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We present the results of a systematic review and meta-analysis of 128 articles. An estimate of the effect of telehealth interventions in general is provided for various measures of hospitalizations and length of hospital stay. We also separately estimated the effect of telehealth interventions for the major included health conditions (Heart failure and Chronic Obstructive Pulmonary Disorder), as well as the different types of technology used (Device-based monitoring, Structured Telephone Support, Web-based monitoring, Mobile telemonitoring, Video consultations, Interactive Voice Response).
The main interest of this project is to show how new applied technologies, especially in the bureaucratic tasks of primary care, can be very useful and very satisfactory for both professionals and users. They were implemented urgently at the time of the pandemic, but they must remain to improve patient care and facilitate the work of all primary care professionals, not just healthcare professionals. The most important examples were telematic work leave and telematic warning about renewal of chronic prescription.
Telerehabilitation contributes to obtaining high levels of adherence to home-based exercise plans and professionals can obtain much more information from patients during the recovery process -remotely- to ensure correct performance of the exercises, avoiding unnecessary displacements. Telerehabilitation can reduce waiting lists for receiving physiotherapy and rehabilitation services, empower the patient during the recovery process and avoid unnecessary displacements.
Cataract surgery is one of the most frequent surgical procedure worldwide. To ensure the availability at the time of the surgery of the right intraocular lens (IOL) for the patient, most hospitals relay on consignment stocks of IOLs. The management of such consignment is highly time consuming and normally requires a dedicated person responsible of the consignment. This process is normally performed manually in a time consuming process with door to mistakes and errors. We introduced a Smart Consignment of Radio Frequency Identification (RFID) tagged IOLs to avoid manual inventory management process of the IOLs.
Dr. Edurne Fernandez de Gamarra
Pharmacist at Hospital Santa Creu i Sant Pau-Societat Catalana Farmacia Clínica, Spain
The “Antidotes network” offers a tool that can improve information and access to drugs needed in urgent situations as acute intoxications. Most of these drugs are susceptible to suffer availability problems that could compromise patient care. The experience during the first five years demonstrates that the network has been used and has helped in 98 cases (1.5 times per month). It has also improved communication between professionals involved in poisoned patients management and has contributed to the harmonization and optimization of antidotes stock in each center
Electronic prescription for hospitalised patients linked to automated dispensing on hospital wards was introduced in 2019 with the twofold aim of increasing the efficiency of the drug distribution system and reducing medication errors. The doctor issues an electronic prescription, the pharmacist validates it, and the nurse takes the drugs from the automated dispensing cabinet (Omnicell®), prepares them for each patient and confirms their administration electronically while at the patient’s bedside. The automated dispensing cabinet and the electronic prescription software are integrated, which helps to ensure availability of the drugs needed over a certain time period.
This study used a qualitative approach with a case study design through in-depth interviews, document review, observation, and focus group discussion (FGD). The results showed that in general, hospitals were considered to have an adequate level of preparedness to respond to COVID-19. Underperforming components are the components of Occupational Health, Mental Health, and Psychosocial Support; and Patient Management Components. It is hoped that the key performance outcome indicators generated from this study can provide input for leaders and all staff involved so that they can make improvements to the deficiencies in hospital management in the face of the COVID-19 pandemic
Vall d’Hebron Hospital planned a strategic deployment through its 4 surgical areas to enhance a cultural change among clinicians to lead a continuous improvement of both clinical and organizational practice. After 3 years of work, Vall d’Hebron Hospital has improved the Surgical Process by aligning institution’s strategy and patient needs. The main improved KPI (Key Performance Indicator) are general surgical block performance, patients undergoing surgery during guarantee time, surgery reprogramming, patients admitted in the hospital on the surgery and % of robotic surgery.
