Chris Landon, MD1, Michael Seres, CEO2, Larry Suarez2. 1Ventura County Medical Center, 211Health
Protocols based on evidence-based medicine must integrate realtime information from sensors, medical innovations, and patient profiles such as literacy, cultural background, and age. Social stigma associated with stomas must address all related issues including depression, body image, sleep problems, and infection to allow patients to integrate back into society. The industry is moving to patient-centered care and personalized therapies with the intent of reducing medication side effects, increasing protocol adherence, and improving patient quality-of-life. Wearable sensors, analytics, and mobile devices are ushering in a new era with the ability to deliver personalized protocols directly. Patient protocols and regimens must change in response to patient events especially for chronic diseases, no longer treating based solely on medical encounters such as office visits or hospital readmission.
11Health employs a general care process of collecting patient information autonomously through wearable sensors and semi-autonomously through low-intrusive patient engagements, analyzing the data based on advanced knowledge of stoma patient treatments resulting in insights and protocols which are then delivered to the patient through the 11Health apps. This process executes continuously to ensure quality patient care.
Improving the discharge process is a major goal among healthcare providers. Recent data has shown that on average 30% of ostomy patients are readmitted in the first three months post-op with dehydration as the most common cause. Improving the process will reduce patient readmissions, reduce future costs to the healthcare system, and improve patient quality of life. The 11Health solution for patient discharge is integrating into Cerner and will shortly provide a discharging process solution to maximize knowledge, attitudes, and practices:
• Ensure patients follow the regimen prescribed by the hospital.
• Provide the patient with the necessary skills to deal with their ostomy
• Setup the communication for all key stakeholders and the patient’s care team.
• Tailor the initial 30-day treatment regimen to fit the patient’s risk assessment.
• Manage the patient’s appointment schedule for follow up care.
• Provide the patient with the necessary social support system.
• Ensure the patient is educated and the expectations are established for the next 30 days and beyond.
In order to reduce the possibility of errors in transcribing the patient's discharge regimen, the Ostom-i app is able to extract patient regimen information directly from the hospital EMR including the following:
• Patient’s age, birth date, sex, inpatient doctor’s name, and admission date.
• Patient’s language preferences for oral communication, phone calls, written materials, and need for an interpreter and translated materials.
• Patient’s self-described cultural/racial/ethnic background.
• Admitting diagnosis and comorbidities and functional status.
• Medicine list (including herbal and traditional medicine).
• Medicine allergies.
• Any equipment used or needed at home.
• Test results and completed tests with pending results.
• Advanced directives or health proxy.
• Medical team’s discharge plan.
The Ostom-i mobile app is provided to the patient prior to discharge. The app can load content from the hospital EMR, determines the patient risk factors, and then generates a special 30-day protocol.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 84263
Program Number: ETP734
Presentation Session: Emerging Technology Poster
Presentation Type: Poster
