A computer tablet “GIVEN” at the time of discharge to
primary care patients would reduce re-admissions costs and penalties and save a
life or two. Why are we not doing this? The
cost of tablets has fallen to such a low cost range – sub $100. - and the
software is here and ready to facilitate doing it, such that a ‘discharge
tablet’ will and needs to become a standard component to the primary care
practice of discharge and transition care management.
Today, the hospital discharge experience remains a ‘blurred
flurry’ of an experience for most patients. Once wheeled out the door, trying
to recall and reflect as to what was said, what you are supposed to do or not
do and the how and when and with what medications can be highly stressful for
the patient and post discharge caregivers, family members or guardians.
Discharge time is not the ideal time for a speedy lecture that contains and is
jammed full of life critical information and terms and data that are terribly
unfamiliar.
Of course there are many drivers to re-admissions. One set
are those conditions that subsequently arise are medically driven chronic
conditions. The other set are those that are manageable by patients and care
givers. Some major examples are:
Failure to understand
the post discharge care plan – originally delivered by someone who thinks
you should understand or conveyed via a 19 page 8 pt. type set document that
details all the horrific possibilities. What did he or she say I was supposed
to do?
Failure to use
prescribed medications correctly – if at all. Simply being confused on
which pill to take first and when and or why.
Failure to monitor
health vitals indicators – blood pressure, weight, oxygen levels etc.
Improper wound
condition awareness and care – is this wound healing properly?
Failure to
communicate condition changing issues in a timely manner such as medication
effects, breathing, sleep, balance, hearing etc.
Providing a specialized discharge tablet with a guiding
conditions checklist and a history of care activity events and trending
conditions can significantly and positively impact these issues and more. A
‘one touch’ always ready connection to the exact information when a patient
needs it and providing active monitoring to care givers via a specialized
tablet will go a long way to reducing re-admissions. Less than $100. per
patient even if given away and not charged for or returned seems like an ROI
for everyone involved and worth securing….and saving a life or two along the
way is not a bad outcome to strive for with today’s technology enabled health
care.
If you would like to discuss deploying a discharge tablet
contact me at www.chartacares.com or
at mike@chartacloud.com. I’d be happy
to discuss the potential and the possibilities of a discharge tablet for your
patients and care organization.
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