Care Monitoring & Protocols Factors
From PatientRecovery
Care monitoring & protocols factors are elements of the care management factors in patient recovery.
Contents
Recovery Plan Activities
- Activities, treatments are scheduled and are taking place
- Medication - medication reconciliation, prescriptions filled, refilled, etc.
- Recovery Team - performs function
- Status - Surgeries, Procedures, Tests, Therapies, etc.
Patient Adherence
- Medication Adherence
- Activity levels
- other patient behaviors, etc.
Patient Activation
- Understand condition
- Capable of treating self, etc.
- Technology - have appropriate technology (i.e., wifi Blood pressure cuff), understand how to use it
Recovery Factors Monitored
- Clinical Condition Factors - Physiological Metrics (i.e., Blood Pressure), Pain, Wounds, etc., functional conditions, etc.
- Social and Behavioral Factors
- Basic Needs Factors
Monitoring Method
- Daily Calls, IVR
- Onsite visits
- Patient device input - checks box or inputs data
- Device Sensors - Blood pressure cuffs, wifi enabled bathroom scale
- Passive sensors (wifi enabled pill boxes or caps)
Recovery Plan Effectiveness
- Medication efficacy (effectiveness, interactions, adverse events),
- Treatments, procedures, tests, etc.
- Activities,
- Recovery team,
- Protocols
- Appropriateness of Recovery Goals
Recovery protocols factors are elements of the recovery management factors in patient recovery.
Event Triggers
Event Triggers Requiring Notifications
- Patient Concern
- Monitoring Alert - Medication adherence, blood pressure reading, etc.
- Patient Dialog
- Patient Input
- Clinical Condition
- Emergency
- Transfer Event (i.e., Hospital to home)
Event Notification
- Who - is notified based on each trigger (Patient, Care Giver, Recovery Navigator, Care Manager)
- How - phone calls, text message, alerts
- When - notification time frame
Associated Action
- Who - takes the action
- What - is the action?
- How - phone calls, text message, alerts
- When - notification time frame
Potential actions include:
- Patient triage
- Conduct on-site assessment
- Issue Escalation
- Reassess Recovery Goals, Plan, Monitoring & Protocols
- Achieve confirmation to change Recovery Goals, Plan, Monitoring and Protocols
Escalation
- What - gets escalated
- Who - escalates it (nurse, patient)
- Whom - do they escalate to (doctor, nurse)?
- When - do they escalate
- How - do they escalate
Protocol Monitoring
- Who - ensure notifications, actions and escalations are happening
- How
- When - do they escalate based on inaction