Mr. Guido Peters
PhD Candidate at Rijnstate Hospital, Netherlands
We present the budget impact of replacing hospital inpatient care with virtual care (remote continuous monitoring with 3 daily contacts) under assumptions representing the Dutch healthcare system. As costs of personnel are the main cost driver of hospital inpatient care, we estimate the effect on capacity to identify when significant cost savings may occur. We provide estimates for multiple levels of scale: one general ward, two general wards, a whole hospital, multiple hospitals. Estimates for variations of virtual care are also presented.
Via national Clinical Engineering roles with Kaiser Permanente, globally with WHO, and HIMSS Digital Health (DH) leadership roles, I note the full breadth of how our profession can accelerate implementation of DH tools. Examples of assisting or meeting the following: (1) government EHR requirements; (2) EHR CPOE development; (3) patient engagement on Social Media; (4) patient interaction at point of care; (5) data mining for EHR CDS; (6) EHR medical device integration; (7) mobile device chronic disease management; (8) best use of wireless infrastructure enabling clinical workflows; (9) enabling diverse genomic sources; and (10) facilitating telehealth tools for improved access
Electronic transmission for Continues professional development activities & work flow during Covid-19 pandemic has improved the department productivity and efficiency. Challenges during COVID-19 pandemic have brought up many innovative digital approaches that ultimately improve medical staff theoretical and clinical knowledge which ultimately improve patient care.
Mr. Álvaro Pérez
Market Access & Commercial Solutions at Alcon Healthcare, Switzerland
Rising health expenditures lead to increasing budgetary pressures, which often manifest into budget holders seeking more to be done with the same resources. In the cataract surgery, given that it is the most frequently performed procedure worldwide, enablers to drive efficiencies throughout the entire care pathway have come under increasing focus. Opportunities, therefore, to improve patient outcomes and increase operational efficiency have the potential to drive significant benefits for patients and healthcare systems more broadly. The aim of this analysis is to estimate the impact of combining custom healthcare solutions for cataract surgery, from a Portuguese public hospital perspective.
Given the movement of surgical boxes between the buildings and services in our hospital and the difficulty of sharing information with paper records, a computer program has been set up to improve traceability and also to control the contents of boxes of surgical instruments piece by piece.
An observational, case-control study was designed, where a total of 59 patients from CAP Comte Borrell were recruited. The participants made 10 voice recordings of several minutes duration and in different conditions. The findings of the analysis of the voice samples indicate that there are significant differences in the prosodic characteristics of the voice between the control group and the intervention group. Work has been carried out on the development of the NLP algorithm that allows the identification of COPD indicators through voice analysis and could potentially be used to monitor COPD.
Mr. Piotr Pecko
Commercial Director at Transition Technologies Science Sp. z o.o., Poland
Main idea behind our registry was to help hospitals and decision makers
with coordination of patients during critical moments of pandemic time. Information can be further extend with other aspects (eg, MRI, TK, radiology, etc). Information can be easily added to the system with web interface for each user or via dedicated mobile application (under construction). System can be further adopted to use AI based algoritms to predict demand for beds and medical equipment in specific cities or areas during the year.
Having a single platform with the management of all the data of patients infected by Covid as well as awaiting results, has improved the resolution in the control of the pandemic and has made it easier for healthcare personnel to track and isolate contacts.
Dr. Khulood Mohamed Hussain Ibrahim Alsayegh
Head Of Clinical Standards And Guidelines Section at Dubai Health Authority, United Arab Emirates
The UAE leadership took a leap in the region by issuing the Administrative Decision Number (40) of 2019 to regulate the practice of telehealth services. The initiative of “Doctor for Every Citizen” aims to enhance access to healthcare through offering tele-medical consultations to Dubai citizens 24/7. This poster highlights the process of Telehealth adoption in the Emirate of Dubai and some key successes and challenges faced. It will also include the challenges and opportunities of using this platform during the COVID-19 pandemic .
Our aim will be to present how e-health strategies can help to provide reliable, high quality, easy to access and free information to people on some of the most pressing challenges of global health, including COVID-19, in order to surpass barriers people might encounter while trying to access different health services, and promote healthier environments and behaviors that will strengthen wellbeing and prevent diseases.
