Optimizing Emergency Aftercare with Mobile Video Prescriptions

通过移动视频处方优化紧急善后护理

• 批准号: 8199308
• 负责人: David J Mathison
• 金额: $ 24.76万
• 依托单位: HEALTHEWORKS, LLC
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-08-17 至 2013-06-16
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8199308
• 关键词: Accident and Emergency department; Acute; Aftercare; Age; Caregivers; Caring; Cataloging; Catalogs; Censuses; Child; Childhood; Client satisfaction; Clinical; Communication; Comprehension; Computers; Control Groups; Devices; Diagnosis; Education; Electronics; Emergency Situation; Environment; Face; Family; Feasibility Studies; Fever; Gastroenteritis; Goals; Health; Health Insurance Portability and Accountability Act; Health education; Home environment; Hospitals; Instruction; Insurance; Internet; Intervention; Language; Link; Low income; Measures; Medical; Methods; Metric; Minority; Mission; Modality; Motivation; Outcome; Parents; Patient Discharge; Patients; Performance; Pharmacy facility; Phase; Physicians; Population; Price; Research Infrastructure; Services; Small Business Technology Transfer Research; Socioeconomic Status; Source; Surveys; Syndrome; System; Tablets; Technology; Testing; Time; Underserved Population; Viral; Visit; Work; Writing; base; commercialization; data management; design; health literacy; improved; innovation; laptop; low socioeconomic status; pressure; satisfaction; socioeconomics; standard of care; tool

DESCRIPTION (provided by applicant): healthEworks' mission is to improve discharge health education for the 100 million patients discharged from U.S. emergency departments (EDs) annually. healthEworks aims to accomplish this goal by creating and distributing Video Prescriptions"- concise videos specific to the common discharge diagnoses patients receive in the ED. These videos feature Dr. Christina Johns, a pediatric emergency physician who specializes in delivering health information on camera. healthEworks' service combines this specialized video content with a HIPAA-compliant information data management system that electronically delivers the video prescriptions to patients at time of ED discharge. The videos are designed for, and delivered to, small-screen mobile devices such as smartphones or laptop computers so patients can view their discharge information whether in the comfort of their home or at the pharmacy while waiting for a prescription to be filled. This service is particularly important to underserved populations who frequently utilize the ED because of a lack of health education rather than a lack of access to alternative care. While a disproportionately high number of ED patients are low socioeconomic status, minorities, non-English speaking, and/or have public aid (or lack) insurance, the vast majority of these patients have frequent access to electronic communication and a growing percentage use Internet-ready mobile devices. Video education offers a visually-appealing educational format which is superior to written instructions, the current standard of care. Video education is particularly advantageous to underserved populations in the ED who more often have poor health literacy and language barriers. This health information divide leads to poor ED aftercare and unnecessary return visits. For patients with adequate health literacy, video education can improve patient satisfaction after a health encounter, an important indicator for hospitals. This post-discharge information-sharing platform additionally provides hospitals with metrics for ED aftercare that do not currently exist. The goal of this STTR is to further develop and test this product concept using two common diagnoses at an academic pediatric ED which serves mostly minority and low socioeconomic families. The study aims are to demonstrate video prescription utilization, improved patient satisfaction scores, and a decrease in the rate of unnecessary return visits to the ED between the intervention (video prescription) group and a control group. The criteria for acceptance of these aims include: a hyperlink click rate of >70 percent (utilization), a reduction in unnecessary return visits by 10 percent (health outcomes), and a 20 percent improvement in mean post-ED survey scores (patient satisfaction). A successful feasibility study (Phase I) will allow healthEworks to expand the video catalog and IT infrastructure to make the product scalable as a complete educational tool for hospital EDs and urgent care centers (Phase II). PUBLIC HEALTH RELEVANCE: Project Narrative Emergency Department (ED) video prescriptions" will improve health education for the 100 million patients who are discharged from U.S. ED's annually. The use of this innovative educational technology can enhance hospital efficiency, improve patient satisfaction, reduce inappropriate ED use, and decrease federal health spending.

描述（由申请人提供）：healthEworks 的使命是改善每年从美国急诊室 (ED) 出院的 1 亿患者的出院健康教育。 healthEworks 旨在通过创建和分发“视频处方”来实现这一目标——针对患者在急诊室收到的常见出院诊断的简明视频。这些视频的主角是儿科急诊医生 Christina Johns 医生，专门通过摄像头提供健康信息。healthEworks 的服务将这种专业视频内容与符合 HIPAA 的信息数据管理系统结合起来，在急诊室出院时以电子方式向患者提供视频处方。 专为智能手机或笔记本电脑等小屏幕移动设备设计并交付给这些设备，这样患者无论是在舒适的家中还是在药房等待配药时都可以查看出院信息。这项服务对于服务不足的人群尤其重要，他们经常使用急诊室，因为他们缺乏健康教育，而不是缺乏替代护理。虽然 ED 患者的社会经济地位较低、少数民族、 不会说英语和/或有公共援助（或缺乏）保险，这些患者中的绝大多数经常使用电子通信，并且越来越多的患者使用可上网的移动设备。视频教育提供了一种具有视觉吸引力的教育形式，优于当前的护理标准书面说明。视频教育对于急诊科服务不足的人群特别有利，他们通常健康素养较差且有语言障碍。这种健康信息鸿沟导致急诊科的后续护理不佳 不必要的回访。对于健康素养充足的患者来说，视频教育可以提高患者在健康遭遇后的满意度，这是医院的一个重要指标。这个出院后信息共享平台还为医院提供了目前尚不存在的急诊科后续护理指标。该 STTR 的目标是使用学术儿科急诊室的两种常见诊断来进一步开发和测试该产品概念，该科室主要为少数族裔和低社会经济家庭提供服务。该研究 目的是证明干预（视频处方）组和对照组之间视频处方的利用率、患者满意度得分的提高以及不必要的急诊回访率的降低。接受这些目标的标准包括：超链接点击率 >70%（利用率）、不必要的回访减少 10%（健康结果）以及 ED 后调查平均改善 20% 分数（患者满意度）。成功的可行性研究（第一阶段）将使 healthEworks 能够扩展视频目录和 IT 基础设施，使产品可扩展为医院急诊室和紧急护理中心的完整教育工具（第二阶段）。 公共卫生相关性： “叙事急诊科 (ED) 视频处方”项目将改善美国每年 1 亿出院患者的健康教育。使用这种创新的教育技术可以提高医院效率、提高患者满意度、减少急诊室的不当使用并减少联邦医疗支出。