Difference between revisions of "Clinical Factors"
From PatientRecovery
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==[[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]]. | ||
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| + | These are the [[Clinical Factors]] that are a component of the [[Patient Recovery Factors]]. | ||
| + | ==[[Clinical Conditions Factors|Clinical Conditions]]== | ||
| + | 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=== | ||
===Behavioral Health=== | ===Behavioral Health=== | ||
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===Comorbidities=== | ===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 | * Alzheimer's disease | ||
* Arthritis | * Arthritis | ||
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* Osteoporosis | * Osteoporosis | ||
* Stroke | * Stroke | ||
| − | === | + | ===Demographics=== |
| − | + | * Age | |
| − | * Long Term Institutional Status (LTI Status) | + | * Sex |
| − | === | + | * Disabled |
| + | * Long Term Institutional Status (LTI Designated Status) | ||
| + | ===Genomes=== | ||
| + | * [http://en.wikipedia.org/wiki/Human_genome '''Human Genome''']] | ||
| + | * [http://en.wikipedia.org/wiki/Microbiome '''Microbiome'''] (and other resident bacteria) | ||
| + | * [http://en.wikipedia.org/wiki/Proteome '''Proteome'''] - set of proteins expressed by a genome, cell, tissue or organism at a given time, under defined conditions. | ||
| + | * [http://en.wikipedia.org/wiki/Metabolite '''Metabolites'''] - are small molecules with metabolism functions of fuel, structure, signaling, stimulatory and inhibitory effects on enzymes and other catalytic activities | ||
| + | * [http://en.wikipedia.org/wiki/Tumor '''Tumors'''] - abnormal mass of tissue as a result of abnormal growth or division of cells | ||
| + | * [http://en.wikipedia.org/wiki/Virus '''Viruses'''] - small infectious agent that replicates only inside the living cells of other organisms | ||
| + | |||
===Immunizations=== | ===Immunizations=== | ||
* Flu | * Flu | ||
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* Surgeries | * Surgeries | ||
| − | |||
| − | |||
| − | |||
===Physiological Metrics=== | ===Physiological Metrics=== | ||
* Blood glucose level | * Blood glucose level | ||
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* Heart rate | * Heart rate | ||
===Problem lists=== | ===Problem lists=== | ||
| − | |||
| − | |||
* Abdominal pain | * Abdominal pain | ||
| − | * | + | * Acute asthma |
| + | * Chest Pain | ||
* Fever | * Fever | ||
| − | * | + | * Fractures |
| − | * | + | * Headache |
| − | * | + | * Pain (Chest Pain) |
| − | * | + | * Rash or skin infection |
| − | * | + | * Shortness of Breath |
| − | * | + | * Sprains |
| − | + | * Upper respiratory tract infection | |
| − | + | * Wounds | |
==[[Functional Conditions Factors|Functional Conditions]]== | ==[[Functional Conditions Factors|Functional Conditions]]== | ||
Revision as of 08:29, 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.
These are the Clinical Factors that are a component of the Patient Recovery Factors.
Clinical Conditions
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.
