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: 8547896
• 负责人: David J Mathison
• 金额: $ 7.43万
• 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/8547896
• 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).

描述（由申请人提供）：healthEworks的使命是改善每年从美国急诊科（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，“视频处方”是针对患者在急诊室接受的常见出院诊断的简明视频。healthEworks的服务将这种专门的视频内容与符合HIPAA的信息数据管理系统相结合，该系统在艾德出院时以电子方式向患者提供视频处方。这些视频专为智能手机或笔记本电脑等小屏幕移动的设备设计并交付给这些设备，以便患者无论是在舒适的家中还是在药房等待处方时都可以查看他们的出院信息。这项服务对于那些由于缺乏健康教育而不是缺乏替代性护理而经常使用艾德的服务不足的人群特别重要。虽然不成比例的高数量的艾德患者是低社会经济地位，少数民族，非英语发言，和/或有公共援助（或缺乏）保险，这些患者中的绝大多数有频繁访问电子通信和越来越多的百分比使用互联网就绪的移动的设备。视频教育提供了一种视觉上吸引人的教育形式，上级目前的护理标准书面说明。视频教育对艾德地区服务不足的人群特别有利，因为他们的健康知识水平往往很差，而且有语言障碍。这种健康信息鸿沟导致不良的艾德善后和不必要的回访。对于有足够健康素养的患者，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不存在的艾德出院后护理指标。本STTR的目标是使用学术儿科艾德（主要服务于少数民族和低社会经济水平家庭）的两种常见诊断进一步开发和测试该产品概念。本研究的目的是证明视频处方的利用率，提高患者满意度评分，并减少干预（视频处方）组和对照组之间不必要的回访艾德的比率。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），ED后平均调查分数提高20%（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科和紧急护理中心的完整教育工具（第二阶段）。