https://padlet.com/kerricarr/haqn1bbo2p75tew7 Made with data, information, knowledge, and a sprinkle of wisdom :) en-us 2021-01-25 04:25:26 UTC 2025-04-12 14:12:46 UTC hello@padlet.com kerricarr https://padlet.com/kerricarr/haqn1bbo2p75tew7/wish/1123423663 Week 2 Content... Hi y'all!!! As of right now, I am interested the role of informatics in the home health & hospice setting.  I felt this article was a good start to set the stage for how families and healthcare providers feel about the impact of medical technology (feeding pumps, infusions, wound vacs, etc.) in the home environment.  My goal at this time is to focus on how informatics can improve patient outcomes, access to care, and patient engagement in the home health setting.  I hope this is an acceptable start for the Padlet application :) ]]> 2021-01-25 18:15:36 UTC https://padlet.com/kerricarr/haqn1bbo2p75tew7/wish/1123423663 kerricarr https://padlet.com/kerricarr/haqn1bbo2p75tew7/wish/1150242059 Week 3 Content... In continuing with the theme of the role of informatics in home health & hospice, the new cardiac monitoring devices we all see advertised on television have struck my interest.  These devices attach to the back of a cell phone and provide a single lead ECG reading transmitted as a PDF to the patient's provider.  Pretty cool technology for our patients with newly diagnosed a-fib so they can see the impact of stress, salt, alcohol on their heart condition.  Of these cardiac monitoring devices, a few have been approved by the FDA for use of monitoring a-fib and are further explained in the attached article.  Enjoy!]]> 2021-02-01 18:19:23 UTC https://padlet.com/kerricarr/haqn1bbo2p75tew7/wish/1150242059 kerricarr https://padlet.com/kerricarr/haqn1bbo2p75tew7/wish/1192701387 Week 5 Content... The article for this week's posting I went with looking at the feelings of staff on implementation of HIT.  If the staff is not "on-board" with the technology, they will not use it efficiently and will likely not attempt to support the use of the technology with their patients in the home environment.  This article looked at the staff perceptions of a new EHR system implemented into their nursing home environments and if the staff felt that the EHR helped or hindered their processes and ability to care for patients.  The conclusion of the article stated that any EHR system will need to be customizable and reflect the typical best practice guidelines, dementia in the case of this article, for that particular facility/organization.  The point being that any EHR or HIT implemented into a home health environment will first need to be adopted and customized by the actual home health staff to better help in providing quality care to their particular patient groups.]]> 2021-02-11 15:14:22 UTC https://padlet.com/kerricarr/haqn1bbo2p75tew7/wish/1192701387 kerricarr https://padlet.com/kerricarr/haqn1bbo2p75tew7/wish/1192757380 Week 6 Content... This article was chosen because telehealth appears to be the starting point for the wide-spread recognition of medicine and technology in the home environment.  Due to the pandemic, healthcare providers became creative in their methods for caring for patients and most have adopted some sort of telehealth program in their practices.  This increasing access to healthcare has been and will continue to be critical for rural areas where the access to specialty care, and even primary care, can be several hours away.  Telehealth appears to be the vehicle with which providers can start to incorporate other types of technology into the home environment and this article highlights the importance of expanding access to healthcare to those at-risk populations in rural areas.  ]]> 2021-02-11 15:23:51 UTC https://padlet.com/kerricarr/haqn1bbo2p75tew7/wish/1192757380 kerricarr https://padlet.com/kerricarr/haqn1bbo2p75tew7/wish/1224443925 Week 8 Content... A surprising article for me this week.  This article was a study to understand family/patient perspectives of eHealth during palliative care.  Just with the typical ages of the patients receiving this care, I would have guessed the outcome to be more negative toward eHealth, especially during such a stressful time for patients and their families, but this article found a more positive review. From a practitioner perspective, I like the idea of providing a lot of information to patients and families via eHealth, that keeps them from googling things that may or may not be correct and also provide information relevant to their particular situation and ongoing diagnosis.  I am happy to see this one study showing a more positive light on the idea of using eHealth for families since hospice/palliative care is a huge part of the home care sector.  ]]> 2021-02-22 01:00:47 UTC https://padlet.com/kerricarr/haqn1bbo2p75tew7/wish/1224443925 kerricarr https://padlet.com/kerricarr/haqn1bbo2p75tew7/wish/1224451098 Week 9 Content... The article for this week was a case study highlighting the shift we have seen at the inpatient level with end-of-life interactions between patients and their families due to COVID-19.  This case study described the case of an individual who died without the ability of his family to be present at bedside, but who could be present via telemedicine and the profoundly positive impact that presence (even though it was virtual) had on the family.  I feel this is an excellent example of how we can further increase not only the interactions between providers and patients with telemedicine, but also allow even more family/friend support at the bedside via the use of telemedicine technologies.  Excellent example of where I hope we can eventually use technology to increase care to our home-bound patients and their families!]]> 2021-02-22 01:06:00 UTC https://padlet.com/kerricarr/haqn1bbo2p75tew7/wish/1224451098 kerricarr https://padlet.com/kerricarr/haqn1bbo2p75tew7/wish/1264733634 Week 11 Content... The article for this week is a piece featured in Hospice News about how the pandemic jump-started the use of technology in the home hospice setting, and how CMS created temporary waivers to use this technology during the pandemic.  The article also explored some of the future challenges of permanently incorporating secure technology into the home environment with government regulations and privacy laws.  Overall, the article echoed my opinion that incorporating technology into the home hospice environment will be beneficial to the staff and patients, improving overall care and ability to see/care for more patients and their families.]]> 2021-03-03 16:42:59 UTC https://padlet.com/kerricarr/haqn1bbo2p75tew7/wish/1264733634 kerricarr https://padlet.com/kerricarr/haqn1bbo2p75tew7/wish/1294187601 Week 12 Content... the attached article was my favorite article in my annotated bibliography.  It is a traditional, hard to decipher systematic review of the literature BUT it highlights an important point... the LACK of robust, quality research going into all these eHealth applications promoted in end-of-life care.  The authors scoured five of the top medical databases and the gray literature in November 2017 and only found ONE article who's study met the criteria for the UK's digital standard guidelines! Now the literature is even more diluted with all the new COVID applications, usually represented with just a few case studies, so it is even harder to find good research. As providers, how are we going to sort through all the noise and find good, quality applications for our patients?]]> 2021-03-10 17:31:50 UTC https://padlet.com/kerricarr/haqn1bbo2p75tew7/wish/1294187601 kerricarr https://padlet.com/kerricarr/haqn1bbo2p75tew7/wish/1372622704 Week 13 Content... this news release informed the hospice community that HHS re-evaluates CMS standards for hospice every 3 months, with the next renewal set for the first week of April.  This next renewal is a big deal in the hospice community because CMS has indicated they will be starting to initiate standards/protocols for the incorporation of telehealth into standard hospice practices.  During the pandemic, CMS issued waivers for the use of telehealth in hospice, but now we are going to start seeing actual changes to regulations and policies at the federal level for use of telehealth in the hospice setting.  Hopefully these changes will allow better access to care for hospice patients and their families!]]> 2021-03-31 17:11:45 UTC https://padlet.com/kerricarr/haqn1bbo2p75tew7/wish/1372622704