Crisis Intervention Services Board's annual report for 2025. The report was prepared jointly by the Department of Services for Children, Youth, and Their Families, Division of Prevention and Behavioral Health Services, and the Department of Health and Social Services, Division of Substance Abuse and Mental Health.
The report provides information about the state's crisis intervention services system and the Behavioral Health Crisis Intervention Services Fund
Development and Implementation of a Nurse Practitioner – Directed Discharge Planning Initiative to Reduce 30-day Readmissions in an Acute Care Setting
No full textAbstractChronic obstructive pulmonary disease (COPD) is a gradually worsening disease associated with high mortality, morbidity, and hospital readmission rates. The average COPD readmission rate at Jefferson Health was 21.8% compared to the national benchmark rate of 20% at the time of this study. As a result, a quality improvement team was created developed and implemented a discharge planning initiative in the acute care setting. The purpose of this project was to implement a transition of care program with a follow-up appointment from an advanced practice clinician within 7 days post-discharge to reduce 30-day readmission rates. The program educated providers concerning appropriate order set bundles, preventative care measures, barriers and gaps identification, patient education provision, proper medication reconciliation upon admission and discharge, and a comprehensive discharge plan including adherence to patient treatment plans, durable medical equipment supplies, and a follow-up appointment within 7 days after discharge by an advanced practice clinician. Creating a transition of care program for adult patients with a primary diagnosis of COPD with a 7-day-follow up post-discharge optimized patient outcomes and reduced 30-day readmission rates to the hospital below the national benchmark rate of 20%. The transitional care program proved an effective strategy for improving patient outcomes and reducing 30-day readmissions for an adult COPD patient which ultimately led to decreasing mortality and increasing patient satisfaction
William Glackens tear sheets
No full text60 leavesVarious published illustrations by William Glackens, collected by John Sloan and Helen Farr Sloan
Development and Evaluation of Nurse Leader Driven Real-Time Feedback to Impact Hand Hygiene Compliance in the Pediatric Emergency Department
No full textPreventing hospital-acquired infections from occurring is a vital component of any bedside care team member's role. One simple but critical way that healthcare professionals can assist in preventing these infections from occurring in a vulnerable population is by performing hand hygiene at appropriate times according to the World Health Organization's guidelines (WHO, 2009). A way to increase hand hygiene compliance while maintaining quality care and patient safety is by performing visual audits of hand hygiene compliance and providing real-time feedback to staff on areas for improvement. A pathway to increase feedback opportunities and visualization is through the employment of in-house hospital supervisors (HS) to conduct hand hygiene compliance audits, examine hand hygiene compliance, and educate staff on proper hand hygiene guidelines. The project was implemented in the pediatric emergency department (PED) at the Medical University of South Carolina (MUSC), a fast-paced environment that provides care for approximately 100 patients per day. The HS team performs in-person rounds through this unit at a minimum of two times per day, once per shift. With the compliance rates within the pediatric ED being less than acceptable, averaging a total compliance percentage for 2023 of 3%, this could lead to many opportunities for administrative nursing staff within the organization to help increase hand hygiene compliance and decrease infection rates over time. Despite a planned intervention being put into place, the project revealed no increase in hand hygiene audits with the HS team completing zero audits over the six-week project life cycle. The HS team expressed concerns about reduced staffing levels and feeling overtaxed with responsibilities, which contributed to their unwillingness to participate in the project. These results highlighted the limitations of relying solely on leadership teams to implement a specific change in a high-demand work environment. Future efforts should focus on engaging a wider team of individuals, providing additional education, and identifying workflows that integrate hand hygiene audits and feedback easily into routines
To me, Delaware is… Harrington Heritage Day
No full textThis file contains postcards created during Harrington Heritage Day. Each postcard features the prompt, "To me, Delaware is…" Responses to the prompt include "where I grew up," "where I became a mom," "state fair," "harness racing," "the people I love, the beach, horsehose crabs, and all the seasons.
Development and Evaluation of a Nurse Practitioner-Directed Transition to Practice Program Among Advanced Practice Providers in Oncology
No full textThe transition period for advanced practice providers (APPs) entering oncology presents significant challenges. While oncology care has become increasingly complex, most APPs receive informal, unstructured on-the-job training. Many APPs leave their positions within two years due to diminished confidence, inadequate support, and insufficient preparation. This evidence-based Doctor of Nursing Practice (DNP) project aimed to develop and evaluate a structured transition to practice (TTP) program for APPs new to oncology. The project sought to enhance clinical competence, role confidence, and organizational support, bridging the gap for specialized clinical competence while evaluating program effectiveness through role transition scores. The TTP program was implemented at a large oncology practice with three core components: a structured 18-module didactic curriculum, assigned mentorship and clinical supervision. Role transition scores were measured pre- and 6-weeks post-intervention using a validated 37-item instrument. Results revealed improvements in role transition scores, with notable gains in the domains of sense of purpose and to a greater extent in perceived competence and self confidence. Most participants reported increased comfort in managing patient responsibilities and improved role clarity, affirming the program's effectiveness. Enhancing the clinical competence of the APP workforce can address critical gaps in oncology, leading to improved patient outcomes, increased job satisfaction, and reduced turnover. This DNP project demonstrated that a structured TTP program is an effective strategy for supporting APPs new to oncology
Development and Evaluation of a Nurse Leader-Directed Telehealth Program to Improve Access to Mental Health Services.
No full textAccess to quality mental health services remains a persistent challenge across the UnitedStates, particularly among rural, underserved, and socioeconomically disadvantaged populations. About 54.7% of adults with mental illness did not receive any mental health treatment. An estimated 38% of Americans have waited more than a week for mental health treatment and 46% of Americans have had to drive more than an hour roundtrip to seek treatment. The integration of telehealth into outpatient mental health clinics has been proposed as a solution to address systemic barriers related to access, provider shortages, and service delivery inefficiencies. This Doctor of Nursing Practice (DNP) project investigated the effectiveness of telehealth interventions in enhancing access and delivery of mental health services in outpatient clinics, through reducing appointment wait times. A mixed-methods design was employed to evaluate the impact of telehealth implementation. Quantitative data included appointment wait times, while qualitative data were structured patient and provider satisfaction surveys. The intervention was implemented over a 6-week period at Alpha Recovery Healthcare Services INC in Largo, MD. Comparative analysis was conducted between in-person only and telehealth-integrated clinic operation, as well post pre and post Telehealth implementation. The results demonstrated that telehealth significantly improves access to care, with a significant decrease in wait time for psychiatric and therapy appointments. Patients also reported high satisfaction with telehealth services, noting convenience, reduced stigma, and enhanced engagement. Providers expressed support for telehealth integration, due to increased flexibility and the ability to reach previously disengaged or geographically isolated clients. Despite these expected positive outcomes, challenges such as technology accessibility, digital literacy, privacy concerns, and reimbursement inconsistencies remain
2025 Delaware Energy Fund report
No full textThis report, created in accordance with House Substitute 1 for House Bill 50 of the 153rd General Assembly, describes the activity of the Delaware Energy Fund in 2025. It includes information on the annual receipt and distribution of funds