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Self Management and Self Management Support in Healthcare PowerPoint Presentation

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Description : Self Management and Self Management Support in Healthcare.

Tags : Self Management, Self Management Support, Healthcare, Home Healthcare

Published on : Jul 19, 2020 | Views : 1255 | Downloads : 2

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2 “Even small healthcare institutions are complex, barely manageable places. . . Large healthcare institutions may be the most complex organizations in human history.” Peter Drucker Post-Capitalist Society. New York, Harper and Row, 1993
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What is self-management? “The individual’s ability to manage the symptoms, treatment, physical and social consequences and lifestyle changes inherent in living with a chronic condition.”
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What is self-management support? Making and refining the health care system to facilitate patients and families managing chronic health problems self-management. This includes at the level of patient-provider, patient-health care team, patient-health care system and the community. Glasgow et al
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A philosophical shift Professional - patient Professional - Patient Patient - Professional Patient - professional Person - professional Person-Person Adapted from Tom Janisse
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Current Healthcare System is based on acute care episodes, Not Better Health Health Condition Continued Health Healthy Consumer No Hospitalization Acute Care Episode Efficient Successful Outcome Complications, Infections, Readmissions High-Cost Successful Outcome $
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Reducing Costs Without Rationing: Can It Be Done??
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Reducing Costs Without Rationing: Prevention and Wellness Health Condition Continued Health Healthy Consumer
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Reducing Costs Without Rationing: Efficient, Successful Treatment Health Condition Continued Health Healthy Consumer No Hospitalization Acute Care Episode Efficient Successful Outcome Complications, Infections, Readmissions High-Cost Successful Outcome
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Reducing Costs Without Rationing: Avoiding Hospitalizations Health Condition Continued Health Healthy Consumer No Hospitalization Acute Care Episode
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Reducing Costs Without Rationing: = Better Quality Health Condition Continued Health Healthy Consumer No Hospitalization Acute Care Episode Efficient Successful Outcome Complications, Infections, Readmissions High-Cost Successful Outcome Better Outcomes/Higher Quality
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Drivers of Readmissions
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Differences Between Acute and Chronic Conditions
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Differences Between Acute and Chronic Care Roles
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The patient journey: care continuum, literacy, and personal health information Health Care Provider Patient input to the medical record Treatment decision Diagnosis Consideration of treatment options Adhering to therapy Monitoring therapy Presentation & evaluation Patient Engagement/Awareness Clinical knowledge Patient 4 Patient/caregiver research Leverage digital/mobile communications, share data 2 1 Symptoms, Personal preferences, Family history Shared decision-making w/provider 3 16
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Opportunity: Significant Reduction in Rate of Hospitalizations Examples: 40% reduction in hospital admissions, 41% reduction in ER visits for exacerbations of COPD using in-home & phone patient education by nurses or respiratory therapists J. Bourbeau, M. Julien, et al, “Reduction of Hospital Utilization in Patients with Chronic Obstructive Pulmonary Disease: A Disease-Specific Self-Management Intervention,” Archives of Internal Medicine 163(5), 2003 66% reduction in hospitalizations for CHF patients using home-based telemonitoring M.E. Cordisco, A. Benjaminovitz, et al, “Use of Telemonitoring to Decrease the Rate of Hospitalization in Patients With Severe Congestive Heart Failure,” American Journal of Cardiology 84(7), 1999 27% reduction in hospital admissions, 21% reduction in ER visits through self-management education M.A. Gadoury, K. Schwartzman, et al, “Self-Management Reduces Both Short- and Long-Term Hospitalisation in COPD,” European Respiratory Journal 26(5), 2005
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Source: Manhattan Research, Cybercitizen Health® U.S. 2013, fitbit, Pebble watch, Nike General Well-being Motivates Health Self-Tracking Among those who are online, Young & health- Age 18-34, in good or excellent overall health and has not been personally diagnosed with a condition. Old & Sick- Age35+, in fair or poor overall health and has been personally diagnosed with a condition Pebble watch fitbit Nike+ FuelBand 50% of consumers track or monitor their health, wellness, or fitness measurements 19
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The Digital Wireless Revolution: A New Type of Band-Aid A Band-Aid-like adhesive strip worn on a patient’s wrist or skin will monitor vital signs, physical position and activity. Determine which type of monitoring (e.g., complete vitals, heart rate alone, glucose for diabetics) fits best with your facility’s strategic direction. Determine which beds outside of ICU should be equipped for routine patient monitoring. Provide the necessary IT backup. 20
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The “Digital Plaster” A device meant to be embedded in ordinary plaster that includes sensors for monitoring health-related metadata such as blood pressure, temperature and glucose levels. The “digital plaster” contains a Sensium silicon chip, powered by a small battery, which sends data via a cellphone or PDA to a central computer database. If the results show any worrisome signs, patients and doctors alike would be notified of the change in the data patterns. They also plan to add a motion sensor to the device so it could additionally serve in the role of “granny monitor” by detecting things like falls or complete inactivity. [The Toumaz Digital Plaster]
