Thursday, January 9, 2020

The impact and challenge of technology in home healthcare

Remote patient monitoring has been an effective way to support equitable access to continuous care and management of medical conditions. This class of technology includes wearable heart monitors, maternity care trackers, glucose monitors and provider-facing solutions—all of which support clinicians retrieving accurate and sometimes real-time data when they need it. The pandemic led to an increased use of apps, smart devices, and sensor-embedded technology that was used to detect early signs of the virus. One result was an expansion of interest in the connected health devices and home health technology that can help support remote monitoring long term. Providers are now working to better incorporate connected health technology into their practices and it is important to understand the core capabilities that are needed in patients homes as well as in practitioners offices. Most of the technology that has improved and expanded access to care during the pandemic has roots in efforts to support aging in place.

This article contains general information only and Deloitte is not, by means of this publication, rendering accounting, business, financial, investment, legal, tax, or other professional advice or services. This publication is not a substitute for such professional advice or services, nor should it be used as a basis for any decision or action that may affect your business. Before making any decision or taking any action that may affect your business, you should consult a qualified professional advisor. Home Health Care News is the leading source for news and information covering the home health industry.

What is the purpose of home health care?

Seamlessly supplement your clinical assessments with CareScout’s nationwide network of 35,000+ registered nurses. Therefore, the opportunity and largest focus in 2023 and beyond will be to continually improve the processes and techniques for recruitment and retention of caregiving personnel. As long-held certainties – even ones as basic as person-to-person contact – have proven unreliable, perhaps we can only really trust the trends that bring us the flexibility to deal with the unexpected. We hired extra staff, increased the number of phone lines, and tried whatever we could but our staff, in the office and in the field, was overwhelmed.

how home health technology will impact care

Despite the demand for home health care from patients, there aren’t currently enough care providers to meet that demand. But with telehealth, virtual care and remote patient monitoring, there is huge opportunity for growth when it comes to providing care through these solutions. They’re innovative and time effective, and I expect home health care to maximize their value.

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In 2010, the Food and Drug Administration launched the Medical Device Home Use Initiative, an effort that regulates medical home health devices to ensure that they are safe and effective for use in the home. One example of research on smart home technologies for people living in retirement communities involves the use of stove sensors, motion sensors, and sensors that detect water and electricity consumption, Demiris said. The last two are being used in an ongoing study to assess the overall mobility of people in their own homes. Now researchers also have data on sleep quality, restlessness, sedentary behavior, hygiene patterns, meal preparation, and so on.

how home health technology will impact care

Telemonitoring technology can monitor vital signs, symptoms, and even blood levels from a remote location. Future cardiac monitor technicians will be happy to learn that AliveCor is developing a device to detect potassium blood levels to prevent hyperkalemia. Though not yet approved by the FDA, this is a perfect example of how medical technology is meeting the needs of at-risk patients. While these technological developments offer countless benefits, the number one concern revolves around increasingly impersonal patient-doctor interactions.

Robots in Home Health Care

Additionally, more than three-quarters of the health system leaders included in this report said that enterprise-wide solutions are critical to deploying home care programs. To support the requirement to amass local scale, technology will play a major role in shaping the future of home care. Technology will help seniors age in place while empowering aging adults to take better care of themselves with smart-home devices, phones, tablets and wearable devices that assist with daily tasks. Additionally, technology like AI or machine learning will help businesses and brands provide better personalized experiences through the use of data.

The focus must be on how we apply technology to shore operations, training and developing skilled staff, and leveraging demand for home care to pursue new sources of funding or partnerships. Over the past 20 years in Home Health, I have seen the industry change dramatically. Today, the industry has become more and more focused on improved, measurable patient outcomes. In order to keep up with the changes, we have adopted many tools along the way, and now we have built one of our own and want to share it with you.

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As described in the literature, both types of technology have a variety of functions, Demiris noted, including monitoring and the provision of assistance in the various areas described in the following sections. Electronic Health Records replacing outdated paper records has been a massive game-changer for everyone in the medical world. Medical assistants to medical coding professionals to registered nurses are just a handful of roles that have been impacted by this industry-wide implementation. Technology has brought about a massive and welcome change to the healthcare industry. Patients now have access to some of the best diagnostic tools, new and cutting-edge treatments, and a myriad of minimally-invasive procedures resulting in less pain and quicker healing. Between 2010 and 2050, the senior population is expected to reach 88.5 million, or 20 percent of the U.S. population, greatly increasing the need for senior care.

how home health technology will impact care

As an industry, we need to stay focused on attracting and — more importantly — retaining care staff to support client demand that today is already going unmet. With so many technology solutions, it becomes very important to identify which will work best to generate the data and the resulting actions necessary to improve the quality of life as well as fewer hospitalizations for clients. While the objective is to provide the best quality care for clients through actions developed as a result of technology and data tracking, there will continue to be the challenge to secure a consistent workforce to meet the demand for care. With growing healthcare needs of a rapidly aging population, home health care has been growing faster than all other care settings.

As consumers adopt mHealth apps and devices, they will be performing tests at a much lower cost than traditional laboratories. The FDA sees the widespread adoption and use of mHealth as a way to improve health and the delivery of health care services. We will see a move to integrate virtual care and remote patient monitoring in the services being provided. Regardless of the economy, franchising in the home care space should be well-positioned for growth. Our main focus at Best Life Brands will be growing to more locations and providing support to franchisees that continue to help them attract, grow and retain outstanding caregiving teams to meet the ever-increasing demand. I see a growing light of opportunity for our industry as more programs across the country are funding home care and seeing the value of it in the continuum of care.

how home health technology will impact care

For example, when the members of his group looked at ways to support informal hospice caregivers (e.g., family members, friends, neighbors), they used video conferencing technology to solve the caregivers' problems. This technology is being tested in a three-arm clinical trial with groups that receive friendly visits and usual care , standard care plus the problem-solving therapy in person, and standard care plus the problem-solving therapy by video. If the results for Groups 2 and 3 are equivalent, the video intervention might be a cost-saving alternative. Although the cost results are not yet available, Demiris said that families are embracing the technology and “finding it a convenient and effective way to communicate” with the hospice teams. Mobile health (or ‘mhealth’) refers to healthcare and medical information that’s supported by mobile technology. In 2015, approximately 80% of physicians used mobile devices and medical apps, and 25% applied them to providing patient care.

How technology has improved the lives of working adults?

At Almost Family, Inc., Kaushal said, physicians, nurses, and therapists focus on a plan of care instead of visits or technology. Each patient needs a plan of care that is integrated across clinical disciplines, that includes the appropriate technology, and that each discipline is following. Further, the participants looked for ways to use technology's strengths to facilitate communication and data collection. A key part of home health care is the patient taking an active role in monitoring their health. Part of the shift in consumer attitudes toward taking care of themselves involves collecting data related to their activities and conditions. More than half of Americans track their weight, diet, or exercise as a way of improving their health.

how home health technology will impact care

Home health care will then become an even more significant element of the continuum of care. As our elderly population increases, it will require higher levels of health care that are more affordable and can be delivered at home. Many seniors have a strong preference for where they want to receive care.

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