Blue River Case Study

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The key takeaways are the lack of coordination across the healthcare system, lack of interoperable clinical information systems, and the fee-for-service reimbursement system that rewards volume over quality of care.

Some of the factors affecting mismanagement of chronic care include a fragmented healthcare system, lack of information sharing between providers, and the fee-for-service reimbursement system that does not incentivize coordination of care.

Emerging technologies like health IT, electronic health records, health information exchange, social media, and personal health records can help provide clinical information to providers and support chronic care management by enabling things like remote monitoring, decision support, and care coordination.

BLUE RIVER HOME CARE

Group 9: Anam Abro, Mark Decourcy, Veeraswamy Venkata Surya Nallam

FACTORS AFFECTING MISMANAGEMENT OF CHRONIC CARE


A fragmented health care system and the need for more coordination across the health care setting The lack of interoperable clinical information systems, which would help provide readily available, comprehensive information about the patient to those who deliver care, those who manage care, and those who receive care The current predominantly fee -for-service reimbursement system that rewards volume and fragmentation, and does not ef fectively align incentives with the goals of chronic care management.

HOW EMERGING TECHNOLOGIES CAN HELP CHRONIC CARE


The introduction of health IT, including electronic health records and health information exchange, holds great promise for addressing many of the barriers to effective chronic care management, by providing important clinical information about the patient when it is needed, and where it is needed, in a timely, secure fashion. Having information from the care delivery process readily available through health IT and health information exchange at the national, state, and local levels supports key components of the chronic care management process, including those related to measurement, clinical decision support, collaboration and coordination, and consumer activation.

HOW EMERGING TECHNOLOGIES CAN HELP CHRONIC CARE


Social media is a new and developing integrated marketing strategy in the healthcare world, but it also holds immense potential for doctors and patients to communicate with one another on a whole new level. The societal and economic burden imposed by chronic disease has resulted in recent years in a shift in health policy that focuses on health promotion, chronic disease prevention, and self-management. The intentions for self -management interventions are to enable patients to become empowered, i.e., to be active participants in their own care, and to enhance their ability to make sound health decisions. Common to all models of self management is the notion that patients are central to the management of their own health .

HOW EMERGING TECHNOLOGIES CAN HELP CHRONIC CARE


The future confluence of health information technologies will enable researchers and clinicians to reveal novel therapies and insights into treatments and disease management, as well as environmental and genomic interactions, at an unprecedented population scale.

BENEFITS OF INTEGRATING A PHR


Social networking tools, when paired with the use of personal health records, can be valuable in monitoring chronic diseases Makes the possibility of bi -directional sharing possible, such that a patient could share back to their physician, nurse, care team, information from a social network that they deem important to their health. User will hopefully gain a social network of supportive friends with similar healthcare issues and needs; increased compliance with their treatment plans; increased healthy behaviors; and improved communication with healthcare providers. Create a professional, managed, relationship; with the data being brought to the physicians desktop from the place where the patient is.

BENEFITS OF INTEGRATING A PHR


PHR Integration can assist in studies and monitoring of chronic diseases PHRs are seen both as a strategy to make healthcare more patients centered and as a tool for self -management enable patients to monitor their symptoms and therapy regimens over time. This information can be shared with other users, allowing for comparison of novel side ef fects and treatment regimens.

With integration of PHRs and personally controlled health records (PCHRs), the ability to conduct research into patients behavior, treatments, and environment greatly expands .

BENEFITS OF INTEGRATING A PHR


The surplus of information generated by such tools is al - ready of great interest to pharmaceutical companies and public health researchers The plethora of real-world health information available from these varied data sources will increase the ability of health researchers to perform translational research, better understand clinical ef fectiveness of therapeutics, and open doors to increased understanding of environmental and behavioral influences on disease.

BENEFITS OF SOCIAL MEDIA ON HEALTHCARE ORGANIZATIONS


Recruiting: Social media applications can be used for workforce recruiting and talent acquisition. Recruiting at the management level and above for hospitals is a main staple of its business. This could lead to reduction in advertising costs. Brand Management: Healthcare organizations an use social media to promote their brands and services. For example at the Childrens Hospital in Boston, social media is used to show the hospitals focus on patients by sharing their pictures and stories. This helps build a good image of the hospital.

