Closing the Gap: Telehealth, APRN care coordination and data collection strategies to improve care for children with complex special health care needs

2.50
Hdl Handle:
http://hdl.handle.net/10755/307849
Category:
Abstract
Type:
Presentation
Title:
Closing the Gap: Telehealth, APRN care coordination and data collection strategies to improve care for children with complex special health care needs
Author(s):
Cady, Rhonda Guse; Moore, Scott Emory
Author Details:
Rhonda Guse Cady PhD, RN cadyx010@umn.edu
Abstract:

Session presented on: Sunday, November 17, 2013

Emerging models of health care delivery require rigorous research to establish effectiveness. Nursing must define its unique contributions to these models. Integrating care coordination (CC) and telehealth into patient-centered medical / health care homes is a key strategy for improving patient access and outcomes. However, clarification regarding the focus and effectiveness of comprehensive CC, the tools to support it and the required scope of practice are lacking. This presentation discusses matching telehealth and user scope of practice, defining the value-added features of advanced practice nurse (APRN) care coordination and implementing comprehensive data collection strategies to demonstrate outcomes. • Telehealth includes telephone, remote monitoring, online decision support systems / virtual clinics and video. The depth and breadth of the information available with the tool must match the depth and breadth of information needed by the user to provide care. • Care coordination intensity is dependent on the complexity of physical and psychosocial conditions. Children with complex special health care needs (CCSHCN) present challenges to CC due to multiple, complex conditions that do not fit treatment algorithms. These children challenge the scope of practice required for effective CC. The APRNs advanced training and autonomous scope of practice positions this clinician to provide comprehensive CC for CCSHCN within the health care home. • High-quality quantitative and qualitative data lend validity to findings and recommendations. Comprehensive data collection strategies and effort ensure reliable data for analysis. Collecting data from family members caring for CCSHCN requires multi-faceted and labor-intensive collection strategies to yield high rates of return. The exemplar for this presentation is TeleFamilies, a randomized controlled trial (NIH R01NR010883), integrating APRN CC into a pediatric health care home for CCSHCN. Two intervention groups receiving APRN-delivered CC via telephone or telephone supplemented with video telehealth are compared to a control group receiving physician-delivered CC during clinic visits.
Keywords:
telehealth; data collection; advanced practice nurse
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleClosing the Gap: Telehealth, APRN care coordination and data collection strategies to improve care for children with complex special health care needsen_GB
dc.contributor.authorCady, Rhonda Guseen_GB
dc.contributor.authorMoore, Scott Emoryen_GB
dc.author.detailsRhonda Guse Cady PhD, RN cadyx010@umn.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/307849-
dc.description.abstract<p>Session presented on: Sunday, November 17, 2013</p>Emerging models of health care delivery require rigorous research to establish effectiveness. Nursing must define its unique contributions to these models. Integrating care coordination (CC) and telehealth into patient-centered medical / health care homes is a key strategy for improving patient access and outcomes. However, clarification regarding the focus and effectiveness of comprehensive CC, the tools to support it and the required scope of practice are lacking. This presentation discusses matching telehealth and user scope of practice, defining the value-added features of advanced practice nurse (APRN) care coordination and implementing comprehensive data collection strategies to demonstrate outcomes. • Telehealth includes telephone, remote monitoring, online decision support systems / virtual clinics and video. The depth and breadth of the information available with the tool must match the depth and breadth of information needed by the user to provide care. • Care coordination intensity is dependent on the complexity of physical and psychosocial conditions. Children with complex special health care needs (CCSHCN) present challenges to CC due to multiple, complex conditions that do not fit treatment algorithms. These children challenge the scope of practice required for effective CC. The APRNs advanced training and autonomous scope of practice positions this clinician to provide comprehensive CC for CCSHCN within the health care home. • High-quality quantitative and qualitative data lend validity to findings and recommendations. Comprehensive data collection strategies and effort ensure reliable data for analysis. Collecting data from family members caring for CCSHCN requires multi-faceted and labor-intensive collection strategies to yield high rates of return. The exemplar for this presentation is TeleFamilies, a randomized controlled trial (NIH R01NR010883), integrating APRN CC into a pediatric health care home for CCSHCN. Two intervention groups receiving APRN-delivered CC via telephone or telephone supplemented with video telehealth are compared to a control group receiving physician-delivered CC during clinic visits.en_GB
dc.subjecttelehealthen_GB
dc.subjectdata collectionen_GB
dc.subjectadvanced practice nurseen_GB
dc.date.available2013-12-19T17:38:25Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:38:25Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.