SPS 2017 Program SPS 2017 Program - Page 52

37. Technology for the Future of Home Health David Taylor, RN 1 and Chris Otto, SVP 2 1 VNA Rockford, 2 MobileHelp Healthcare Background: Home health agencies are in the unique position of providing continued care for patients once they are discharged. But what happens after home health involvement has ended? Patients lack an effective “step-down” solution to aid in the transition from clinical oversight to managing their own health. One HHA is piloting a step-down RPM solution to help patients monitor their own vital signs. Methods: A new RPM system was recently tested in a pilot program by the VNA-Rockford, which believed the solution was the step-down technology it needed to help patients transition from the clinical oversight it provides to managing their own care. Results: VNA patients now have the capability to track and monitor their vital signs – much as they did with the VNA, but without the clinical intervention. In addition, they still have access to emergency services if they need it. Patients have responded positively to the ability to monitor their own data: they have reported a 47 percent increase in confidence levels around managing a chronic condition, and an 18 percent increase in mobility and physical activity. In addition, substantial anecdotal evidence reveals deeper measures of success: numerous patients have identified their vital signs trending negatively, and were able to reach out to their physicians to circumvent a hospital readmission – all on their own. Conclusions: The key to effective management of chronic illness is long-term monitoring. With new technology solutions, this is possible, without the high cost of clinical oversight. And as home health agencies continually look for new ways to position themselves within the landscape of an evershifting healthcare industry, the long-term successful patient results reinforce their ability to provide a competitive solution as they work within hospital and ACO networks. 38. Certificate Initiative Equips New Mexico Providers with WHO Core Competencies in Adolescent Healthcare and Development Kevin Werling, BA, Kirsten Bennett, PhD, RD, LD, Eleana Shair, Michelle Widener Envision New Mexico, University of New Mexico – Health Sciences Center Background: New Mexico lacks fellowship-trained adolescent healthcare providers. Envision New Mexico (ENM) piloted the Adolescent Health Initiative – New Mexico (AHI- NM), a telehealth certificate training to address this critical issue. ENM Telehealth Initiatives connect pediatric subspecialty providers with community and primary care providers, providing up-to-date information on evidence-based guidelines and support with tools and resources to enhance screening, diagnosis, prevention, and management of adolescent medical and behavioral health needs. Methods: ENM adapted the TeleECHO™ model for AHI-NM, providing live and asynchronous online training in adolescent medicine and behavioral health at no cost to providers, including but not limited to providers in NM School-Based Health Centers. During the 2015 – 2016 pilot and 2016 – 2017 continuation, the curriculum maintained emphasis on adolescent reproductive healthcare and comprehensive well care that includes behavioral health care. Structure includes: 1. Weekly Telehealth sessions covering best-practice care in core areas 2. Participants present an adolescent patient case for consultation 3. Participants complete pre-and post- surveys 4. Participants receive a certificate in adolescent health from UNM Division of Adolescent Medicine and CME/ CEUs associated with learning sessions. Results: Participants (Year 1, n=21; Year 2, n=21) completed pre- and post-surveys for 16 areas of knowledge and practice in an adolescent population. Confidence increased in each area with an average increase of 22.58%. Conclusions: A