H.O.M.E. Holistic Operational Management Educator

"What am I waiting on before I go home?" A question frequently asked by clients who present to the emergency department and are either discharged or sent to inpatient units. Communication in nursing is extremely important. Currently white boards are a major communication tool within our hospitals, but unfortunately it is common to see that there is nothing written on these communication boards. 

The idea for 'H.O.M.E.' is to create a smart phone app for patients who present to Metro South hospitals. This app would have the patients next of kin or emergency contacts added by the patient, and it would send an alert to these contacts once the patient 'checks in' to the hospital. This kick-starts the communication loop between patient, hospital, and family/caregiver. 

The following is a break-down of the H.O.M.E. app ideas. If you have any further ideas please feel free to leave a comment.

H: Holistic
- The app is focussed on communication and person-centred care 
- The patient, family, caregiver inputs the patients current living circumstances
- The patient, family, caregiver, healthworker inputs the patients current or changed mobility status 
- The app identifies the patients personal health goals 
- Tailored for non-english speaking with options to change language settings for app user and viewer 

O: Operational 
- The H.O.M.E. app is a place where all teams can add patient goals and tasks for their hospital visit 
- This gives the patient, family, caregiver an idea of what needs to be done prior to discharge  
(e.g. "Physio Review" or "Pharmacy Review" or "Post-Op Wound Assessment")

M: Management 
- Identifies management plans from Nurse/Doctor/Physio/Nutrionist etc. 
(e.g. Physio may add the tasks "Walk up and down corridor x3/day")
(e.g. Doctor may add the tasks "Decrease cigarette intake x2 each day for the rest of the week") 
 

E: Educator
- Educational videos related to the patients presenting problem would populate in a relevant tab on the app named "education" 
- If a patient was admitted for new diagnosis diabetes then videos and information from QLD Health resources wound be available (e.g. How to administer insulin step by step video) 

Why the contribution is important

"What am I waiting on before I go home?" A question frequently asked by clients who present to the emergency department and are either discharged or sent to inpatient units. Communication in nursing is extremely important. Currently white boards are a major communication tool within our hospitals, but unfortunately it is common to see that there is nothing written on these communication boards.

Does a lack of communication hinder when and how the patient goes home? Yes! 

Smart phones and tablets are ever-popular and the use of this equipment will be integrated in our hospitals of the future. Health related apps such as the proposed 'H.O.M.E.' app may improve patient care, safety, education, and impact the overall patient-hospital experience. 

Challenge 1 states that "nobody wants to be in hospital if they don't need to be", and this is a really important statement that needs to be tackled from multiple angles. Through integration of technology to improve the communication loop among multidisciplinary teams and the patient, family, or caregiver, we may be able to get patients home quicker and with improved discharge care plans to ensure they are not frequently presenting with similar problems.

by JoryM on May 22, 2019 at 11:06AM

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