The project e-Prestacions is relevant because of its innovative transformation of our healthcare delivery system. This project digitally involves and coordinates three key agents: the National Health Administration, product prescribers and dispensers (doctors, manufacturers), and patients. Specifically, it is most relevant to two sub-topics: How is digital Health transforming the way Health Systems are run and healthcare is delivered, and How to put citizens at the center of health and care.
We present a hospital peer review (PR)(monthly and emergency) for the purpose of improving medical safety and care quality by focusing on invasive treatment outcomes at each hospital under the permission of an Ethical Review Board. Ordinary PR consists of 7 evaluation items and data is extracted from the Tokushukai Information System (TIS), and PR system for emergencies is performed by direct remote access through the TIS. Seven departments showing repeated problematic affairs such as the poor surgical results were improved. We believe this PR system helps the efforts to increase medical safety and quality.
System of Digitalized Registration of Data at Bedside (DRDB) consists in the use of touch screens installed at bedside of each patient. It allows an unequivocal, quick, and safe register. Also to visualize clinical data since patient is connected to the Hospital Information System. Previously in the pilot study for the implementation of DRDB, showed that it was more agile and secure than the usual process. Our descriptive study was conducted to determine the degree of use of the DRDB, compare the use of the DRDB with the conventional process and to analyze the incidents of the DRDB system.
Massive data analysis can be a useful technique in the initial screening of HF-P. Using mass data tracking could detect 50% of patients with FH and if combined with cascading genetic studies up to 80%. 1500 patients can be tracked in 4.05 min. 30 years would be required to detect 50% of the patients with FH with current techniques. The combination of massive data tracking, clinical assessment, and cascading genetic analysis may help decrease the burden of HF and its impact on cardiovascular disease
Coding of clinical activity should not be restricted to reports requested by health administration but to any document of scientific interest. Until recently, manual coding made it impossible to consider such a goal, but the appearance of computer assisted coding systems opens up new possibilities. It could be used, for example, to search for diagnoses of rare diseases in clinical reports.
The humanization experiences presented involve a change in the model of functioning of hospitals, until a few years ago everything was thought based on the organizational needs of the institution and the aspects of emotional well-being in the process were neglected. This model involves change in this regard, putting the patient’s well-being ahead of organizational needs. Care for the patient with COVID-19 has forced us to introduce changes that dehumanize care. From our hospital we have created systems and developed strategies to alleviate this problem through technology.
Serious games and Immersive Virtual Reality (IVR) technology are becoming an effective way to increase engagement and facilitate the acquisition of technical and transversal skills. At the MútuaTerrassa University Hospital and specifically at its library, we started ussing the RVI as a tool for learning, change and health of our staff. Diferents projects are proposed; a Serious game of RVI type “escape room” for the identification of authors (ORCID), an immersive IVR experience based on mindfulness techniques. During the COVID-19 pandemic we used the RV to help professionals with the dressing and undressing sequence to care for positive COVID patients
The objectives of our work are to determine the usefulness of an app designed specifically for HIV-infected patients aged 60 years or older by evaluating its usability. To assess changes in patient satisfaction with the app, adherence to treatment, and quality of health care in HIV-infected patients who use the app. It is a randomized clinical trial, the study population comprised 100 patients. At week 48, 85.2% of patients thought that the app was useful, 91.4% would recommend the app to friends. The app was well valued by participants 4.79 and 64.6% thought that the app improved their health care.
The study is expected to increase medication distribution process efficiently in surgical units by implementing automated dispensing cabinets (ADC).With the involvements of pharmacy, nurse and information technology (IT) departments, an IT program was developed to improve medication delivery process while patients are in operation room (OR) or post-operation rooms (POR). The results showed that the use of ADC in surgical units can improve the timeliness of drug delivery for surgical patients, reduce the working time of pharmacists and nurses, reduce transporting manpower, and increase the satisfaction of nursing staff.
