Hospital Clinic Hospital RN/MD collaboration Home Home Clinic QC

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Presentation transcript:

Hospital Clinic Hospital RN/MD collaboration Home Home Clinic QC Collect Data via EHR to identify risk level: labs, weight, current imbalance of symptoms  Treatment/education to improve knowledge of pt. QC Hospital Community Environment Community Environment Early Education CDS for Risk Assess for Prevention Risk Assessment Hospital Clinic Transitional Care Collect Data via HER to maintain symptoms: labs, weight, symptom management eval trends/patterns for pt. overtime with tools/technology (CDS to alert RN/MD re: high level of risk factors) QC Quality Care (QC) Clinic Collect Data: labs, weight, symptom management Via tools/ technology (ie. Phone app for med admin. And daily weight record) QC CDS Supports for best practice Home Home Pt. Safety Standardized Documentation RN/MD Collaboration Non-maleficence Autonomy Technologies (smart app) Pt. w/ Heart failure Trust Tools (risk assessment, EHR) Quality Care Big Data + Patient Confidentiality= Pt. Outcomes

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