Coordinated Care

COVID-19 appeared in late 2019 and its epicentre has been moving with alarming speed from the far east toward Europe and now more toward the Americas.

The scheme aims to improve access to health data for research and planning.

If you think the digitisation of nursing is just about nurses filling out scores on a mobile device, it’s time to think again because artificial intelligence (AI) could be about to revolutionise the way nurses do their jobs. Recent digital developments include bottles which automatically issue reminders to drink, diapers that sound an alert when wet and sensor-equipped stoma pouches.   Heiko Mania, NursIT CEO, and a former nurse, believes AI will change the focus of nursing care: “Modern nursing expert software not only streamlines nursing documentation, it will automate it using AI, sensors and smart nursing aids. At the same time, professional nursing care will change from reactive to predictive, preventive nursing care.” Mania said they had developed a nursing care expert system, CareIT Pro, which supports automation in nursing. He explained that smart algorithms and AI could reduce the need for information to be entered and could link content, so that further workflows and tasks could be automatically initiated at the right time. He added that the software automatically recognised patterns, evaluated the planned nursing goals and recommended necessary adaptations. Webinar: AI: Evaluating Opportunities for Healthcare Providers He said sensors, wearables and smart devices were also enabling increased automation: “Intelligent tools automatically deliver data on the patient to the nursing expert software and thus allow automated documentation. Alarms, nursing tasks and digital processes can be generated and started independently. Nursing staff not only receive digital to-do lists, but can also see the current status and quality of the nursing processes at all times and react to them at an early stage. An intelligent drinking cup can automatically fill the drinking protocols and remind the patient to drink regularly or the stoma pouch sensor generates an automatic care task for changing the bag when it is almost full. We are currently developing an intelligent nursing mattress with a partner company that can detect not only the patient’s movement, breathing, position, pressure and sleep, but also incontinence.”  Improved quality of care and patient safety If the Internet of Things (IoT) is set to transform nursing, it is also starting to change the way nursing is taught. Widener University in Pennsylvania has introduced a range of simulation training from programming intravenous pumps and pumps for medication to updating electronic health records.  It also runs disaster simulation training as Widener, in line with other nursing schools, has recognised the need to prepare nurses for such incidents in the wake of 9/11. Nancy Laplante, Associate Professor of Nursing at Widener University, has recently published a paper arguing the case for introducing IoT in disaster training. Laplante believes this would highlight the application of these technologies in a meaningful way and enhance the experience for nursing students. She would like to teach the students to use mobile apps to track patients, triage them and track them to different hospitals, rather than using, for example, old-school paper-tagging of victims.    She said that downloading simple drawings, like Rich Pictures and Use Case Diagrams, which show all the participants in the disaster scene at a glance, can also improve understanding: “We were looking at what we call this rich picture for disaster scenarios and it was one way to help visualise all the interactions that would occur.  What we wanted to do was to give students an understanding of how complex communication is in a mass casualty disaster scenario. It is not just nurses talking to patients; they are going to have to deal with fire fighters, police officers, bystanders and health providers that are off site.”  Laplante said students had to get to grips with new technology as it was a growth area. She said that nursing students had to understand, embrace and help develop new solutions as they could transform their practice. However, she pointed out that while IT was an important aspect of nursing, it could never take the place of nurses: “I don’t personally believe that nurses can ever be replaced because you always need that human touch. My hope and my feeling for technology is that it can help enhance our care.”  It is likely that technology will fundamentally change nursing over the coming years and, provided it is used correctly, it seems it really could improve the quality of care and lead to increased patient safety.   .jumbotron{ background-image: url("http://www.healthcareitnews.com/sites/default/files/u2556/AIJumbotron.jpg"); background-size: cover; color: white; } .jumbotron h2{ color: white; } Focus on Artificial Intelligence In November, we take a deep dive into AI and machine learning.

A new report looks at nearly 20 vendors and sees that the market for texting tech is changing – as is the way providers are using the tools.

At the Mental Health Awareness Singapore Learning Series “Healthy Mind , Better Life” Seminar organised by charity group Brahm Centre held on 25th October, Dr. Amy Khor, Senior Minister of State, Ministry of Health, announced the launch of the Dementia Friends mobile app. The app allows users to easily access information about dementia, receive updates on upcoming events on caregiving, and most importantly, use it to search for loved ones who have lost their way home. Since its soft launch, more than 1,500 mobile users have downloaded the app and signed up as Dementia Friends. The mobile app is co-developed by the Agency for Integrated Care (AIC), Nanyang Polytechnic and IHiS (Integrated Health Information Systems), which is the national technology agency for healthcare in Singapore. “Caregivers can activate this network of Dementia Friends in times of crisis, as the community of Dementia friends can help to keep a lookout for loved ones once they get a notification from the app,” said Dr. Khor. She also said that to date, six Dementia-Friendly Communities (DFC) have been formed. DFCs are support networks that help seniors with dementia live and age well, as well as provide much needed support to caregivers. Under the DFC initiative, residents, grassroots leaders, business owners and frontline government agencies are trained to help persons with dementia and their families. The six DFCs are at Yishun, Hong Kah North, MacPherson, Queenstown, Fengshan and Bedok. The Dementia Friends mobile app is available for download on the Apple App Store and Google Play Store. In August, the National Institute on Aging in the US awarded a US$4.5 million grant to the University of California Berkeley and People Power, an IoT software provider, to support research on smart home solutions for caregivers of dementia patients. People Power is creating customised systems through behavioral research on targeting everyday stressors for caregivers and dementia patients. The new technology gives caregivers proactive alerts that identify abnormal qualities in patient activities.

It starts with hiring "hardcore cloud animals," to change the culture and rethink infosec’s role in patient experience.

This case study shows how the Alliance for Better Health launched a referral network to help providers to ensure patients have access to housing, food, education, transportation and more.

Data-driven partnerships with skilled nursing facilities helped the Ohio health system improve care outcomes and lower costs.

The ability to view information on a patient's 10 previous ED visits across different health systems saved on unneeded imaging tests and prevented the prescription of narcotics, one physician said.

Here are the features and functionality clinical communication tool vendors think will emerge next.