HealthCare Manager: A Remote Medication and Personal Health Plan Support System

医疗保健管理器：远程用药和个人健康计划支持系统

• 批准号: 7801171
• 负责人: Daniel K Davies
• 金额: $ 18.75万
• 依托单位: ABLELINK TECHNOLOGIES, INC.
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-03-15 至 2010-10-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7801171
• 关键词: Adherence; Administrator; Age; Blood Pressure; Breathing Exercises; Caregivers; Caring; Chronic; Clip; Cognitive; Computer Systems; Computer software; Computers; Cues; Development; Devices; Economic Conditions; Elderly; Emerging Technologies; Environment; Evaluation; Excision; Extensible Markup Language; Face; Family Caregiver; Family health status; Fatigue; Feedback; Generations; Hand; Health; Health Insurance Portability and Accountability Act; Health Personnel; Health Planning; Health Planning Support; Health Professional; Healthcare; Healthcare Activity; Hearing; Home Care Agencies; Home Care Services; Home environment; Home visitation; Homes for the Aged; House Call; Human Development; Image; Individual; Institutes; Instruction; Internet; Intervention; Investigation; Life; Living Arrangement; Measurement; Medical; Medicare; Monitor; Multimedia; Notification; Office of Administrative Management; Online Systems; Pharmaceutical Preparations; Phase; Physiologic pulse; Pilot Projects; Protocols documentation; Quality of Care; Regimen; Research; Retirement; Schedule; Secure; Self Care; Series; Services; Small Business Innovation Research Grant; Source; Stress; Structure; Support System; System; Testing; Time; Update; Weight; Work; base; caregiving; community based care; community living; cost; design; disability; experience; improved; innovation; new technology; nutrition; person centered; premature; programs; prototype; public health relevance; response; routine therapy; software systems; success; tool

DESCRIPTION (provided by applicant): As the well known baby boomer generation surges toward retirement age, the issue becomes more significant each day of how this generation of 78 million seniors will be able to remain as independent as possible while increasingly burdened by the onset of multiple, chronic, medical conditions and a decline in cognitive abilities. Concurrent with the dramatic increase in the numbers of seniors with disabling conditions, the Medicare system is expected continue to reduce services due to economic conditions and budgetary constraints. Additionally, the rate of demand for professional health care and direct-care workers is expected to dramatically outpace supply over the next decade. Consequently, community-based care of seniors with disabilities will be more and more in the hands of the individuals themselves and their family caregivers receiving limited guidance from professional care organizations. One of the biggest issues that face home care agencies is the lack of consistency in care giving caused by an inexperienced or changing caregivers and the high cost of home visits to monitor health plan compliance. The result of these inadequacies is that all too often many seniors with disabilities are prematurely moved to more restrictive, expensive and institutional living environments that would not be necessary if home health care was provided in a more consistent manner with predictable quality. One approach to help avoid premature removal from community living arrangements is to use new technologies to help improve self-directed personal health care compliance along with remote health monitoring tools for professional caregivers to enable seniors to "age in place" while maximizing quality of care for seniors with disabilities. Therefore, in this project we will develop HealthCare Manager, a personal healthcare support system using powerful mobile computer devices to make it easier for seniors to perform personal health care activities, such as knowing when and how to take medications or comply with therapy routines, and to track health care actions that have been completed. This innovative approach will help enable elderly individuals to "age in place," maximize the consistency and quality of self-care, and avoid premature relocation to institutional settings. This approach uses new technologies to help seniors engage in self-directed personal health care while also employing remote health monitoring tools for caregivers and health professionals. Specifically, the proposed HealthCare Manager system is a portable health care support system that provides time-based prompting along with recorded audio, video and picture-based instructions for each component of a home health care regimen. HealthCare Manager offers an essential, consistent, central source of information on the specific services to be provided to each individual, and will provide interfaces for remote monitoring. The task structure for project completion includes 1) preliminary system requirements development, 2) prototype design and development, and 3) field testing in partnership with the Westchester Institute for Human Development to determine the technical merit and feasibility of the approach offered by HealthCare Manager for improving the consistency and accuracy of self-care by seniors and family caregivers, therefore reducing stress and fatigue experienced by family health care providers. Finally, the ability for the system to improve remote monitoring and schedule update capabilities of health care professionals providing oversight to the senior's personal health will be assessed. PUBLIC HEALTH RELEVANCE: This project will result in the HealthCare Manager, a software system for improving consistency and quality of implementing home health care regimens for seniors living in their own homes. The system will consist of a simplified player module used by seniors to receive notification of scheduled health related activities such as taking medications and performing home health therapies, and a web based module to allow caregivers to 1) remotely update the schedule and multimedia instruction sets used by the senior, and 2) to receive health care regimen adherence feedback. A prototype system will be developed in Phase I and tested with 32 subjects by AbleLink's project partner, the Westchester Institute on Human Development.

