#mHealth is one of the topics that I’m writing about since I started this blog, just over 1 year ago.
I feel lucky to start posting today and along this next year about the evolution of a project that I’m starting at my Hospital. The main objective of this project is to integrate and take advantage of the full potential #mHealth to improve assistance to our reference population.
In today’s post I want to share with you how is the “Final Picture” I visualize today, and I hope we achieve at the end of the project.
However, I think it’s very important to explain that this is a project that will be done from a public hospital.
So despite how innovative it is, and due to the resources which counts the hospital, this project internally competing with others who are also priorities for the institution.
With this I mean that although we are clear when we started, we do not know for sure when it will end, so we considered it as a long distance run.
Having said that I will begin to explaining
The care process on which we have begun to work is the care of patients with diabetes, Type I and Type II complicated our hospital.
And what does this mean?
Basically and simply put, means that diabetic patients from the hospital will change its role and relationship with it, taking a more active role in the care process.
That is, to date, these patients contributed information to your doctor at your scheduled outpatient visits, or when they came to the center for some emergency related to diabetes (or not).
From now on, the goal is that a new information flow of these patients to the hospital is generated continuously and sustainably over time using the technology that offers #mHealth.
Therefore, we aim to a new stream of information that we are willing to integrate with the patient’s Electronic Health Record (EHR) systematically.
We will move from an exchange of information with doctors every 6 months in the ambulatory visits, to an exchange and continuous monitoring of information coming from our diabetic patients through their devices (smartphones, glucometers, wearables…).
And what implications will it have for the different actors in the process?
- It means that the medical team will access to relevant for decision-making information from their computers or tablets, since it will be incorporated into the EHR.
- There will come a time when parameterized alarms will help anticipate risk situations, so that regardless of where the patient is located, whether in the hospital an alarm risk of hypoglycemia, for example, may be the duty doctor will have tools to contact the patient and act.
- It will directly affect the work dynamics of the team of doctors and nurses, a need to devote time to these “on line” patients with a 7 x 24 x 365 service will an objective to achieve if possible.
- Quality of life, improving freedom of movement and ubiquity, thanks to mobile technology.
- Feeling safe from harm, knowing that in addition to its own surveillance, he has the reference of their Hospital surveillance.
- Commitment, this is the most critical aspect of the success of this new dimension of care to provide all the value it expected from it.
The latter is the key to everything, at the time the patient is committed to it’s own care.
Realizing that registering blood sugar levels, or the daily diet, or the exercise performed, etc. using the smartphone, it will allow monitoring them from the hospital, and directly affect their health positively.
Therefore, it is clear that one of the critical success factors of the project will be achieve this commitment. Searching mechanisms, incentives, arguments, or whatever is necessary in each case to get it.
And when I say the latter I do it considering its final implementation, and not in the pilot phases, where to find the best profile of patient committed should not be too complicated … You already know what I mean, the real value of these projects is in its scalability to covered population, and generalization in the healthcare system.