Mobile health critical in care

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David Wortman
David Wortman

Malaz A. Boustani, M.D., MPH, sees a future where the Eskenazi Health Center Healthy Aging Brain Center and Healthy Aging Brain Care Medical Home can bring its innovative Aging Brain Care program not just to the 5,000 patients it has served since 2008 in Indianapolis, where the center is located, but to the more than 100,000 Alzheimer's patients throughout Indiana and the millions beyond. 

Boustani sees a future that offers virtual care to the many patients who cannot travel to the Eskenazi Health Center Healthy Aging Brain Center for treatment. He is associate director of the IU Center for Aging Research and director of the ABC, which uses an interdisciplinary team approach to identify, assess and manage the biopsychosocial needs of patients with cognitive or mood disorder such as Alzheimer disease and major depression, and their family caregivers. 

If you have a team of care providers, you need to have a safe, effective, optimized communication platform to ensure they provide coordinated care. Boustani believes his team has found that platform with the help of Diagnotes, Inc., an Indianapolis-based health IT company. He believes our elegant mobile system provides the next step in allowing the ABC to provide virtual care across the state and beyond. 

Based on implementation science and cutting-edge research at Indiana University's Center for Aging Research, the ABC program is an evidence-based program that provides patients with guideline-level care and improved care coordination, fewer contraindicated drugs and health complications and less time in hospitals and emergency rooms. 

Working with the patient's primary care physician, who retains final decision-making authority, the experts at the Eskenazi Health Center Healthy Aging Brain Center diagnose and treat memory and mood problems. Doctors, nurses and social workers offer care that addresses the individual patient's needs and supports family caregivers. 

Our Diagnotes team – developers of the Diagnotes HIPAA-compliant clinical communication system – worked closely with Boustani and his colleagues to configure our secure mobile communications system to monitor admission, discharge and transfer events as reported by member institutions throughout the state to the Indiana Health Information Exchange  and Eskenazi Health. 

The Diagnotes system identifies ADT events for all Healthy Aging Brain Center patients and goes into action to immediately alert the assigned care coordinator. The system pulls the patient's medical record from the Eskenazi Health Center Healthy Aging Brain Center's electronic medical record system and sends a summary of that information along with the alert to the care coordinator's mobile device. 

The coordinator is fully informed and able to notify appropriate care team members to respond to the immediate situation. Team members don't need to be in the hospital, or even in an office, to receive the alert; the information is delivered to the individual's preferred mobile device – smartphone, tablet or laptop – and available for immediate retrieval. 

Diagnotes technology allows real-time tracking of patient encounters and program-related process measures. The data are frequently reviewed by the leadership team to determine whether the strategy for management of the population's health requires adjustment.

The Diagnotes team is dedicated to providing mobile health communications solutions that are HIPAA-compliant and designed to address the specific needs of our partners. Our five-component model embraces secure texting, provider scheduling, EMR integration, clinical documentation and answering service automation. 

David B. Wortman is Chairman, CEO and Co-Founder of Diagnotes, Inc., developer of the Diagnotes® HIPAA-compliant clinical communication system. Available on smartphones, tablets and PCs, Diagnotes gives medical groups the tools to improve communication among providers, patients and staff. For more information, click here.


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