Talk:Focused Care Management

Notes from Discussion with IHE Canada for proposals that didn't make it. This information may be usefull to PCC Planning.

Allie' geeky proposal

Docs are not getting a whack upside the head. Potentially use Arden Syntax to express criticallity, how big is the whack! Hockey stick might be needed.

Relevant Clinical Results

Requests for imaging studies with very little or not clinical information. If radiologists could get information on clinical information, might help in interpretation. Might be more applicable in terterary care where pressure to bill might not be as high, could also be dependant on nature of problem. Lesion in a bone, could be ostiomielitis, or bone tumor, what happened recently.

Simpler issue, a pharmacist might want access to lab results.

Specialists in one domain might need access to information in another domain.

May be linked to circle of care for the patient.

Might need to address issues of consent for requests after the fact.

Organ Registry

Store Information about a patient. Store Information about donors. Enable matching of patients to donors. May cross countries.

As general as from blood transfusion to organ donation, bone marrow.

Continuity of Care for Home care (7 votes)

When patients leave the care environment for home. While they have nursing care at home, there is information collected from day to day. When the patient has to go back to the hospital for an intervention, that information collected at home needs to be brought back to the hospital for care, and then brought back home as well.

eg: Quebec software for nursing home care spent a year with nurses documenting their workflow to model the software (they would be a good candidate for sponsoring the profile!!! PG Documents) Daily/Weekly/Monthly updates and prioritization and scheduling.

Wait Times

Ties in with CDM: recording the wait times which allows us to detect the overloads and the spaces that relate to the clinical portion of the care: eg: does the time spend waiting for decisions affect this condition? Or: Supply and demand: linked with scheduling. Identify resources needs as well as resources surplus and redistribute the surplus to the areas with needs. There is no standard for communication of those, nor taxonomy. Indicators and thresholds are not uniform. Standard needed: "Decision to treat" data elements