The electronic drawer labels is a sustainable technology with non-luminous features. Combining with the Internet of Things(IoT) communication technology and hospital information management system, electronic drawer labels is not only cost-effective but also avoids human error. It can provide patient-specific protection, improve patient information completion in the medication carts and optimize overall drug distribution efficiency and patients safety.
Mr. Mondoloni Loïc
General Director at Martigues Hospital Center, France
The progressive integration of 4.0 technologies transform healthcare field. These technologies impact jobs and skills of healthcare professionals, who must adapt themselves. Technologies 4.0 reposition patients in the middle of healthcare systems, where self-management, products and informations can be developped. These results and consequences require knowledge of these technologies and an understanding of their articulation : we purpose the elaboration of a complete cartography to position these technologies in a chain of healthcare process which generate products and services. These technologies are divided into 4 steps : perception and sensing / communication and transmission / processing and computation / application
Dr. Josep-Maria Ibañez
Chief Medical Officer at Consorci Sanitari Del Maresme, Spain
The design of management support systems must achieve not only efficiency but effectiveness. We describe a tool whose aim is to get a real improvement on the management of hospital beds and the staff’s work. This tool has been determinant for hospital admission and bed management in pandemic COVID-19 crisis. Our tool (BIMAPS) recovers both quantitative and qualitative data categories on the occupation of hospital beds, and processes automatically, transforming the information obtained in a real bed map, which increases the added value of the represented data with a friendly and ease to use interface for health professionals.
La Meva Salut (LMS) (My Health) is a strategic project which empowers the citizen by providing secured and confidential access to digital health services such as own personal information produced in any healthcare center: clinical history, diagnostic reports, test results, medication plan, vaccines administered; Digital assistance channels such as eConsultation or VideoConsult for enquiries with healthcare professionals; and carry out electronic procedures such as medical appointments. LMS focuses on a relational model between the user and the Catalan Healthcare System to find out people’s needs and to provide information for the promotion of healthcare and illness prevention.
This poster encapsulates an innovative electronic tool (Lean SPRInT), derived from a PhD study, which could assist managers with Lean initiation in hospitals. The application of Lean to improve efficiency requires a convenient starting point. The Lean Success Predictor for Rapid Initiation Tool (Lean ‘SPRInT’) serves as this ‘starting point’, and provides managers with a conduit for deploying resources. As the only known electronic Lean readiness assessment tool developed in South Africa, Lean SPRInT’s output of calculated Lean readiness levels allows managers to gauge deficiencies in their hospitals, which once improved, would portend for a more favourable prediction of success.
Posterior Capsule Opacification (PCO) is the most common complication after cataract surgery and can result in reduced visual acuity, impaired contrast sensitivity and glare disability. Nd:YAG laser capsulotomies are performed to treat PCO, resulting in additional burden to patients and health care systems. Published evidence suggests that hydrophobic AcrySof intraocular lenses (IOLs) have a demonstrated lower incidence of Nd:YAG capsulotomy compared to other hydrophobic and hydrophilic IOLs. However, there is a paucity of comparative evidence versus IOLs with a hydrophilic-with-hydrophobic surface. The aim of this research was therefore to generate robust real-world evidence to fill this gap.
Ms. Silvia Perez-Ortega
Clinical Cardiovascular Nurse at Hospital Clinic Barcelona, Spain
A mobile application Caaring® with professional content has been developed by surgeons, perfusionists, nurses, physiotherapists and nutritionists from our hospital in collaboration with Medtronic, for patients undergoing aortic valve replacement surgery, providing advice and recommendations in the form of tasks. The program begins approximately 1 month before surgery, and continues until two months after discharge. The content is adjusted to each moment of the process. The use of technology through mobile applications allows us to reach more patients to offer them information about their pathology, encourage self-care and cardio-healthy habits, and involve the family in the whole process.
