Supportive care of patients coming from or at risk of a hospital admission provides numerous innovation opportunities to avoid care escalation and also decrease the costs of care for the patient and provider. At DIHI, we have developed solutions to tackle complex care plans, predict admissions and re-admissions, increase hospital-skilled nursing home care collaboration via telehealth conferences, among others. Click on a project below to read more.
Related Projects
A Three-Pronged Approach to Reducing HIV Transmission through Pre-Exposure Prophylaxis (PrEP)
Development of a three-pronged program to decrease HIV transmission and increase awareness in the Duke and Durham community, including the creation of a dedicated Duke PrEP clinic at Duke Medical center, educational promotion, and community outreach.
Mobile Complex Care Plans for Children with Medical Complexity
Implementing a mobile complex care plan for provider and patient’s guardians to coordinate care approaches.
Use of telehealth video conferencing to improve the hospital to SNF care transition
Novel use of telemedicine to facilitate weekly post-discharge care conferences between hospital and skilled nursing facility provider teams to systematically review patients, improve transitional care and reduce readmissions.
Pallialytics: Using analytics to inform a palliative care population health management intervention
A viable predictive model to positively affect patient palliative care workflows.