The Next Phase of COPD Care: Innovation
Posted on September 22, 2015 |
If you are reading this blog post, you are probably looking (like me) for solutions to the issue of COPD readmissions. For a multitude of reasons, our current processes just have not had the impact we need. The status quo has not moved the needle on readmissions in the direction or to the degree that we have all wanted.
As we begin to adapt to a financial model that pushes results and not volume, we have to explore other solutions to decrease readmissions and think more proactively to prevent that index admission, as well. The Triple Aim is driving us to improve the patient experience, the health of populations and to reduce the cost of care. It is time to disrupt what we know and look elsewhere. It is time for innovation.
Through innovative technology like tele-monitoring, tele-health and wearables, providers can access previously unavailable clinical information while patients can recognize and respond in real time to triggers. With the support of virtual visits, first-line healthcare providers can triage who needs to be seen on site and who can be treated by video consult.
Technology can also allow us to identify barriers earlier and, in turn, take more immediate action. For example, a patient may think he can afford a medication co-pay while hospitalized. Once at the pharmacy, however, he realizes the cost is prohibitive and does not purchase the medication. Through tele-health, a nurse checking in with him the day after discharge catches this in her review; the nurse is able to research and discuss immediate solutions with the patient rather than waiting for longer-term outcomes (which may include an emergency room visit).
Technology can add great value to being more proactive in monitoring and tracking progress in the home as well as staying on top of the situation. For example, the patient who has a tele-monitor and a blue tooth scale that gains four pounds in a day and reports shortness of breath can share real-time data, including vital signs, with her physician. Now a member of the care team, the patient and her physician share in the decision to trigger a home health nurse visit to utilize a Lasix protocol in her home, averting another readmission.
Innovative technology can also be central to patient empowerment. Some of the current wearables and sensors collect data without interfering in the lives of patients and caregivers. These data, coupled with patient education, equip patients to make credible and sound, informed decisions on their own and can help to prevent that unnecessary trip to the emergency room.
We know that the real drivers of healthcare must be the patients and caregivers. After all, who else cares more about their health outcomes than the patient? If we empower them with the right education, tools to help decipher their symptoms and develop simple steps for them to follow, we can catch potential problems and barriers before it is too late.
In the coming months, I will write and share how some of these innovative solutions can be piloted and tested and with research and outcomes measurement can be incorporated to define not only best practice but evidence-based practice.
Please join me in sharing some of your real-world experiences with innovation in the comments – maybe around other technology, ethnography, big data, analogous learnings, predictive analytics or design thinking.