Difference between revisions of "Clinical Factors"
From PatientRecovery
| Line 1: | Line 1: | ||
These are the [[Clinical Factors]] that are a component of the [[Patient Recovery Factors]]. | These are the [[Clinical Factors]] that are a component of the [[Patient Recovery Factors]]. | ||
==[[Clinical Conditions Factors|Clinical Conditions]]== | ==[[Clinical Conditions Factors|Clinical Conditions]]== | ||
| − | [[Clinical Conditions Factors|Clinical Conditions]] are elements of the [[Clinical Factors|clinical factors]] in [[Patient Recovery|patient recovery]]. | + | [[Clinical Conditions Factors|Clinical Conditions]] are elements of the [[Clinical Factors|clinical factors]] in [[Patient Recovery|patient recovery]]. Medicare has developed a model to categorize the [[Clinical Conditions Factors|clinical conditions factors]] in order to risk [http://www.cms.gov/Medicare/Health-Plans/MedicareAdvtgSpecRateStats/Risk-Adjustors.html '''risk adjust'''] health insurers that are covering patients. The [[CMS-HCC Risk Adjustments]] model adjust for patient demographics (i.e., age, disabled) and disease (i.e., diabetes, congested heart failure). |
| − | + | ||
| − | + | ||
| − | + | ||
| − | Medicare has developed a model to categorize the [[Clinical Conditions Factors|clinical conditions factors]] in order to risk [http://www.cms.gov/Medicare/Health-Plans/MedicareAdvtgSpecRateStats/Risk-Adjustors.html '''risk adjust'''] health insurers that are covering patients. The [[CMS-HCC Risk Adjustments]] model adjust for patient demographics (i.e., age, disabled) and disease (i.e., diabetes, congested heart failure). | + | |
===Allergies & Adverse Drug Reactions=== | ===Allergies & Adverse Drug Reactions=== | ||
Revision as of 07:30, 20 March 2014
These are the Clinical Factors that are a component of the Patient Recovery Factors.
Clinical Conditions
Clinical Conditions are elements of the clinical factors in patient recovery. Medicare has developed a model to categorize the clinical conditions factors in order to risk risk adjust health insurers that are covering patients. The CMS-HCC Risk Adjustments model adjust for patient demographics (i.e., age, disabled) and disease (i.e., diabetes, congested heart failure).
Allergies & Adverse Drug Reactions
Behavioral Health
- Addictions
- Behavioral Disorders (depression, anxiety disorders, schizophrenia, bipolar etc.)
- Substance Abuse
Comorbidities
Comorbidities are chronic disorders (or diseases) that need to be managed. Most comorbidities do not get cured. Comorbidities include behavioral or mental disorders.
- Alzheimer's disease
- Arthritis
- Asthma
- Cancer
- COPD
- Diabetes
- Congestive Heart Failure
- High Blood Pressure
- High Cholesterol
- Obesity
- Osteoporosis
- Stroke
Demographics
- Age
- Sex
- Disabled
- Long Term Institutional Status (LTI Designated Status)
Genomes
- Human Genome]
- Microbiome (and other resident bacteria)
- Proteome - set of proteins expressed by a genome, cell, tissue or organism at a given time, under defined conditions.
- Metabolites - are small molecules with metabolism functions of fuel, structure, signaling, stimulatory and inhibitory effects on enzymes and other catalytic activities
- Tumors - abnormal mass of tissue as a result of abnormal growth or division of cells
- Viruses - small infectious agent that replicates only inside the living cells of other organisms
Immunizations
- Flu
- Tetanus
Impairments
- Cognitive Impairments (Delirium "confused state", Dementia)
- Developmental Challenges (Autism)
- Physical Impairments (Use of limbs, arthritis, amputation, birth defects, Epilepsy)
- Sensory Impairments (Blind or Visually Impaired, Deaf or Hard of Hearing, loss of taste and smell)
Medical History
- Adverse events
- Family Medical History
- Medical Conditions
- Surgeries
Physiological Metrics
- Blood glucose level
- Blood pressure
- Cholesterol level (HDL, LDL, etc)
- Heart rate
Problem lists
- Abdominal pain
- Acute asthma
- Chest Pain
- Fever
- Fractures
- Headache
- Pain (Chest Pain)
- Rash or skin infection
- Shortness of Breath
- Sprains
- Upper respiratory tract infection
- Wounds
Functional Conditions
Functional Conditions are elements of the clinical factors in patient recovery.
Basic Physical
The ten variables addressed in the Barthel scale are:
- presence or absence of fecal incontinence
- presence or absence of urinary incontinence
- help needed with grooming
- help needed with toilet use
- help needed with feeding
- help needed with transfers (e.g. from chair to bed)
- help needed with walking
- help needed with dressing
- help needed with climbing stairs
- help needed with bathing
Basic Life Activities
- Clean home or setting
- Drive
- Laundry
- Prepare food and/or cook
- Shopping (Food, Medicines, necessities, etc.)
- Use Public Transportation,
Logistic Capabilities
- Walk - able to walk, ride in car, ride bus or taxi
- Assisted Walking - walker, cane
- Wheelchair - Travel via Wheelchair
- Equipment Requirements - Oxygen, heart device, etc.
Work
Physically able to go back to work or enough functional ability to find a new job
Passion
Physically able to go back to work or enough functional ability to find a new job
- Volunteer, watch grand kids soccer games, etc.
- Golf, weekly lunches with friends, etc.
Mental
Not prevented from working, pursuing passion and functional activities because of mental health challenges
- Fear, confidence in certain situations, etc.