In June 2020 Institut Guttmann launches an outpatient neurorehabilitation program for patients with post-COVID-19 syndrome. The program includes respiratory therapy, physiotherapy, and neuropsychological rehabilitation (emotional intervention, compensatory strategies, and cognitive treatment). Sample: 70 patients. Age: 52.1 years (SD:12.78). Time between the first positive PCR and inclusion in the neurorehabilitation program: 6.49 months (SD:2.21). At the beginning and end of the cognitive rehabilitation program, a short assessment battery was administered. Significant differences were obtained between pre- and post-treatment scores. This clinical experience seems to show that neuropsychological rehabilitation is a useful tool to treat cognitive deficits in patients with post-COVID-19 syndrome.
Ms. Anna Alsina-Ribas
Nursing Supervisor at Consorci Hospitalari De Vic, Spain
This study shows the results of the experience of nursing team professionals related to the use of Alexia. Alexia is mobile touch device (Smartphone + App) that through the correct patient and professional identifications, allows to administer medications in a safe way, make the integral assessment of the patient, and record and query the cures information (clinical variables, clinical courses). Alexia facilitates the record and query processes, and avoid the duplicity or omission of clinicial records, achieving a safety increase.
This poster presents a comprehensive overview of factors affecting implementation of continuous monitoring with wireless wearable sensors based on nurses’ experiences with its use on nursing wards, and perspectives for use in the home setting. Implementation of continuous monitoring is affected by a wide range of factors at different levels including intervention characteristics (e.g., relative advantage), outer setting (e.g., patient needs and resources), inner setting (e.g, compatibility with work processes), characteristics of individuals (e.g., knowledge and beliefs), process (e.g., implementation leaders) and
facilitating conditions (e.g, Wi-Fi connection). This overview may be used as a guideline for future implementations and evaluations.
Stroke is one of the most severe medical problems with far-reaching public health and socio-economic impact. The PRECISE4Q H2020 project (https://precise4q.eu/) sets out to minimise the burden of stroke for the individual and for society. This poster presents the first results obtained when analyzing the needs of healthcare professionals and people with disabilities caused by stroke. Specific data sources were: scientific bibliographic reviews, people with subacute and chronic stroke, as well as healthcare professionals from a reference rehabilitation center in Catalonia. Public data obtained from Twitter and Reddit were also analyzed. (No COVID-19 lessons were included).
The Digital Transformation project—a partnership between the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), Palantir, and local Ministries of Health in Africa—has created a unified patient view powered by Palantir Foundry and accessible by programmatic and research leaders. Foundry is an interoperable, secure, and extensible data integration platform that fosters collaboration and ensures data privacy and quality. By triangulating disconnected data, this work aims to accelerate patient-driven care, provide a fuller understanding of how patients interact with the health care system, and enable near real-time adjustment of a data-renewed HIV cascade, particularly amidst crises such as COVID-19.
This work explores the power of data to build a predictive model for coronary heart disease (CHD) due to the condition of Familial Hypercholesterolemia (HF). HF is the most common cause of aggressive and early coronary heart disease. This study use machine learning techniques on a given dataset to predict the risk of a person to suffer CHD, once she has been HF identified. A random forest has been training and validated with data of National Dyslipidaemia Registry of the Spanish Arteriosclerosis Society. The classifier achieves an accuracy AUC average value of 0.884. No learnings from the COVID-19 crisis involved.
The computer application described in the poster is a tool to optimize the work of the antimicrobial stewardhip teams. In the same platform, the most relevant data related to the infections that the patient presents can be reviewed, at the same time that the intervention and an automated pre-prescription of the intervention can be performed. It is an interesting project not only for physicians, microbiologists and pharmacists members of stewardship teams but also for hopsital directors because it optimizes time resources.
Nurse Elsa Rodrigues
Rehabilitation Nurse at Centro Hospitalar do Tâmega e Sousa, EPE, Portugal
+P.E.R.T.O., aims to implement a digital rehabilitation program, accompanied by a communication and monitoring channel, via APP, for eligible users and caregivers to join.
