Leveraging EHR and Wellness Data to improve care for older people is a goal that should be embraced by all healthcare providers. However, barriers to adoption of such solutions have been noted. To overcome these obstacles, the first step should be to train clinical and clerical teams in the use of the new technology.
Training Clerical and Clinical Teams
The goal of leveraging the data from EHRs and wellness programs is to improve old age care by providing a single consolidated source of health data for physicians and health care teams to review. The data can be used to improve quality of care, prevent illnesses, and reduce hospitalizations of patients. Using wellness data can help clinicians see trends in the health care population and tailor care to individual patients.
A successful implementation of an EHR should incorporate the input of practicing physicians and their organizations into the process of implementation and measurement of results. It should also involve clinician informaticists in the process of training. This training should continue even after the go-live period. Different goals can lead to an “us-versus-them” dynamic, which can be minimized with intentional organizational actions.
One approach to training clerical and clinical teams to leverage the data in the EHR is the implementation of the SWAT Team. This high-touch training program is designed by IT and internal medicine leadership. This program has been implemented by Arius Health and enables them to implement several EHR optimization strategies. They also lead service-line-initiated EHR optimization efforts. The SWAT team uses validated tools for EHR system, including the Mini-Z Burnout Assessment. This tool asks specific questions about the burdens posed by the EHR.
One example of a successful implementation of the EHR is the creation of a virtual workflow. A virtual workflow can be created to facilitate efficient patient care. An EHR can be used for wellness management and prevent falls.
A team of nurses can also make use of EHR data to make informed health decisions. By leveraging wellness data, healthcare organizations can improve care outcomes for older adults. Research conducted on the use of EHRs and wellness data has shown that this method improves care and outcomes for the elderly. This method has been emphasized in recent transformative policies such as the Health Information Technology for Economic and Clinical Health Act.
Access to Palliative Care
The global trend of ageing brings with it a need to improve the health and quality of life for older people. Palliative care services need to be more accessible to people with various conditions, not just cancer. They also need to be offered based on need and not diagnosis.
This type of care emphasizes the family as an integral unit of care. In addition to providing medical care, family members also provide emotional, social, and financial support. They often perform tasks that would otherwise be done by trained nurses. This approach will allow healthcare providers to better understand the needs of older people and make appropriate decisions.
As a result, new care structures have been developed. They are based on the needs of patients, and comprise physicians, nurses, and allied health professionals. Most of these services are provided free of charge. The project also involves changing the law concerning the delivery of opioid analgesics, training all health care professionals in basic palliative care, and implementing a comprehensive monitoring and evaluation strategy.
The End of Life Care Strategy in England is an integrated, centralized approach to health care. Funding is provided through general taxation. In addition, care is free at the point of access. In addition to hospitalization, palliative care is also available in community settings and can be delivered by various health and social care staff.
Increasing access to palliative care is an important part of advancing a healthy society. The Humanists Union works to advance this concept in Georgia by advocating for the implementation of internationally accepted bioethical standards. It has the support of the Georgian Parliament and a variety of partners and collaborators.
There is also a growing need for palliative care for older people. Populations are aging worldwide and more people are living longer. Consequently, more people are suffering from chronic, debilitating illnesses. These diseases include cardiovascular disease, diabetes, and cancer. In addition to individual disease, many older people suffer from multiple conditions and disabilities.
The World Health Organization (WHO) has identified the need for improved access to palliative care. In order to improve access to palliative care, health systems must be stronger. This requires educating health care workers and building a high-performing workforce.
Using Reemo to Capture Motions
Reemo is a startup that uses wearable technology to capture motions and sends them to medical devices for analysis. The company has received funding from Microsoft Ventures and a variety of other sources, including Jumpstart Foundry and Wearable World Labs. It recently secured a pilot partner at the Ohio Masonic Home in Springfield, Ohio. Despite the early success of Reemo, it is still a long way from profitability and market acceptance.
Reemo combines wearable technology with smart home technology to monitor motions in real-time. It is capable of employing contextual indicators, such as when the door to the bathroom is opened or when a light is turned on. The gathered data is then presented to the care provider or family member.
Barriers to Adoption
Currently, most older adults are insured under traditional fee-for-service Medicare, a system that incentivizes profit-generating care. Changes are urgently needed to promote better health care delivery. These include value-based payment models that address the social determinants of health and lifestyle modifications, and bundled payments that recognize the diversity of the older population. Value-based payment models can address these challenges, and ensure that older people have access to the services they need.
One example of a technology that uses EHR and wellness data to improve the lives and health of old Aged people is a pair of socks that detect changes in feet that might lead to ulcers. These socks can also detect swelling that is indicative of serious health conditions.
Another example of a barrier to EHR and wellness data adoption involves broadband, which is an essential social determinant of health. A study in the Journal of the American Medical Informatics Association found that poor broadband limited the adoption of a patient portal in Ohio. About one-third of patients reported experiencing broadband issues. According to the North Carolina Broadband Infrastructure Office, policy intervention is needed to overcome these barriers.
The digital divide has been an ongoing problem for healthcare. It has resulted in a stark disparity in telehealth adoption. The COVID-19 pandemic, for instance, demonstrated the importance of telehealth for chronic disease management. However, telehealth adoption was not evenly distributed across racial and ethnic groups.
Integration of data from multiple sources is another significant barrier to EHR and wellness data. Integrated data systems must call up relevant information from third-party providers at the appropriate times. Integrating third-party data requires technical infrastructure that includes APIs and tabs. It also requires the configuration of software to share information between different sources.
The adoption of EHR and wellness data should be facilitated by ensuring that the system has adequate security and privacy protections. The HIPAA privacy and security rules imposed by healthcare IT regulators must be complied with. Nonetheless, HIPAA requirements should not be an impediment to EHR integration.