Medical IT Modernization In the United States
In the United States, general hospitals, pharmaceutical companies, life science laboratories, etc. are introducing cutting-edge IT infrastructure one after another with a huge budget. In recent years, as one of the digitization of medical information, systems that combine remote image diagnosis, artificial intelligence (AI), and big data have been attracting attention. The digitized patient charts managed by medical institutions are called Electronic Medical Records (EMRs).
Until now, EMR only stored test results as text characters, but nowadays, very clear image data for medical diagnosis is used. The so-called “diagnosis support AI”, which loads medical images of patients into analysis software and gives new awareness to doctors and pathologists, is receiving a great deal of attention.
Also, EHR (Electronic Health Record: EHR) and wearables that store individual health information such as medical history, allergy information, and vaccination status in a big data platform can be shared between medical facilities and other facilities. Consideration is also increasing for the introduction of the latest technology that combines devices and IoT.
Not all medical institutions in the United States are equipped with such state-of-the-art IT infrastructure. Vendors have introduced many examples of cutting-edge IT solutions and services that have been introduced at large medical facilities and laboratories with huge budgets, but on the other hand, in depopulated areas and small medical institutions, equipment It is often difficult to renew the IT infrastructure because it is difficult to secure the purchase budget and personnel.
When we talk about IT in US medical care, we cannot avoid talking about laws and regulations. One of the factors that prolong the life of legacy IT in US medical institutions is the regulation set by the US government.
In 1996, the Health Insurance Portability and Accountability Act (HIPAA Act), a law concerning the privacy of medical data, came into effect in the United States. HIPAA includes privacy and security rules for healthcare professionals, and entities seeking to use personal health information are required to comply with HIPAA and will be penalized for violations. You can. HIPAA’s privacy rules apply to personally identifiable health information, not only in electronic media but also in paper and oral communications.
In this HIPAA, this personally identifiable health information is called “Protected Health Information (PHI)” and includes sensitive patient information such as personal health information and payment information. In addition to HIPAA, we have obtained certification for a certification framework for medical-related regulations and standards called the “Health Information Trust Alliance Common Security Framework (HITRUST CSF)”, and in Europe, it is called the “General Data Protection Regulation (GDPR)”. There are also data protection regulations.
In the medical IT infrastructure, IT functional requirements must be set in a manner that complies with various regulations such as HIPAA, HITRUST CSF, and GDPR, and businesses that handle patient PHI (protected health information) must take security measures. Must be done.
Specifically, access to medical facilities, use of PCs, workstations, electronic media, access control and use of e-PHI (electronically protected health information), deletion, disposal, user ID management, automatic logout function, Data encryption and decryption procedures, unauthorized access measures, emergency access procedures, software, and hardware-level log acquisition, etc., which provide sensitive patient data, including physical ones. It is necessary to strictly define and implement protective measures and safety measures.
The more you pursue both regulatory compliance and convenience, the more complex the IT infrastructure itself becomes and the higher the initial investment in development. Therefore, medical institutions where it is difficult to secure a budget cannot actively introduce new IT, and the status quo will continue to be maintained by continuing to use legacy systems.
Characteristics of HomeCare That Provides Long-Term Care At HomeMany of us have a base called our home, where we engage in social activities and daily life. It is quite natural to want to continue living in a land or region that you are attached to. However, it may be difficult for people who need long term care in their daily lives due to old age to continue living at home.
People who want to continue living in their own homes even if they need long-term care need to provide “homecare” to live while receiving long term care at home. What kind of long-term care services support homecare? Also, what are the points that the person and family should pay attention to continue homecare?
What is HomeCare?Homecare means “getting care at home.” When you need long term care, you will always need some kind of support in your daily life, although differences are depending on the degree of long-term care required. If you are in constant need of long term care, one option is to enter a facility and receive long term care services.However, some wish to continue living in the home they have been attached to, and such people should live while receiving long term care at home without entering facilities to support their motivation to live.
Home-based long-term care provides long-term care at home, but one of the major characteristics of this is that it is a familiar home. Spaces such as familiar household goods and living rooms can calm the mind and continue an emotionally stable life.
Also, if you are living with your family and providing homecare, you will always be able to see your family’s face, which is also deeply involved in your sense of security and emotional stability. An increasing number of people are requesting home-based care because they have an environment in which they can spend their time calmly.
Care Manager, Key To HomeCareWhen trying to use a home-based long-term care service, the first thing you need to do is to define a support policy such as “what kind of life you want to live while using the home-based long-term care service” and a plan for using the necelonssary home-based long-term care service.
The care manager is a very encouraging person who understands the wishes of users and their families, sets necessary services, creates plans, and coordinates with each business site. It will be easier for the care manager to propose the optimal plan by firmly communicating the conditions of their homecare, so it is necessary to firmly communicate the living environment, life wishes, long-term care service wishes, etc. to prepare the homecare environment. It is necessary to do so.
