Quantifying care coordination using natural language processing and domain-specific ontology

Popejoy, Lori; Khalilia, Mohammed; Popescu, Mihail; Galambos, Colleen; Lyons, Vanessa; Rantz, Marilyn; Hicks, Lanis L.; Stetzer, Frank

doi:10.1136/amiajnl-2014-002702

Cited by 33 publications

(33 citation statements)

References 17 publications

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“…Prior studies using NLP include ones examining documentation of postoperative complications, colonoscopy quality measures, and influenza surveillance . A recent study reported the use of NLP to assess a range of care coordination activities that home health nurses documented in an EMR, including case management and medication counseling, but no prior study has used NLP to assess the success of communication between clinicians . NLP could be a valuable tool for future efforts in research and clinical quality improvement to document and analyze data related to care coordination and communication between clinicians.…”

Section: Discussionmentioning

confidence: 99%

Postdischarge Communication Between Home Health Nurses and Physicians: Measurement, Quality, and Outcomes

Press

Gerber

Peng

et al. 2015

J American Geriatrics Society

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Section: Discussionmentioning

confidence: 99%

Postdischarge Communication Between Home Health Nurses and Physicians: Measurement, Quality, and Outcomes

Press

Gerber

Peng

et al. 2015

J American Geriatrics Society

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“…Patient‐centred care at home is a complex issue, and to ensure that patients’ needs are met, a comprehensive professional competence framework that incorporates the coordination of multiple systems and intra‐ and interprofessional collaboration is needed (Larsen, Broberger, & Petersson, ; Vaartio‐Rajalin et al, ). Care coordination is essential to healthcare reforms aiming to reduce healthcare costs and improve patients’ experiences of care quality (Popejoy et al, ).…”

Section: Introductionmentioning

confidence: 99%

Professional care at home: Patient‐centredness, interprofessionality and effectivity? A scoping review

Vaartio-Rajalin

Fagerström

2019

Health Soc Care Community

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The aim of this scoping review was to describe the state of knowledge on professional care at home with regard to different perspectives on patient-centredness, content of care, interprofessional collaboration, competence framework and effectivity. A scoping review, n = 35 papers, from four databases (EBSCO, CINAHL, Medline, Swemed) were reviewed between May and August 2018 using the terms:hospital-at-home, hospital-in-the-home, advanced home healthcare, hospital-based home care or patient-centered medical home. Criteria for inclusion in this review included full text papers, published between 2001 and 2018, in English, Swedish or Finnish. A descriptive content analysis was conducted. Patient-centredness appears to be one aim of professional care at home, but clarity is lacking regarding patient recruitment and the planning and evaluation of care. Content depends, to a certain degree, on the type of care at home and how it is organised: the more non-acute care needs, the more nurse-coordinated care and family involvement and the less interprofessionality. The competence framework presupposed for care at home was extensive yet not explicit, varying from maturity, clinical experience, collaboration skills, ongoing clinical assessment education to Master's studies or degree. The effectivity of care at home services was discussed in terms of experiential, clinical and economic aspects. Patients and their family caregivers were satisfied with care at home, but there was no consensus on clinical or economic outcomes compared with inpatient care. In the context of professional care at home, there is still a lot to do regarding patient-centredness, patient recruitment, patient and care staff education, the organisation of interprofessional collaboration and the analysis of effectivity. K E Y W O R D S advanced home care, competence, effectivity, home care, hospital at home, hospital in the home, interprofessionality, Patient-centred care | e271 VAARTIO-RAJALIN ANd FAGERSTRÖM

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“…The standardized nursing terminology adopted in this study (i.e., Omaha System) was conducive in quantifying patterns of nursing interventions provided over the one year of care coordination services as demonstrated in previous studies. 46–49 …”

Section: Discussionmentioning

confidence: 99%

Identifying Care Coordination Interventions Provided to Community-Dwelling Older Adults Using Electronic Health Records

Kim

Marek

Coenen

2016

CIN: Computers, Informatics, Nursing

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Although care coordination is a popular intervention, there is no standard method of delivery. Also little is known about who most benefits or characteristics that predict the amount of care coordination needed, especially with chronically ill older adults. The purpose of this study was to identify types and amount of nurse care coordination interventions provided to 231 chronically ill older adults who participated in a 12-month home care medication management program in the Midwestern. For each participant, the nurse care coordinator spent an average of 134 minutes/month providing in-person home care, 48 minutes/month of travel, and 18 minutes/month of indirect care occurring outside the home visit. This accounted for 67.2%, 23.8%, and 9.0% of nursing time respectively for home visits, travel, and indirect care. Four of 11 nursing interventions focused on medication management were provided to all participants. Seven of the 11 main interventions were individualized according to each person’s special needs. Wide variations were observed in time provided with in-person home care and communications with multiple stakeholders. Study findings indicate the importance of individualizing interventions and the variability in the amount of nursing time needed to provide care coordination to chronically ill older adults.

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Quantifying care coordination using natural language processing and domain-specific ontology

Cited by 33 publications

References 17 publications

Postdischarge Communication Between Home Health Nurses and Physicians: Measurement, Quality, and Outcomes

Postdischarge Communication Between Home Health Nurses and Physicians: Measurement, Quality, and Outcomes

Professional care at home: Patient‐centredness, interprofessionality and effectivity? A scoping review

Identifying Care Coordination Interventions Provided to Community-Dwelling Older Adults Using Electronic Health Records

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