+P.E.R.T.O. has 4 fundamental sections: 1- Exercise program aimed at rehabilitation: • Phase 1 – preoperative (preparation), • Phase 2 – hospitalization, • Phase 3 – post-operative (recovery). 2- Useful information section with feedback system. 3- On-time monitoring and follow-up section. 4- Section ‘‘ talk to the rehabilitation nurse ’’, a communication channel that it also allows to assist the user and caregiver in decision making in aspects such as: pain, edema and surgical wound.
Adverse drug reactions (ADRs) may influence patient safety by causing considerable consequences, however, majority of these reactions are potentially preventable. The main difficulty is appropriately informing health care professionals of patient’s ADRs experiences, especially between different health care facilities. The implantation of intelligent coding and reporting systems for ADRs may provide early alert that lessens the potential harm to patients and improve medication safety.
Dr. Lydia Padró
Medical Coordinator Of Tissue Transplant at Catalan Transplant Organization (Ocatt). Catalan Health Service, Spain
In Catalonia, access to tertiary procedures in public centers has been regulated for many years (high specialization oncology, emergency codes, rare diseases …) categorizing them by high technological level, complexity, cost and professional experience. However, tissue transplantation, and specifically corneas, has not yet been included. We believe that corneal transplants should be limited to a few centers to guarantee a minimum level of activity, as well as reaching consensus as to the minimal number of procedures required for centers or for surgeons performing the transplants. We will explain the huge impact that COVID has had on tissue donation
Five drugs (cisatracurium, dexmedetomidine, midazolam, propofol and rocuronium) were selected from the official listing of essential drugs. The variables studied were daily consumption averages, available stock in milligrams, and days of coverage (maximum,120 days), including the aggregated data evolution during the last 15 weeks. Weekly reporting the aforementioned aggregated data and stock-out risk information on essential drugs by health centers of different levels might be a useful tool to monitorize and improve the management of these drugs in pandemic crisis.
Within the integral management of the chemotherapy process, in February 2015, robotization was incorporated into the Pharmacy Service in the preparation of cytostatics with the acquisition of two robots. Robotization is important because of the impact on safety, towards the patient in the prevention of medication errors with highly iatrogenic drugs and towards the professional, in the prevention of ergonomic risks and exposure to cytostatics. At the same time it incorporates the improvement in process efficiency and productivity. We present the productivity data obtained from January 2016 to December 2019.
This presentation shared the experience of how a regional scale healthcare organization – Hong Kong Hospital Authority making use of big data and pre-defined clinical rules in preventing metabolic risks related to second generation antipsychotic medication (SGAs). Patients prescribed with SGAs would be checked against recent one year fasting plasma glucose and lipid. Those without fasting plasma glucose and lipid or with abnormal blood results, a tagging of “On SGAs without blood tests” and “On SGAs with abnormal blood results” would be marked in patient’s record. An alert prompt would be triggered to psychiatrists upon next follow up.
The Emirates Health Services desires to utilize Clinical Analytics, Clinical Decision support and Evidence Based Medicine in reducing the morbidity and mortality from Ischemic stroke. As this process is highly protocolized, a health IT solution was required which will guide clinicians to provide this urgent care in a safe way and as per clinical evidence. The solution translates clinical evidence-based guidelines into computer understandable binary logic which include: automated Clinical Rules to order laboratory investigations, Urgent CT Head, 21-point thrombolytic Check list, Pre-agreed therapy plans for Thrombolysis, Auto Calculation of drug dosage and Appropriate prompts and alerts.
The aim of this project is to provide urgent remote real-time pediatric care to a rural hospital supported by a third-level pediatric hospital. This support is effective through a specific equipment that is managed by a platform from the company Teladoc Health that allows its remote control via the Internet. The aim of the study is to develop a proof of concept of a remote pediatric support for spontaneous demand in an emergency department of a rural hospital. We will include learnings from the COVID-19 crisis.
