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Vice President of Medical Affairs
HQ Phone:  (651) 631-6100
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2845 N. Hamline Avenue
Saint Paul, Minnesota,55113
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Chief Attending Physician
The Center for Bioethics
American Geriatrics Society
American College of Physicians
Christian Thought with an emphasis on bioethics
Trinity International University
New Jersey Medical School
Dr. Peter Jaggard, vice president of medical affairs at Presbyterian Homes, who led the development team, accepted the award on behalf of the organization.
Dr. Peter Jaggard, vice president "Hospitalizations and re-hospitalization from nursing homes are of growing concern in the national health picture because of the focus on costs and quality of care," says Dr. Jaggard. "Efforts to reduce hospitalization rates are continuing across the country. While not all hospitalizations can be prevented, Presbyterian Homes is focused on preventing those that can." According to Dr. Jaggard, data from CMS (Centers for Medicare and Medicaid Services) shows that approximately 20 percent of Medicare patients who are discharged after a hospital stay to nursing facilities are re-hospitalized within 30 days. Common conditions leading to hospitalization are congestive heart failure, urinary tract and pneumonia infections and dehydration. Many of these cases can be better managed by early recognition and management of a change of condition. Dr. Jaggard and his team used tools and a standard training curriculum from the INTERACT™ (Interventions to Reduce Acute Care Transfers) Program, funded by CMS and led by respected geriatrician Dr. Joseph Ouslander, to provide additional nurse training in identified areas. "By the end of the second year, all of our nursing care centers achieved rates lower than the average rate for re-hospitalizations," says Dr. Jaggard. "We continue to measure. Re-hospitalization rates are now a standard number reported at our quality improvement meetings." What really makes the difference in reducing the rates of re-hospitalization? Dr. Jaggard says, "Creating a seamless flow of information from the bedside to the doctor is essential for effective intervention, which can prevent a hospitalization. This involves recognizing a change in condition, communicating that change to the RN, doing a thorough assessment and communicating that information to the doctor. He further pointed out that creating effective systems of information exchange between hospitals and nursing homes at the time of transfer is an essential step in improving quality of care. "Finally," Dr. Jaggard said, "the presence of the physician managing the care of the patient in the nursing care facility is important to optimal care. Physicians who focus their clinical activities on the care of nursing home residents are emerging as a specialty that can make a difference by being more available at critical times." Dr. Jaggard is a board-certified internist, certified medical director and geriatrician. He began as an attending physician at Presbyterian Homes' Westminster Place and King Home in 1983. He remained there until 2003 when he then became a full-time staff physician at Westminster Place and medical director of Lake Forest Place. After graduating in 1979 from New Jersey Medical School, Dr. Jaggard did his internship and residency at Evanston Hospital where he became chief resident from 1982-1983. Dr. Jaggard maintained a separate internal medicine practice for 20 years until he accepted additional responsibilities at Presbyterian Homes and devoted his full time there.
Dr. Peter Jaggard, vice president of medical affairs at Presbyterian Homes, says falls can cause injuries, hospitalization and limited mobility.
Lengthy recoveries from fractures that require bed rest put seniors at risk for further de-conditioning, developing pneumonia and blood clots. However, Dr. Jaggard continued, "Research shows that the combined benefits of aerobics, balance training and weight resistance have a positive effect on strength, flexibility and balance, helping older adults to avoid falls."
Dr. Peter Jaggard, M.D.
Vice President of Medical Affairs Peter Jaggard, M.D. Vice President of Medical Affairs In mid-2008, Presbyterian Homes named Dr. Peter Jaggard, M.D., a board-certified internist, certified medical director and geriatrician, as its new vice president of medical affairs. Dr. Jaggard began as an attending physician at Presbyterian Homesâ€™ Westminster Place and King Home in 1983. HeÂ remained there until 2003 when he then became a full-time staff physician at Westminster Place and medical director of Lake Forest Place. Dr. Jaggard graduated in 1979 from New Jersey Medical School. e did his internship and residency at Evanston Hospital where he became the chief attending physician from 1982-1983. Dr. Jaggard maintained a separate internal medicine practice for 20 years until he accepted additional responsibilities at Presbyterian Homes and devoted his full time there. Recently, Dr. Jaggard obtained an MA in Christian Thought with an emphasis on bioethics from Trinity International University. He is often called to speak on end-of-life care, bioethics and geriatrics. Dr. Jaggard lives with his wife and three children in Winnetka. â€œWe are delighted to have Dr. Peter Jaggard as our vice president of medical affairs.
Peter Jaggard, M.D.
Dr. Peter Jaggard, M.D. Vice President of Medical Affairs
Peter Jaggard, MDPeter JaggardFellowPeter Jaggard, MDPeter Jaggard, M.D. has been practicing internal medicine for over twenty years in the Chicagoland area.His current medical practice is in geriatrics.A member of the American College of Physicians and the American Geriatrics Society, Dr. Jaggard currently serves as Medical Director at Lake Forest Place and as a staff physician for Presbyterian Homes, a continuing care retirement community based in Evanston, Illinois.He received his BA in philosophy from Wheaton College and his MD from the New Jersey Medical School.His special interests include end-of-life decision-making, terminal care, and local church education on bioethical issues.He authored the chapter on advance directives in the Center's book Bioethics and the Future of Medicine: A Christian Appraisal (Eerdmans, 1995).Dr. Jaggard lives with his wife, Diana, and their three children in Winnetka, Illinois.CBHD