案例研究：医院护理的未来在于家庭.pdf

1、The Future of Hospital Care is In the HomeDr Wang ZheminMedical Informatics and Tech Lead,NUHSHomeConsultant,Internal Medicine and Intensive Care Medicine,Alexandra Hospital1Restricted,Sensitive(Normal)What is Mobile Inpatient Care(MIC)?What are some challenges faced?How does technology help?How do

2、we build technology?Insert data classification23Insert data classification4Restricted,Sensitive(Normal)BackgroundNUHSHome provides Mobile Inpatient Care services across Western Singapore as a substitute for hospitalisation Established as NUHS Business Unit in October 2023Patients admitted are consid

3、ered inpatients,subject to subsidies and Medisave/Medishield/insurance claims Bills are slightly lower in ward hospitalisation charges Medical team:Advanced Internal Medicine consultantsNursing team:Dedicated NUHSHome nurses Why did we start NUHSHomeHome visits by cliniciansBlood testsIntravenous th

4、erapyScans in hospitalVital signsmonitoringTeleconsultNUHSHome:Elements of care in the comfort of patients homeAny patient that wants to be at home and can be at home should be at home.Restricted,Sensitive(Normal)Patient Comfort of home Familiarity of loved ones Reduced hospital acquired infections

5、Reduced functional declineSystem Limited hospital beds Potentially lower cost6Restricted,Sensitive(Normal)Hospital at Home is an acute clinical service that takes staff,equipment,technologies,medication and skills usually provided in hospitals and delivers that hospital care to selected people in th

6、eir homes or in nursing homes.It substitutes for acute inpatient hospital care.Consensus definition of Hospital at Home presented at the World Hospital at Home Congress in Barcelona on 30 Mar 2023Counselling patient and family Daily Virtual Ward RoundsDischarge paperwork and billingNurses to supervi