描述（由申请人提供）：随着众所周知的婴儿潮一代激增至退休年龄，这一代7800万老年人如何能够保持尽可能独立的问题每天都变得更加重要，同时越来越多地承受着多重、慢性疾病和认知能力下降的负担。在患有残疾的老年人人数急剧增加的同时，由于经济状况和预算限制，医疗保险制度预计将继续减少服务。此外，未来十年，对专业医疗保健和直接护理人员的需求预计将大大超过供应。因此，对残疾老年人的社区护理将越来越多地掌握在个人本身及其家庭护理人员手中，他们从专业护理组织获得的指导有限。家庭护理机构面临的最大问题之一是缺乏经验或更换护理人员造成的护理缺乏一致性，以及家访监测健康计划遵守情况的高昂成本。这些不足之处的结果是，许多残疾老年人往往过早地被转移到限制性更强、费用更高和更机构化的生活环境中，如果以更一致的方式提供质量可预测的家庭保健，这些生活环境是不必要的。帮助避免过早脱离社区生活安排的一种方法是，利用新技术帮助改善自我指导的个人保健依从性，沿着为专业护理人员提供远程健康监测工具，使老年人能够“就地养老”，同时最大限度地提高残疾老年人的护理质量。因此，在本项目中，我们将开发HealthCare Manager，这是一个使用功能强大的移动的计算机设备的个人医疗保健支持系统，使老年人更容易进行个人医疗保健活动，例如了解何时以及如何服用药物或遵守治疗程序，并跟踪已完成的医疗保健行动。这一创新办法将有助于老年人“就地养老”，最大限度地提高自我保健的一致性和质量，避免过早地搬迁到机构环境。这种方法使用新技术来帮助老年人进行自我指导的个人医疗保健，同时还为护理人员和卫生专业人员使用远程健康监测工具。具体地，所提出的健康护理管理器系统是便携式健康护理支持系统，其为家庭健康护理方案的每个组成部分提供基于时间的提示沿着记录的音频、视频和基于图片的指令。HealthCare Manager提供了一个基本的、一致的、集中的信息源，用于向每个人提供特定服务，并将提供远程监控界面。项目完成的任务结构包括1）初步系统需求开发，2）原型设计和开发，以及3）与韦斯特切斯特人类发展研究所合作进行现场测试，以确定HealthCare Manager提供的方法的技术优点和可行性，以提高老年人和家庭护理人员自我护理的一致性和准确性，因此减少了家庭保健提供者所经历的压力和疲劳。最后，将评估该系统改善远程监测和医疗保健专业人员对老年人个人健康进行监督的时间表更新能力的能力。 公共卫生关系：该项目将产生保健管理员，这是一个软件系统，用于提高为住在自己家中的老年人实施家庭保健方案的一致性和质量。该系统将由一个简化的播放器模块和一个基于网络的模块组成，前者供老年人使用，以接收计划的健康相关活动的通知，如服药和进行家庭健康治疗，后者允许护理人员1）远程更新老年人使用的时间表和多媒体指令集，以及2）接收健康护理方案依从性反馈。第一阶段将开发一个原型系统，并由AbleLink的项目合作伙伴韦斯特切斯特人类发展研究所对32名受试者进行测试。