Designing Pervasive Healthcare Applications in the Home

The authors propose a new home health care system for the acquisition and transmission of data from ordinary home health care appliances, such as blood pressure monitors and weight balances. In this chapter, they briefly explain a standard protocol for data collection and a simple interface to accommodate different monitoring systems that make use of different data protocols. The system provides for one-way data transmission, thus saving power and extending to CCITT. Their standardized protocol was verified during a 1-year field test involving 20 households in Japan. Data transmission errors between home health care devices and the home gateway were 4.21/day with their newly developed standard protocol. Over a 1-year period, they collected and analyzed data from 241,000 separate sources associated with both healthy, home-based patients and chronically ill, clinic-based patients, the latter with physician intervention. They evaluated some possible applications for collecting daily health care data and introduce some of their findings, relating primarily to body weight and blood pressure monitoring for elderly subjects in their own homes.

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Design a System of Home Health Care Telemedicine for Blood Pressure Measurement

IFMBE Proceedings - 4th International Conference on Biomedical Engineering in Vietnam ◽

10.1007/978-3-642-32183-2_71 ◽

2013 ◽

pp. 286-289

Author(s):

N. P. Nam ◽

N. H. M. Tam ◽

L. G. Loc ◽

Vo Van Toi

Keyword(s):

Blood Pressure ◽

Health Care ◽

Home Health Care ◽

Pressure Measurement ◽

Blood Pressure Measurement ◽

Home Health

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Continuity in the Provider of Home-Based Physical Therapy Services and Its Implications for Outcomes of Patients

Physical Therapy ◽

10.2522/ptj.20110171 ◽

2012 ◽

Vol 92 (2) ◽

pp. 227-235 ◽

Cited By ~ 11

Author(s):

David Russell ◽

Robert J. Rosati ◽

Evie Andreopoulos

Keyword(s):

Health Care ◽

Physical Therapy ◽

Home Health Care ◽

Home Health ◽

Activity Limitations ◽

Administrative Records ◽

For Profit ◽

Home Based ◽

Therapy Services ◽

Physical Therapy Services

BackgroundA growing body of research suggests that greater continuity of health care is positively associated with improved outcomes of patients. However, few studies have examined this issue in the context of physical therapy.ObjectiveThe purpose of this study was to evaluate whether the level of continuity in the provider (provider continuity) of physical therapy services was related to outcomes in a population of patients receiving home health care.DesignThis was a retrospective observational study.MethodsClinical and administrative records were retrieved for a population of adult patients receiving physical therapy services from a large, urban, not-for-profit certified home health care agency in 2009. Descriptive and multivariable analyses were used to examine how the level of provider continuity, calculated by use of a formula that models dispersion in contact between the patient and the providers of physical therapy services, varied across characteristics and outcomes of patients.ResultsLogistic regression analyses indicated that patients with lower levels of provider continuity had significantly higher odds of hospitalization (odds ratio [OR]=2.06, 95% confidence interval [CI]=1.90–2.23) and lower odds of improvements in the number of activity limitations (OR=0.85, 95% CI=0.80–0.92) and in the severity of activity limitations (OR=0.85, 95% CI=0.78–0.93) between the beginning and the end of the home health care episode.LimitationsBaseline clinical characteristics associated with continuity of care suggest some level of indication bias. Outcome measures for activities of daily living were limited to patients who were not hospitalized during their home health stay.ConclusionsThese findings build upon research suggesting that continuity in the patient-provider relationship is an important determinant of outcomes of patients.

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Long-term Monitoring of Changes in Blood Pressure, Blood Glucose, and Total Cholesterol Levels among Frail Older Individuals Receiving Home Health Care Nursing in South Korea

Journal of Community Health Nursing ◽

10.1080/07370016.2021.1869424 ◽

2021 ◽

Vol 38 (1) ◽

pp. 13-23

Author(s):

Young-Ran Chin ◽

Hyo Young Lee

Keyword(s):

Blood Pressure ◽

Health Care ◽

Home Health Care ◽

Home Health ◽

Older Individuals ◽

Cholesterol Levels ◽

Long Term Monitoring ◽

Term Monitoring ◽

Care Nursing

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Untapped Potential of Home Health Care Innovations to Improve Outcomes With Bundled Payment Initiatives

Home Health Care Management & Practice ◽

10.1177/1084822316679935 ◽

2016 ◽

Vol 29 (1) ◽

pp. 53-55

Author(s):

Teresa Lee ◽

Jennifer Schiller

Keyword(s):

Health Care ◽

Home Health Care ◽

Home Health ◽

Bundled Payment ◽

Home Based ◽

Medicare Program ◽

Health Agencies ◽

Home Health Agencies ◽

Home Based Care ◽

Payment Models

A rapidly changing health care payment system creates opportunities for optimizing home health and home-based care for patients needing cardiac rehabilitation (CR). Home health agencies are poised to play a significant role in episode payment models in the context of post–acute care for patients with cardiovascular conditions. As the Medicare program expands its episode payment models to include patients with cardiovascular conditions, hospitals and other health care stakeholders that will be engaged in these bundled payment arrangements should consider use of home health care in the delivery of CR as a bridge to outpatient therapy and patient self-management.

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