Kiwon lafiya na Metro/Jami'ar Michigan Lafiyar asibitin koyarwa ce ta osteopathic da ke hidima fiye da marasa lafiya 250,000 a yammacin Michigan kowace shekara.
Kafin cutar ta COVID-19 ta afkawa Amurka, Metro Health ta kasance tana binciken telemedicine da masu ba da sa ido na haƙuri (RPM) tsawon shekaru biyu da suka gabata.Ƙungiyar ta yi imanin cewa telemedicine da RPM za su kasance makomar ayyukan kiwon lafiya, amma suna daukar lokaci don bayyana kalubale na yanzu, manufofin da aka tsara da kuma tsarin su na telemedicine / RPM yana buƙatar saduwa da waɗannan kalubale da burin.
Shirin farko na telemedicine / RPM ya mayar da hankali ga marasa lafiya tare da ciwon zuciya na zuciya-masu haɗari masu haɗari waɗanda kwanan nan aka sallame su daga asibiti, waɗanda ke cikin haɗarin mummunan sakamako kamar sake dawowa ko ziyarar gaggawa.Wannan shi ne burin farko da ake sa ran shirin-don rage jinyar asibiti da kwanaki 30.
"Yana da mahimmanci a gare mu cewa aiwatar da shirin telemedicine / RPM zai ba da mafi kyawun ƙwarewar haƙuri," in ji Dokta Lance M. Owens, Babban Jami'in Harkokin Kiwon Lafiya na Metro da Babban Jami'in Harkokin Kiwon Lafiyar Iyali.
“A matsayin ƙungiya, muna mai da hankali kan ƙwarewar marasa lafiya da masu ba da sabis, don haka dandamali na abokantaka ya zama dole.Muna bukatar mu iya bayyana wa masu samarwa da ma'aikata yadda hakan zai sauƙaƙa ayyukansu na yau da kullun yayin haɓaka kulawar marasa lafiya."
Musamman don COVID-19, Michigan ta fara fuskantar babban shari'arta ta farko a cikin Nuwamba 2020.
Owens ya tuna: “Ba da jimawa ba mun sami matsakaicin sabbin maganganu kusan 7,000 a kowace rana a fadin jihar.Saboda wannan karuwar cikin sauri, mun fuskanci irin wannan kalubalen da asibitoci da yawa suka fuskanta a duk lokacin bala'in."“Yayinda adadin masu kamuwa da cutar ya karu, mun kuma ga an samu karuwar marasa lafiya, wanda hakan ya yi tasiri ga gadon asibitinmu.
"Ƙara yawan asibitocin ba zai ƙara ƙarfin gadon ku kawai ba, zai kuma shafi yawan masu jinya, yana buƙatar ma'aikatan jinya su kula da marasa lafiya fiye da yadda aka saba a lokaci guda," in ji shi.
“Bugu da ƙari, wannan cutar ta haifar da damuwa game da keɓewa da tasirinta ga lafiyar jiki da ta hankali na marasa lafiya.Marasa lafiya da ke ware a asibitoci suna fuskantar wannan mummunan tasiri, wanda shine wani abin motsa jiki a cikin samar da kulawar gida.masu cutar COVID-19."
Kiwon lafiya na Metro yana fuskantar wasu ƙalubale waɗanda ke buƙatar magance su: iyakataccen gadaje, soke aikin tiyata, keɓewar mara lafiya, rabon ma'aikata, da amincin ma'aikata.
"Mun yi sa'a cewa wannan cutar ta faru ne a cikin rabin na biyu na 2020, inda muka fi fahimtar maganin COVID-19, amma mun san cewa muna bukatar mu fitar da wadannan marasa lafiya daga asibiti don rage wasu matsin lamba kan. Ƙarfin kwanciya da ma'aikata, "in ji Owens.“Lokacin da muka yanke shawarar cewa muna buƙatar shirin marasa lafiya na COVID-19.
"Da zarar mun yanke shawarar cewa muna buƙatar samar da kulawar gida ga marasa lafiya na COVID-19, tambayar ta zama: Wadanne kayan aikin muke buƙata don sa ido kan murmurewa mai haƙuri daga gida?"Ya ci gaba."Mun yi sa'a cewa haɗin gwiwarmu na Michigan Medicine ya haɗu tare da Maganganun Farko na Lafiya kuma suna amfani da telemedicine da dandamali na RPM don fitar da marasa lafiya na COVID-19 daga asibiti tare da kula da su a gida."
Ya kara da cewa Metro Health ya san cewa Maganin Farfado da Lafiya zai sami fasaha da kayan aikin da ake buƙata don irin waɗannan shirye-shiryen.
Akwai dillalai da yawa a cikin kasuwar IT lafiya tare da fasahar telemedicine.Kiwon lafiya IT News ya fitar da rahoto na musamman da ke jera yawancin waɗannan dillalan dalla-dalla.Don samun damar waɗannan cikakkun bayanai, danna nan.
