Home health care professionals at risk of harm

Background and context: The home healthcare market in Jordan is nascent with little service offered. It suffers from a highly fragmented and underregulated landscape. The limited access to qualified trustworthy home care services, lack of professional home care training, and lack of home health care insurance coverage have added to the heavy in-patient bed demand and delayed hospital discharges especially for disabled or terminally ill patients. Aim: To establish a comprehensive national home care program to improve the delivery of palliative and home care services in Jordan, and to conduct a situational analysis and generate policy recommendations. Strategy/Tactics: We used multiple strategies to reach our objectives. 1. Expansion of home care services at King Hussein Cancer Center (KHCC) to create a local demonstration project. 2. Building health care professional capacity by offering variety of educational programs. 3. Improving quality of service delivery by generating clinical practice guidelines, such as standards operating procedures and patient and family educational materials. 4. Use the pilot operational and financial data to generate an economic model to inform the development of similar home health care units in hospitals across Jordan. 5. National advocacy and building effective partnership with all related stakeholders to advance national policy. Program/Policy process: Between May 2016 and May 2017, 7818 home care visits were conducted by KHCC. For capacity building; 678 health care professionals were trained in palliative and home care, out of which 366 participants were females (54%). Palliative care was successfully recognized as a specialty by the Jordan Nursing Council and recognized as a subspecialty by the Jordan Medical Council. The palliative and home care standards of practice were included in the health care accreditation council. The analysis of economic evaluation data suggested that home care services decreased in-patient utilization and costs which is advantageous to a country with limited resources. As a result of the advocacy stream and a collaborative network, the national palliative and home care strategic framework was generated, and endorsed by the Ministry of Health. Outcomes: The NHCI resulted in a very successful pilot project and achieved specialty and subspecialty recognition. Furthermore, we were able to build the capacity of health care professionals and policy makers in the palliative and home care sector from public, private and academic institutions. In the advocacy and policy dimension, the Minister of Health officially approved and adapted the palliative and home care strategic framework that was developed by this initiative. What was learned: Cross-sector collaboration and effective partnership resulted in system change and policy advancement. Developing effective economic systems is essential in low resourced countries. The initiative was supported by a joint grant from the USAID and KHCC.

Download Full-text

Home health care professionals’ perceptions on automatic monitoring

Gerontechnology ◽

10.4017/gt.2012.11.02.565.00 ◽

2012 ◽

Vol 11 (2) ◽

Author(s):

S.T.M. Peek ◽

E.J.M. Wouters

Keyword(s):

Health Care ◽

Home Health Care ◽

Health Care Professionals ◽

Automatic Monitoring ◽

Home Health

Download Full-text

Accessibility, Quality, and Readability of Health Information on the Internet: Implication for Home Health Care Professionals

Home Health Care Management & Practice ◽

10.1177/1084822302014004008 ◽

2002 ◽

Vol 14 (4) ◽

pp. 295-296 ◽

Cited By ~ 1

Author(s):

Marshelle Thobaben

Keyword(s):

Health Care ◽

Health Information ◽

Home Health Care ◽

Health Care Professionals ◽

Home Health ◽

The Internet

Download Full-text

Risk Factors for Urinary Tract Infection (UTI) Among Home Health Care Patients: Analysis Using Routinely Collected Clinical Data

10.21203/rs.3.rs-39698/v1 ◽

2020 ◽

Author(s):

Kyungmi Woo ◽

Jiyoun Song ◽

Margaret V. McDonald ◽

Maxim Topaz ◽

Jingjing Shang

Keyword(s):

Risk Factors ◽

Health Care ◽

At Risk ◽

Urinary Tract Infection ◽

Urinary Tract ◽

Tract Infection ◽

Home Health Care ◽

Home Health ◽

Patients At Risk ◽

Ed Visits

Abstract Background: Urinary tract infection (UTI) is a complication often experienced during a home health care (HHC) episode, yet related hospitalization risk factors are unclear. Objectives: This study use multiple data sources to identify risk factors for UTI related hospitalization or emergency department (ED) visits among HHC patients.Method: We performed a multivariable logistic regression to identify risk factors for UTI-related hospitalization or ED visits using merged data from the Outcome and Assessment Information Set, electronic health record from a large HHC agency, and Center for Medicare and Medicaid claims. Results: Of 48,336 cases, 1,689 patients (3.5%) had a UTI-related hospitalization/ED visits. Being a female (OR = 1.31; 95% CI: 1.16–1.46), the presence of a urinary catheter (OR = 5.7; 95% CI: 4.54–7.14), treatment with general antibacterial and antiseptics (OR = 2.75; 95% CI: 1.02–7.38), dependency in instrumental activities of daily living (e.g., meal preparation [OR=1.72; 95% CI: 1.25-2.37]), and no available caregivers (OR = 1.79; 95% CI: 1.2–2.68) increased the odds of a UTI related event among HHC patients. Discussion/conclusion: We identified notable risk factors for UTI related hospitalization/ER visit, filling a knowledge gap on the currently understudied HHC population. Risk factors identified in this study can be used to proactively identify HHC patients at risk for UTI related hospitalization and target them for preventive interventions. Further research is needed in HHC to develop tailored interventions for at-risk patients.

Download Full-text

Community Health Nursing Care Plans: A Guide for Home Health Care Professionals

AJN American Journal of Nursing ◽

10.2307/3425374 ◽

1985 ◽

Vol 85 (12) ◽

pp. 1417

Author(s):

Genie Eide ◽

Susan L. Scherman

Keyword(s):

Health Care ◽

Community Health ◽

Home Health Care ◽

Nursing Care ◽

Health Care Professionals ◽

Home Health ◽

Community Health Nursing ◽

Care Plans ◽

Health Nursing

Download Full-text

Driving Macroergonomics Home: A Community Ergonomics Conceptualization

Proceedings of the Human Factors and Ergonomics Society Annual Meeting ◽

10.1177/154193120004401241 ◽

2000 ◽

Vol 44 (12) ◽

pp. 2-595-2-598 ◽

Cited By ~ 1

Author(s):

William Schmitz

Keyword(s):

Health Care ◽

Home Health Care ◽

Health Care Professionals ◽

Hospice Care ◽

Care Home ◽

Home Health ◽

Community Based ◽

Work Systems ◽

Medical Technologies ◽

Device Technology

The proliferation of medical device technology is profound. Hospitals and clinics traditionally “housed” medical technologies and the technological environments (ICUs, ORs, and ERs). Today, medical technologies have transferred into homes (hospice care, home chemotherapy, and WEB TV cardiac rehabilitation). While the goal of macroergonomics is to fully harmonize work systems at both the macro-and microergonomic levels, it fails to address the service interfaces of a community based health care system. The integration of concepts from macroergonomics and community ergonomics is proposed here to help health care professionals deliver quality services to patients and clients. An example of the community ergonomics process, from the home health care perspective, is presented.

Download Full-text