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Patient-Centered Medical Home and Social Determinants of Health (SDoH)
Published in Salvatore Volpe, Health Informatics, 2022
Salvatore Volpe, Rick A. Moore
In 1998, Dr. Edward H. Wagner proposed the following model for chronic disease management based on his work at Group Health Cooperative (See Figure 24.1). Communities depend on healthcare delivery systems to have four key features: Self-management support: Patients and their families are given tools and resources to participate in management of their health.Delivery system design: The system to deliver healthcare has to take into account the multiple agents and facilitate communication.Decision support: Evidence-based clinical support tools need to be available at the point of care.Information systems: Information technology needs to be developed to facilitate communication between providers, patients, and the community.5
Sexually Transmitted Diseases
Published in Ayşe Serap Karadağ, Lawrence Charles Parish, Jordan V. Wang, Roxburgh's Common Skin Diseases, 2022
Aarthy K. Uthayakumar, Christopher B. Bunker
Laboratory studies: HIV diagnosis is now widely achieved through detection of HIV-1/2 antibodies, HIV-1 p24 antigen, or viral RNA, in serum, saliva, or urine (Table 27.3). Point of care tests is also available, allowing rapid diagnosis. The CD4 T cell count is also measured on serum and routinely performed at diagnosis. Seroconversion is diagnosed by positive HIV PCR with negative serology tests. Histologic features of acute HIV seroconversion are often nonspecific, showing spongiosis, apoptosis, interface dermatitis, and mild perivascular inflammatory infiltrate.
Leveraging a Unique Nurse Identifier to Improve Outcomes
Published in Connie White Delaney, Charlotte A. Weaver, Joyce Sensmeier, Lisiane Pruinelli, Patrick Weber, Nursing and Informatics for the 21st Century – Embracing a Digital World, 3rd Edition, Book 4, 2022
Whende M. Carroll, Joyce Sensmeier
For several decades, nurse leaders have recognized the need for the use of a unique nurse identifier, without which the aggregation and use of data to improve nursing practice is not possible (Werley & Lang, 1988). Ingesting and manipulating the data points in technology systems associated with a unique nurse identifier enable the transparency of time, cost and the human resources needed to provide patient care. Different unique identifiers track and classify nursing services for billing, staffing and resource planning purposes. Robust nursing data analysis makes visible to health leaders and decision-makers the direct value of nurses' contributions in all care settings. The challenge of measuring nursing value is that intangible assets are generally unquantifiable. With the now-common use of EHRs, point-of-care documentation data make it possible to quantify clinical and administrative services. Also, other complementary technology systems used in patient care can capture the nurse's ID and feed it into their systems to measure nursing value. These systems may include intelligent IV pumps, single sign-in logins with the use of badges, bar code medication administration and point-of-care test devices that require unique user codes.
Point-of-care COVID-19 testing in the emergency department: current status and future prospects
Published in Expert Review of Molecular Diagnostics, 2021
Larissa May, Nam Tran, Nathan A. Ledeboer
The SARS-CoV-2 pandemic has expanded the rise of point-of-care (POC) testing in the emergency department (ED) to improve patient flows and provide results in a timely manner. Point-of-care testing is defined as medical testing at or near the site of patient care and improving outcomes by accelerating the time from test administration to treatment (i.e. therapeutic turnaround time). Point-of-care testing is performed by clinical staff in the ED and result in under 1 hour, whereas near POC tests are performed in the laboratory by trained laboratory personnel and result in under 2 hours. Principles of development of new POC devices have been driven through the World Health Organization guidelines, known as the ASSURED guidelines. The guidelines call for affordable, sensitive, specific, user-friendly, rapid and robust, equipment-free, and test results that are delivered to the end-users [9].
Telehealth in chronic disease management and the role of the Internet-of-Medical-Things: the Tholomeus® experience
Published in Expert Review of Medical Devices, 2020
Stefano Omboni, Luca Campolo, Edoardo Panzeri
Telemedicine, today more commonly referred to as telehealth, literally means ‘healing at a distance’, being derived from the Greek word ‘tele’, meaning ‘distance’, and the Latin word ‘medicus’, meaning ‘to heal’. The term relates to the use of information communication technology to provide healthcare services over a distance, with the final aim of delivering prompter diagnosis and clinical care and providing access to care in low-resource settings and among remote and underserved populations [3]. Telemedicine empowers the stakeholders to record and use new data for better medical decision support and treatment interventions. It helps in increasing communication between the point-of-life and point-of-care and transfer data and information more efficiently and continuously, thus helping managing chronic diseases.
MyCareCompass: Bridging the gap in patient education with digital communication
Published in Oncology Issues, 2020
Elizabeth Koelker, Elizabeth LaForce, Elizabeth Cernevicius
Kettering Health Network in Dayton, Ohio, endeavored to bridge that gap for patients by launching MyCareCompass, a partnership with Arches Technology, to deliver the right information, the right amount of information, to the right patient at the right time. MyCareCompass is a Health Insurance Portability and Accountability Act (HIPAA)-compliant digital oncology education program for patients undergoing infusion chemotherapy. The program's key strategy is to deploy communication to patients at crucial and precise moments in their treatment process. This is done in the form of emails or SMS (short message services or texts) containing educational videos that explain treatment protocol, what to expect, and how to prepare for upcoming appointments and procedures. The strategy is supported by research, because studies have shown that video supplementation is beneficial for patients undergoing chemotherapy in reducing anxiety and increasing retention.6 This digital communication is intended to supplement the clinical information patients receive at point of care to help them feel more empowered, prepared, and at ease. For Kettering Health Network, the result has been increased patient satisfaction, improved clinical efficiency, and a reduction in healthcare costs.