telehealth, web-based learning program addressing competencies for adolescent healthcare facilitated improvements in knowledge, confidence, and communication skills of providers who care for adolescents in NM. By focusing on high-risk areas of adolescent health, the AHI-NM learning model has expanded the general skill set of providers, including communication, Motivational Interviewing, and care coordination. Overall benefits include perceived decreased isolation and increased collaboration among providers. The AHI-NM certificate program for FY18 will continue to focus on comprehensive well care with emphasis on reproductive healthcare, substance abuse, and behavioral healthcare. SPECIAL THANKS TO THE FOLLOWING ARIZONA TELEMEDICINE PROGRAM STAFF: Ellen Dudzik, Kris Erps, Travis Garner, Michael Holcomb, Angel Holtrust, Sarah Joseph, Robert Kerr, Janet Major, Chris Martin, Karen Miller, Nancy Rowe, Tracy Skinner, Phyllis Webster, and Pete Yonsetto 37. Technology for the Future of Home Health David Taylor, RN 1 and Chris Otto, SVP 2 1 VNA Rockford, 2 MobileHelp Healthcare Background: Home health agencies are in the unique posi- tion of providing continued care for patients once they are discharged. But what happens after home health involvement has ended? Patients lack an effective “step-down” solution to aid in the transition from clinical oversight to managing their own health. One HHA is piloting a step-down RPM solution to help patients monitor their own vital signs. Methods: A new RPM system was recently tested in a pilot program by the VNA-Rockford, which believed the solution was the step-down technology it needed to help patients transition from the clinical oversight it provides to managing their own care. Results: VNA patients now have the capability to track and monitor their vital signs – much as they did with the VNA, but without the clinical intervention. In addition, they still have access to emergency services if they need it. Patients have responded positively to the ability to monitor their own data: they have reported a 47 percent increase in confidence levels around managing a chronic condition, and an 18 percent in- crease in mobility and physical activity. In addition, substan- tial anecdotal evidence reveals deeper measures of success: numerous patients have identified their vital signs trending negatively, and were able to reach out to their physicians to circumvent a hospital readmission – all on their own. Conclusions: The key to effective management of chronic illness is long-term monitoring. With new technology solu- tions, this is possible, without the high cost of clinical over- sight. And as home health agencies continually look for new ways to position themselves within the landscape of an ever- shifting healthcare industry, the long-term successful patient results reinforce their ability to provide a competitive solution as they work within hospital and ACO networks. 38. Certificate Initiative Equips New Mexico Providers with WHO Core Competencies in Adolescent Healthcare and Development loted the Adolescent Health Initiative – New Mexico (AHI- NM), a telehealth certificate training to address this critical issue. ENM Telehealth Initiatives connect pediatric sub- specialty providers with community and primary care provid- ers, providing up-to-date information on evidence-based guidelines and support with tools and resources to enhan )͍ɕ̰ͥɕٕѥЁ̴)Ё٥ɅѠ̸)5ѡ94ѕѡQ !?ȁ!$94)ɽ٥ٔ幍ɽ́Ʌ͍)٥ɅѠЁЁѼɽ٥̰)ՑЁЁѕѼɽ٥́94M ͕)!Ѡ ѕ̸ɥѡԃL؁Ё؃L)ѥՅѥѡɥձմх̴ͥ́)ЁɕɽՍѥٔѡɔɕͥٔݕɔ)ѡЁՑ́٥ɅѠɔ)MՍɔՑ(ĸ]QѠ͕ٕͥ́ɥеɅѥɔ)ɔɕ(ȸAѥ́ɕ͕Ё͍ЁѥЁ͔ȁ)ձхѥ(̸Aѥ́єɔдٕ(иAѥ́ɕٔѥє͍ЁѠ)ɽU94٥͍ͥЁ5 5) ÚͽѕݥѠɹ̸͕ͥ)IձAѥ̀eȀİeȀȰĤѕ)ɔеٕ́Ȁ؁ɕ́ݱɅѥ)͍Ёձѥ ɕ͕)ɕݥѠٕɅɕ͔ȸ) ͥѕѠݕ͕ɹɽɅ)ɕͥѕ́ȁ͍Ёѡɔхѕ)ɽٕ́ݱչѥ)ͭ́ɽ٥́ݡɔȁ͍́94 䁙̴)ɥͬɕ͍́ЁѠѡ!$94ɸ)́ѡɅ͕ͭЁɽ٥̰)Ցչѥ5ѥمѥ%ѕ٥ݥɔ)ɑѥ=ٕɅ́Ցɍٕɕ͕)ͽѥɕ͕Ʌѥɽ٥̸Q)!$94ѥєɽɅȁdݥѥՔѼ́)ɕͥٔݕɔݥѠͥ́ɕɽՍѥٔ)ѡɔՉх͔٥Ʌѡɔ)-٥]ɱ -ѕ аAI1)MȰ5])٥ͥ9܁5᥍Uٕͥ䁽9܁5᥍L!Ѡ)Ḿ ѕ) ɽչ9܁5᥍́͡Ʌ̴)Ёѡɔɽ٥̸٥ͥ9܁5᥍94)MA %0Q!9-LQ