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- AM/PM Q/A sessions and updates at 8:30 and 4:00 (Zoom)
- Conversations with Duke Health Communication
Milestones Completed
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- 05/11/20 First project scoping meeting with clinical lead
- 06/20/20 First steering committee meeting
- 08/01/20 Operational teams built, peers interviewed (Started June 2020)
- 09/19/20 Medtronic selected for remote monitoring
- 10/08/20 Patient workflows designed in first playbook draft
- 11/25/21 Business model finalized – CMS Acute Hospital Care at Home waiver
- 01/05/21 DRAH ED Faculty H@H intro
- 01/13/21 DRAH pilot workflow scripted
- 01/13/21 CMS waiver application approved
- 01/22/21 DRAH Acute Hospital Care at Home unit produced + CBORD
- 01/27/21 Case Management & Utilization Management H@H intro
- 01/27/21 Medtronic Omnivisor Pro training (remote monitoring)
- 01/28/21 Medtronic set-up training for home infusion nurses
- 01/28/21 DRAH ED nurse H@H education presentation
- 01/29/21 Epic (Maestro Care) training & Medtronic
- 01/29/21 Home Care provider full team introductions and education
- 02/01/21 Patient care verbal rehearsal and recording
- 02/02/21 Compliance/Legal overview meeting (2/2/21)
- 02/03/21 Ordered VAD Access Kit and other specific requests from infusion nursing
- 02/05/21 Technical Dress Rehearsal, Epic Practice for Infusion Nurses
- Visited supply closet, pharmacy, 4th Floor
- Packed a nursing toolkit, print lab labels, print AVS, print armband
- Practiced setting up equipment, especially Medtronic Remote Monitoring
- Practiced Epic documentation
- 02/08/21 Technical Dress Rehearsal, PRMO and HIMS
- 02/11/21 Pilot Care Team virtual huddle
- 02/12/21 Primary supplies finalized, with Medtronic InterView kit
- 02/17/21 Supplies & ED edu materials completed & distributed MOB 1 Suite 203
- 02/19/21 Secured Hot Spot for Hospitalists (wireless internet used in homes)
- 03/01/21 Approved and ready to enroll patients in Duke Raleigh H@H pilot
- Physicians: Dr. Marie Witte, Dr. Vidhya Aroumougame
- Infusion Nurses: Justin Dixon (Tu/W), Cynthia Macalino (M/Th), Erik Akhiwu (F)
- Case Management: Rhonda Catlin
- 04/12/21 First Acute Hospital Care at Home patient
- 04/16/21 First Acute Hospital Care at Home patient is discharged
- 06/08/21 Executive decision to sunset the “Enhanced Home Health Care” program (separate but overlapping with DRAH AHCAH), which had cared for a total of 42 patients
- 09/13/21 DRAH “sprint”/”acceleration” opportunity with CaroNova & Ariadne Labs ends
- 12/10/21 End-of-year Dr. Spiritos & Dr. Aroumougame DRAH AHCAH presentation to Duke Health Executive Leadership. The executive decision was to pause efforts indefinitely.