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The Digital Wireless Revolution: iPads Meet Healthcare iPads or other tablet-type devices will be widely used as point-of-care aids and as versatile administrative tools. Provide tablets and the appropriate medical and healthcare apps to key members of the clinical staff. Have IT staff routinely monitor the development of new hardware and software applications. Make sure that wireless connections are strong throughout your facility. 22
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Wearable Insulin Pumps The catheter at the end of the insulin pump is inserted through a needle into the abdominal fat of a person with diabetes. Dosage instructions are entered into the pump's small computer and the right amount of insulin is injected in a controlled manner. [Medline Plus]
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The Digital Wireless Revolution: Pocket Imagers Pocket-sized imaging devices will provide high-resolution results in any location at a fraction of the cost of inpatient scans. Strategic plans should address the future of your inpatient imaging center. Consider using pocket-sized ultrasound devices in a variety of settings. 24
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The Digital Wireless Revolution: Apps for Patients Hospitals will routinely provide patients with apps for wireless devices that can be used for the registration process, scheduling follow-up visits and accessing health information. Be prepared to address any confidentiality concerns that patients may have. Use apps to promote your facility’s strengths and contribution to community health. Incorporate the creation and use of apps into strategic and marketing plans. 25
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General Well-being Motivates Health Self-Tracking Among those who are online, Young & health- Age 18-34, in good or excellent overall health and has not been personally diagnosed with a condition. Old & Sick- Age35+, in fair or poor overall health and has been personally diagnosed with a condition Reasons for tracking health measurements: Source: Manhattan Research, Cybercitizen Health® U.S. 2013, fitbit, Pebble watch, Nike
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Source: WHO “Number of people with diabetes will double in 25 years”
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Home Healthcare is a $ 85bn Industry in the US >25mn patients in the US receive Home healthcare annually Apria/Amedisys/Gentiva/Lincare
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Pioneers in the Indian Specialty Home Healthcare sector FOUNDED IN 1996 We are…. Medwell Ventures acquired Nightingales in April 2014.
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The Indian Healthcare Scenario 200 Million or more will be over the age of 65 by 2018 40 million lose their lives to chronic diseases every year Lifestyle and eating habits have changed drastically Personalized healthcare has become the need of the hour
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Estimated at $2 billion, the Indian Home Healthcare Market is growing by 20% annually THE INDUSTRY Home Healthcare in India An estimated 65% of hospital visits in India involve healthcare that can be provided in the home.
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Home health services delivered annually 250,000+ Subscribers 12,000+ We have… 600+ Employees 3 Cities Bengaluru Hyderabad Mumbai 9+ Branches
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Branch model across the city for better reach Catering to 24x7 home health requirements 24x7 Call center for the subscribed members Focus on specialty services from Mental to Physical Wellbeing Our model… We provide Home-based medical services. Focused on Out-of hospital services Pay per usage model with basic annual subscription fee
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Dementia care Pulmonology Vaccinations Infusion Therapy Physio at home & at Clinic Stroke Management Wound care We offer… Dental Care Delivery of medicines Caregivers Medical Equipment on hire Wellness Plans Doctor on call Nurse on call
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Hospital Association Better Service Delivery model for patient Continuum of care – seamless integration from Hospital to Home Adherence to care protocols at home Periodic follow up’s with the treating doctor / Specialist Retention of patients and great CRM initiative
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Avoids high investment cost in running home care program Manpower issues associated with Home Care Speciality home care for chronic cases helps better ARPOB for Associate Hospital Cost Effective Hospital Association
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Hospital Tie-up – Advantage: Heart Failure Clinic Patient walks into the Clinic Data Management will be done on cloud and the clinician will have access to the patient record on line Care Plan is created by the cardiologist and follow up is done by Nightingales team Nightingales team will follow up on Care Plan created by clinician and do ECG and Blood Investigations at home Proposed package will have PT INR, Serum Electrolytes ECG, paedel edema, weight monitoring etc... Which will be carried at home Adherence to care protocols at home
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Associate Hospital will provide space in the hospital Associate Hospital will inform all stake holders about the association and all discharge summaries will have a recommendation for home care Nightingales will have a dedicated kiosk manned by a customer care team Nightingales will take the leads from the hospital / doctor’s Separate ID will be issued for associate Hospital patients for better tracking along with a welcome kit Patients will be engaged right from the discharge process Care plan will be reviewed with the treating physician/ specialists before implementing the same at patients home Periodic updates to the clinicians on the patient condition Billing will be done by Nightingales Monthly report will be submitted by 5th of every month How it works
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Our Partners
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Here we go again…. 1917, 1935, 1948, 1965, 1970, 1994 2009

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