Tsarin telemedicine na Lafiya na Metro da dandamali na RPM don sa ido kan marasa lafiya na COVID-19 yana da ayyuka masu mahimmanci da yawa: nazarin halittu da sa ido kan alamu, magunguna da tunatarwa, sadarwar haƙuri ta hanyar kiran murya da ziyarar gani da ido, da shirin kulawa na COVID-19.
Tsarin kulawa na COVID-19 yana bawa ma'aikata damar keɓance masu tuni, binciken alamun, da bidiyon ilimantarwa da suke aika wa marasa lafiya don tabbatar da cewa an tattara duk bayanan haƙuri da ake buƙata.
Owens ya ce "Mun dauki kusan kashi 20-25% na majinyatan COVID-19 na Metro Health a cikin telemedicine da shirye-shiryen RPM," in ji Owens.“Mazauna, likitocin kulawa mai zurfi, ko ƙungiyoyin kula da kulawa suna kimanta cancantar marasa lafiya don tabbatar da cewa sun cika wasu ƙa'idodin cancanta.Misali, ma'auni ɗaya wanda dole ne majiyyaci ya cika shine tsarin tallafin iyali ko ma'aikatan jinya.
"Da zarar wadannan majiyyatan sun yi gwajin cancantar cancanta kuma sun shiga cikin shirin, za su sami horo a kan dandamali kafin a sallame su - yadda za su yi rikodin mahimman alamun su, amsa binciken alamun, amsa murya da kiran bidiyo, da dai sauransu," in ji shi.ci gaba."Musamman, muna barin marasa lafiya su dawo da zafin jiki, hawan jini da matakan oxygen na jini kowace rana."
A kwanakin 1, 2, 4, 7 da 10 na yin rajista, marasa lafiya sun shiga cikin ziyarar kama-da-wane.A cikin kwanakin da marasa lafiya ba su da ziyarar kama-da-wane, za su karɓi kiran murya daga ƙungiyar.Idan mai haƙuri yana da wasu tambayoyi ko damuwa, ma'aikatan kuma suna ƙarfafa majiyyaci don kira ko rubutawa ƙungiyar ta kwamfutar hannu.Wannan yana da babban tasiri akan yarda da haƙuri.
Fara tare da gamsuwa na haƙuri, Metro Health ya rubuta 95% na gamsuwar haƙuri tsakanin marasa lafiya na COVID-19 waɗanda suka shiga cikin shirye-shiryen telemedicine da RPM.Wannan mabuɗin alama ce ta Kiwon Lafiyar Ƙasa saboda bayanin manufar sa yana sanya ƙwarewar haƙuri a gaba.
Haɗe a cikin dandalin telemedicine, marasa lafiya sun kammala binciken gamsuwar haƙuri kafin su fita shirin.Baya ga tambayar kawai "Shin kun gamsu da shirin telemedicine," binciken ya kuma haɗa da tambayoyin da ma'aikatan suka yi amfani da su don tantance nasarar shirin telemedicine.
Ma'aikatan sun tambayi majiyyacin: "Saboda shirin telemedicine, shin kuna jin daɗaɗa cikin kulawar ku?"da "Za ku ba da shawarar shirin telemedicine ga danginku ko abokan ku?"kuma "Shin kayan aikin yana da sauƙin amfani?"Yana da mahimmanci a kimanta kwarewar haƙuri ta Metro Health.
"Don adadin kwanakin da aka ajiye a asibiti, za ku iya amfani da alamun da yawa don nazarin wannan lambar," in ji Owens."Daga matakin asali, muna son kwatanta tsawon zaman marasa lafiya na COVID-19 a asibiti da tsawon zaman shirinmu na telemedicine ga marasa lafiya na COVID-19 a gida.Mahimmanci, ga kowane majiyyaci za ku iya samun magani a gidan telemedicine, Guji kwance asibiti a asibiti."
A ƙarshe, yarda da haƙuri.Kiwon lafiya na Metro yana buƙatar marasa lafiya su yi rikodin hawan jini, matakin oxygen na jini da zafin jiki kowace rana.Ƙididdiga na ƙungiyar don waɗannan na'urori masu auna sigina ya kai kashi 90%, wanda ke nufin cewa a lokacin rajista, kashi 90% na marasa lafiya suna yin rikodin abubuwan da suka dace a kowace rana.Rikodin yana da mahimmanci ga nasarar wasan kwaikwayon.
Owens ya kammala: "Wadannan karatun na biometric suna ba ku fahimta mai yawa game da murmurewa majiyyaci kuma suna ba da damar shirin don aika faɗakarwar haɗari lokacin da mahimman alamun mara lafiyar ba su da iyakacin ƙayyadaddun da ƙungiyarmu ta tsara.""Wadannan karatun suna taimaka mana Tattauna ci gaban mara lafiya da gano tabarbarewar don hana kai asibiti ko ziyartar dakin gaggawa."
Twitter: @SiwickiHealthIT Email the author: bsiwicki@himss.org Healthcare IT News is a HIMSS media publication.
Lokacin aikawa: Jul-01-2021