BENEFITS OF SOCIAL MEDIA ON HEALTHCARE ORGANIZATIONS


Customer Relations: Social media provides health organizations an opportunity to hear both positive and negative feedback from customers. In this way, organizations can repair relationships and protect their reputation.

Education: Educational Information can be shared with patients through social media. Information can also be shared amongst health professionals to encourage learning and collaboration. An extreme example could be using Twitter to give live updates on surgeries. In case of complications, viewers will be able to assist.
Patient Care: Social Media groups can help in patient care coordination.

RISKS/BARRIERS OF SOCIAL MEDIA ON HEALTHCARE ORGANIZATIONS


Negative comments on social media can lead to a bad reputation for the organization. Privacy and ethical breaches are highly likely. Language and cultural differences make it difficult for everyone to benefit from the positives of social media .

Older people dont use social media as much hence they will not benefit from the education.

IMPACT OF ADOPTING E-HEALTH ON HEALTHCARE ORGANIZATIONS


Faster drug development. Knowledge-based medicine. Early detection of diseases . Improves quality of care through more accurate diagnosis and fewer errors Reduces cost of care through faster report turnaround, faster acquisition times and higher patient throughput Increase patient comfort with reduced invasiveness, shorter examination times, less radiation and selective therapy.

BENEFITS OF INTERACTION BET WEEN PATIENTS & HEALTH PROFESSIONALS USING SOCIAL MEDIA
Access to a social network site will be a good source for documentation of previous cases that patients and physicians can refer back to. This may provide information that would have otherwise been more costly and time consuming to receive. This may reduce required interaction and therefor save time for both parties which could be spent more efficiently.

Coordination: a social networking site would be a great source to coordinate between health providers in the case that they come across a case that they may be unfamiliar with or inexperienced on the topic. This could increase the quality of diagnosis as well as care provided.

BENEFITS OF INTERACTION BET WEEN PATIENTS & HEALTH PROFESSIONALS USING SOCIAL MEDIA
If both the patient and health professional are avid social networkers this will create a very fluid and flexible forum for communication. This may be especially true in the case of minor questions where a formal appointment or meeting may have been required to ask relatively routine questions. On the opposing side to this point if both parties are not avid networkers there will be a serious communication gap and the value added by the social networking site would be minimal if not gone. Many health providers are slow adopters of technology. This slow adoption trait is a partial driver of the Meaningful Use Act. It may be safe to assume that these slow adopters would not be reliable participants in a highly technological social network.

BENEFITS OF INTERACTION BET WEEN PATIENTS & HEALTH PROFESSIONALS USING SOCIAL MEDIA
The social network site would be a wonderful source to house administrative patient information that could be passed to caregivers in the same or different organizations. This would reduce time required by both groups.

NEGATIVES OF INTERACTION BET WEEN PATIENTS & HEALTH PROFESSIONALS USING SOCIAL MEDIA
The patient may rely upon information on social network sites rather than seeking the advice of primary physician and other health providers. Less face time with staff may reduce patients confidence in his or her own health status as well as the health providers attention to that patient.

NEGATIVES OF INTERACTION BET WEEN PATIENTS & HEALTH PROFESSIONALS USING SOCIAL MEDIA
Misinformation due to lack of interaction: The abundance of information available on a social networking site along with a patients increased independence may lead to a patient to assume responsibility for symptoms that should be in the hands of a professional. This could lead to misdiagnosis and even taking incorrect medicines which could have negative consequences.

NEGATIVES OF INTERACTION BET WEEN PATIENTS & HEALTH PROFESSIONALS USING SOCIAL MEDIA
The relationship between patient and health professionals may deteriorate as the patient becomes more independent and requires less face-to-face interaction. These two groups may have previously had a strong personal relationship that would go away as both sides become more reliant upon the social network site.

INTERACTION BET WEEN PATIENTS AND HEALTH PROFESSIONALS USING E-HEALTH


Access to heath information (searchable information or more narrowly defined knowledge) provided by healthcare professionals. Support for a specific behavior change by provider. Support for making decisions related to treatments, health insurance, providers etc. Monitoring diseases in conjunction with providers. Access to health records and interaction with health care professionals.

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