The COVID-19 pandemic has served as a catalyst for the uptake of digital healthcare and telemedicine in ophthalmology (tele-ophthalmology). This work combines insights from the literature on tele-ophthalmology with practical trends from four ophthalmology clinics in Europe (Wellington Eye Clinic, Dublin, Ireland; Carones Vision, Milan, Italy, Eye Clinic at Neumarkt, Cologne, Germany and Miranza Clinic, Madrid, Spain) during the global crisis. The aim of this work is thus to assess the impact of COVID-19 on the tele-ophthalmology up-take and offer insights on enduring effects post-pandemic
Dr. Putri Ingen Setiasih
Head of Quality Improvement and Patient Safety Committee at Awal Bros Panam Hospital, Indonesia
Online training is used to maintain distance and avoid transmission of Covid-19 due to direct contact. To assess the effectiveness, a final evaluation is carried out after the training material is given. In March 2020, training was carried out online, and the average of passing grade was 78%. The Education and Training Unit has provided new innovations in implementation of online training, that is before starting the training, the presentation slides were given to the participants and giving rewards to every participant who gets a perfect score, the passing grade in first quarter 2021 has increased to 83%.
Dr. Khawla Alhajaj
SSR Family Medicine and Head of health center at DHA, United Arab Emirates
The current study makes a significant contribution to the knowledge of big data and its integration to health care systems in the UAE by discussing various challenges and offering solutions associated with big data. This can be applied at bigger geographical and include the world population to better understand the requirements and the states of health which can help in to achieve Sustainable Development Goals (SDGs), policymakers, decision-makers and investors need valid, accurate and real-time data to be able to adopt the right policy and decisions
The report format of HBV DNA laboratory result varied and it was difficult to analysis the results by the existing system design. This paper illustrated the potential clinical benefits of using the new AI and automated machine learning model of continuously screening of laboratory data in the Hong Kong Hospital Authority Clinical Management Systems (HA, CMS) clinical data repository and automatic clinical alert creation. Medication decision support function would potentially be triggered based on the patient’s HBV DNA status. Therefore, antiviral treatment could be timely prescribed to prevent Hepatitis B flare up when prescribing immunosuppressive therapy.
Parc Sanitari SJD is a trust providing general (GH) and mental (MH) healthcare hospitalisation, as well as community mental health care. We have focused on improving the effectiveness, managing patient safety risks, and providing staff support. To this end, our balanced scorecard, following the Kaplan and Norton framework, provides greater emphasis on patients and health professional’s needs in addition to the traditional activity reported to CatSalut (purchaser of government services).
Evaluating patient data in real time and making predictions to estimate the number of days pending until discharge allowed to provide objective short-term decision-making processes for optimal planning of hospital resources. Based on this, decisions were made such as the temporary closure of certain hospital beds during weekends and the reassignment of nursing personnel, ensuring equal care for all hospitalized patients. This practice provided us with an annual saving corresponding to 3.28% of the salaries of the hospitalization block
Dr. Felip Miralles
Digital Health R&D Manager at Eurecat, Spain
Demographic shift and now COVID-19 crisis is demanding a transformation of healthcare systems from disease-based to value-based, patient-centered and integrated care. In this scenario, smart technological solutions become a facilitator for enabling personalized and precision medicine. From Eurecat we present xCARE, a microservices framework implemented, deployed and validated throughout many specific use cases, which demonstrate its potential and adaptability, for instance: (i) an integrated care system to manage complex chronic patients; (ii) a case management system to train patients before a major surgery; and (iii) an automatic self-management system for citizens to have healthier habits, support behavioral change and prevention.
The mitral clip procedure is a safe option with a low complication rate. Patients usually enter a critical care unit (ICU) after implantation, with the difficulty that this entails due to the limited availability of critical beds. The aim was to describe the complications presented in a consecutive cohort of patients treated by mitraclip and to evaluate the need for admission to the ICU of these patients. Elective patients undergoing mitral clip implantation have a low complication rate that does not justifies the need for critical care, so fast-track protocols could be implemented in selected patient groups.