Patient Recovery Framework - Revision history

Admin at 13:42, 28 April 2015

2015-04-28T13:42:15Z

Admin at 13:40, 28 April 2015

2015-04-28T13:40:22Z

Admin at 13:35, 28 April 2015

2015-04-28T13:35:02Z

Admin at 21:29, 16 May 2014

2014-05-16T21:29:19Z

Admin: Created page with "==Recovery Assessments/Intake== Remote or point of service by RN, Social Worker, Recovery Navigator ==Recovery Education== Remote or onsite * Clinical Condition - Personal Ca..."

2014-05-10T23:32:47Z

Created page with "==Recovery Assessments/Intake== Remote or point of service by RN, Social Worker, Recovery Navigator ==Recovery Education== Remote or onsite * Clinical Condition - Personal Ca..."

New page

==Recovery Assessments/Intake==
Remote or point of service by RN, Social Worker, Recovery Navigator

==Recovery Education==
Remote or onsite
* Clinical Condition - Personal Care, Understanding Conditions
* Lifestyle Impact - Lifestyle impact that is permanent or during the recovery process
* Treatment Options - Surgery, therapy and care options like medications, palliative care. Decision aids.
* Patient Preference Options - Advanced Directives, authorization of access, advanced beneficiary options, end of life, provider preferences

==Recovery Planning==
Development of a recovery plan
* Provider Planning Services - CMS has new care transition reimbursement
* Recovery Planning Team - Physician, Social Worker, Recovery Navigator
===“Qualified Option” Development===
* Treatment Options - With impact – cost, risk, functional, etc.
* Setting Options - With impact – cost, risk, quality of life

==Recovery Monitoring==
* Physiological, Conditions, Behavioral metrics
* Treatment effectiveness
* Intervention protocols
* Technology setup (wifi, LTE, etc.)
* Personal Emergency Response Systems (PERS)- A single button (i.e., "I've fallen… and I can't get up!" – LifeCall)

==Technology Framework==
* Analytics
* Digital Health Communications Platform
* Mobile/Digital Enabled Apps, Devices and Services
* [[Personal Health Record]]
* Physician eVisits

==Recovery Management==
Remote or onsite
* Education
* First level triage, escalate as required
* 24 x 7 support
===Patient Programs===
* Intensive
* Episode
* Chronic Care
* Palliative Care/End of Life
* Care Gaps
===Recovery Navigation===
* Schedule Appointments and rides to services
* Get services, Rx filled, etc.
* Physician, Social Worker, Recovery Navigator

===Technology Support===
* Remote – troubleshooting, education, training
* Onsite – troubleshooting, education and training
===On-site Setting Support===
* Onsite Assessments (throw rugs for hip/knee, mold – asthma/COPD, etc.),
* Technology setup (wifi, LTE, etc.)
* Training/Education on use of equipment, taking care of a wound

==Recovery Treatment==
===Surgeries===
===Procedures & Tests===
===Medicine===
===Therapies===
===Other Treatments===

==Recovery Activities==
===Socioeconomic Status===
* Insurance Coverage - apply for Medicaid, petition for coverage of treatment
* Employment - Get a new job or help getting back to work
* Education - for new skills or career
===Physician Environment & Setting===
* Home Remodeling
* Housing Applications - Assisted Living Center, Homeless shelter, adult day care
===Patient Preferences===
* Establish Patient Preferences
* Recovery Goals
* Recovery Team
* Recovery Plan
* Recovery Monitoring
* Recovery Protocol
===Patient Technology Adoption===
* Purchase of devices
* Establish Personal Health Record

← Older revision		Revision as of 13:42, 28 April 2015
Line 1:		Line 1:
−	To ensure [[Patient Recovery\|patient recovery]] and desired overall patient outcomes, an entire [[Patient Recovery Framework\|patient recovery framework]] must be developed around the patient. It must be tailored to the specific patient and their desires and needs.	+	To ensure [[Patient Recovery\|patient recovery]] and desired overall patient outcomes, an entire [[Patient Recovery Framework\|patient recovery framework]] must be developed around the patient. It must be tailored to the specific patient and their desires and needs. A [[Patient Recovery Snapshot\|Patient Snapshot]] provides a summary level picture of the patients recovery process.

	==Recovery Assessments/Intake==		==Recovery Assessments/Intake==

← Older revision		Revision as of 13:40, 28 April 2015
Line 1:		Line 1:
		+	To ensure [[Patient Recovery\|patient recovery]] and desired overall patient outcomes, an entire [[Patient Recovery Framework\|patient recovery framework]] must be developed around the patient. It must be tailored to the specific patient and their desires and needs.
		+
	==Recovery Assessments/Intake==		==Recovery Assessments/Intake==
	Remote or point of service by RN, Social Worker, Recovery Navigator		Remote or point of service by RN, Social Worker, Recovery Navigator

@@ Line 20: / Line 20: @@
 ===Living Will===
 * Advanced Patient Directives [http://www.mydirectives.com/ '''My Directives offers a free online, HIPAA compliant service''']
 ==Recovery Monitoring==

@@ Line 16: / Line 16: @@
 * Treatment Options - With impact – cost, risk, functional, etc.
 * Setting Options - With impact – cost, risk, quality of life
 ==Recovery Monitoring==