SummaryMany people want to continue living in the area where they were born and raised, in a familiar home, and that does not change when they need long-term care. However, the higher the dependence on long-term care, the more difficult it is to live at home, which often puts a heavy burden on the family who cares at home.
To continue homecare for a long time, we will effectively use the homecare service to support home life, and care while actively using the service, conscious of not trying too hard and not holding it alone. It is important to create an environment where you can continue comfortably, such as by consulting with a serviced office or care manager if you have any problems.
As homecare continues to increase, it will be necessary to improve operations to support the encouraging care managers. By systematizing many tasks such as creating care plans and providing consultation support, it will be important to reduce the burden on care managers and create an environment where they can concentrate on tasks that support homecare.
All You Need to Know About Home Care and Outpatient Care
There are various types of home care services such as home-visit care and outpatient care. All of them are very reliable for those who care for their families at home. To avoid getting tired of long-term care by holding it alone, consult with a care manager or the Regional Comprehensive Support Center, and receive good support from public institutions.
The most frequently asked reason for choosing home care is that you can live in a familiar home or community. It seems that there are many cases in which home care is selected if the understanding of the family and relatives can be obtained and if living alone does not interfere with daily life.
The advantage of home-based long-term care is that you can freely choose long-term care services such as home- visit long-term care services and day services according to the situation requiring long-term care.
Home-Visit Long-Term Care Used at Home
There are various types of long-term care services that you receive at home. These services can be broadly divided into types called “home care services” and “community-based services. Using these services is not only beneficial to the caregiver, but can also reduce the burden of caregiving for the caregiver.
Well-known are home-visit nursing care and home-visit nursing care, in which long-term care and nursing staff visit their homes to provide care, and home-visit bathing care, in which bathtubs are carried to assist in bathing.
In addition to this, there are specialized services such as home care management guidance that provides medical services such as medical management and guidance, regular patrol, and occasional home-visit nursing care that has both aspects of watching service and nursing service.
In addition to home and commuting, there are also types that temporarily stay at the facility and receive the same services as those who move into the facility. This includes short-term admission life care, which is generally called a short stay, and short-term admission medical care, which is called a medical short stay.
Home visit service that visits the homes of those who are used by nurses, etc., and provides necessary care for those who are undergoing medical treatment, such as medical treatment and medical assistance based on doctor’s instructions, health checks, etc..
In addition to the services you receive at home, there are also types where people who use the service go to the facility on a day trip and receive the service there.
Typical examples are outpatient care and outpatient rehabilitation that go to a facility to receive long-term care or rehabilitation, dementia-friendly outpatient care for people with dementia, and medical care outpatient care for people with severe physical conditions. These have the advantage that the services that suit the user’s situation can be focused on in well-equipped facilities.
By using these services, you can receive specialized long-term care at the facility, temporarily reduce the burden on the caregiver, and have them respond when circumstances arise that prevent long-term care.How to Choose Homecare Software in USA
For those who are going to enter the homecare business, would you like to start the business by introducing software that supports the home care business and creating an environment where you can proceed with your work efficiently?
If you are currently in the home health care business, would you like to use home care software that can improve your work efficiency?
In this article, we would like to explain what kind of services the software for the home healthcare business support and how to actually introduce it. If you are a business establishment that is thinking about introducing or switching software for the homecare business, please use this as a reference.
How to choose software that supports the home healthcare care business?
Enhancement of Support System – Homecare software is used every day. If sudden trouble occurs, it will cause a big hindrance to your work. It is encouraging to have a support center where you can connect to the phone immediately at such times. In case of trouble, it is safe to choose one that has a support center where staff with knowledge of homecare will respond politely as well as knowledge of the software. The support system differs depending on the homecare software company, so it is a good idea to make a good comparison.
Response to Law Versions – Due to the nature of home healthcare insurance, the laws are revised often. Choose software that will respond to the revision of the law (with a proven track record). Some software must be updated by yourself, and some software can be updated automatically. It is safe to choose from the points of office work. You also need to check in advance if there will be any additional charges, such as when updating.
Weather Data Can Be Transferred When Switching Home HealthCare Software – When switching, there is a huge amount of work involved in migrating data from the previous software. There are also companies that can help you with that difficult task when you switch. The data migration service may be paid or free, so it is necessary to check in advance. Since it is a specialized software called home health care software, it will be reassuring to use the software of a company that knows well (proven) about the home care business.
Request for Materials – There are various types of homecare software, and each software has a different specialty. It’s a good idea to compare several companies. As for how to compare, there are means such as requesting materials and participating in forums.
Trial – If you find software that suits your home care agency, try it. Some companies offer on-site demonstrations. By watching the demonstration with the staff in the office, you can reflect the requests and questions from the staff, so you can choose the software that is more suitable for your office. The trial period and the cost related to using are different for each company, but if you try to use it during actual work as much as possible, it will be easier to see if the software is available.
Estimate – The amount of software varies depending on the size of the agency. It is a good idea to get a quote for the software you are considering introducing and compare it. It will be easier to understand if you consider using it for a long period of time and calculate it by adding various costs.