Care Coordination and Technology
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Care Coordination and Technology Rita Kobb MS, MN, GNP Lead Care Coordinator Tech Care Coordination Program [email protected]
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Care Coordination and Technology. Rita Kobb MS, MN, GNP Lead Care Coordinator Tech Care Coordination Program [email protected]. VA Initiative Community Care Coordination Service. Implemented April 2000 Served over 2000 veterans Home is site of care - PowerPoint PPT Presentation
Transcript of Care Coordination and Technology
Care Coordinationand
TechnologyRita Kobb MS, MN, GNPLead Care Coordinator
Tech Care Coordination [email protected]
VA InitiativeCommunity Care
Coordination Service
Implemented April 2000Served over 2000 veteransHome is site of careRight care, right place, right timeCoordination not care provisionPatient not problem focused
Why Use Technology?
Increases access to care Improves communication Promotes healthier behaviors Promotes self-care Reduces healthcare consumption Reduces healthcare crises
Types of Technology
Disease management tools Messaging devices Real time video monitors Computers with chat rooms Instamatic cameras
Technology Devices
Risk Management Software
Case Study 1-Telemonitor77 y/o WW II VeteranLung Disease from Smoking
12 mos Pre-enrollment– 9 admissions– 97 days in hospital– 48 ER visits– unable to leave home
12 mos Post- enrollment
– 2 admissions– 7 days in hospital– 5 ER visits– Army reunion
Case Study 2-In-home messaging80 y/o WW II VeteranHeart Failure
12 mos Pre-enrollment– 10 admissions– 113 days in hospital– 37 ER visits– no activity– wife at home
12 mos Post- enrollment
– 0 admissions– 0 days in hospital– 2 ER visits– gardening– wife out shopping
Case Study 3-Camera64 y/o Korean War VeteranDiabetes
12 mos Pre-enrollment– 5 admissions– 36 days in hospital– 12 ER visits– wound for 16 mos– on surgery schedule
12 mos Post- enrollment
– 0 admissions– 0 days in hospital– 0 ER visits– wound healed 6 wks– no surgery
Lessons Learned
• Patients embrace technology• Patient needs/coordination not
technology drive care Always include caregiversDon’t use the word computer to explain what technology is
Where Do We Go From Here?
• 5 Networks (14 states) active• 6 more to begin this Fall• Final 10 Networks Fall 2004• National training center to teach
staff how to use technology and do care coordination opens 2004
