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eMEDICS.org is pleased to announce several improvements to its CoreERP software

CoreERP, eMEDICS.org’s software solution has been successfully adapted to the Swiss Home Care system.

For more than a year now, eMEDICS.org, specialist in mobile and web health applications, has provided added value software to its clients. By joining forces, our ambition is to provide quality products and meet Swiss health sector demands both in terms of business specifications and technological realization.

After receiving numerous recommendations from GE / VD physicians, as well as several Swiss organizations such as SwissAgisan and MyPrivateCare, we have incorporated several improvements to CoreERP, in order to offer a more complete and turnkey solution to all Swiss Home Care organizations.

Medical forms managed by these associations such as the patient records, medical RAI and household assessments, the exit form are already supported by CoreERP but we went further…

A) What’s new?

A.1. Diversified Cloud Solutions

We tested our CoreERP solution on several infrastructures including DigitalOcean, AWS, Azure, InfoManiak and Exoscale. Deployment remains generic and simple. We are currently discussing a possible offer of CoreERP with Swisscom, as part of their SaaS (Solution As A Service) portfolio. There are also several possible synergies between Evita, the SwissCom solution for medical organizations and CoreERP with the upcoming launch of a Health Care Network (data sharing between patients and doctors).

A.2. More advanced process automation

Business processes in the health field are complex. Automation is key for time saving and cost reduction. CoreERP offers a unique automated solution. Here are some of the improvements:

A.2.1. Implementation of a summary table

A summary table of patient records is now available for the web and mobile version. It does contain the most important fields such as vital parameters (weight, respiratory rate, body temperature, blood pressure, pulse rate, etc.), RAI alarms, performance scales, observations and / or tasks related to this patient. This table is very useful for health field workers who need quick access to important data.

A.2.2. Form Automation

◦ When a medical claim is completed, RAI and household assessments are now automatically generated. They’re no longer created manually

◦ For RAI evaluations, the active instance is synchronized automatically between the mobile app and the back-end. When the field worker completes the evaluation, CoreERP then generates the “action plan”, the RAI alarms and the performance scales (AVQ, IAVQ, CPS et DRS).

◦ The renewal of RAI assessments and the OPAS management are also automated.

◦ When the medical claim is created, the associated exit form is also created in order to handle end-to-end tracability.

◦ When the exit form is completed, all associated forms (medical claims, patient forms, evaluations…) are automatically archived. If a conflict occurs, CoreERP identifies the issues and raise corrective actions to the administrator. The DMST (canton de VD) is also generated automatically.

A.3. Automatic Document Generation and EDM (Electronic Document Management)

◦ Working documents can be generated automatically saving valuable time to administrators and avoiding data entry mistakes. For example, the DMST V2.1 (Medico-social transmission document) which is a standardized document used in the canton de VD when transferring a patient from one healthcare provider to another, contains useful information to ensure continuity in patient care. These include administrative information, a contact list (Caregivers, family and relatives), health checks and data transfer. The DMST was developed within the framework of the cantonal programs in order to improve patient quality follow-up among partners (eHealth). CoreERP generates this document and track its status for a better follow-up during the transfers.
◦ CoreERP has an incorporated EDM system that could easily integrate with existing systems such as SAP, Documentum and SharePoint (Office365).

A.4. Improved ergonomy and analysis tools

◦ The Offline solution has been improved. The field collaborator no longer needs to intervene for data synchronization between field workers and the admin center.  Note that if the internet connection is available, the collaborator has the possibility to initiate a synchronization by hand, in order to refresh the data in real time. But this is an optional operation and is not mandatory.

 


◦ Color code: For RAI evaluation, for example, a color code has been added to identify the progress of each section. This is very useful if the evaluation is performed during multiple visits. By knowing the status of the section, productivity is greatly improved. The color codes are as follow:

▪ Red to indicate that the section was not started.
▪ Blue to indicate that the section has been started.
▪ Green to indicate that the section has been completed.


◦ Several KPIs (Key Performance Indicators) are now available in the turnkey solution such as patient evolution history, statistics related to the number of RAI assessments to be processed, the number of billing mandates to be processed, various indicators such as LAMAL / NON-LAMAL acts…

B. Additional functionalities will be available by Q2 2018:

B.1. Multilingual

◦ The multilingual module will be available in French, Italian, German and English.

B.2. Automated action plan

◦ Although there are no QSYS and InterRAI specifications regarding action plan automation, we should be able to push the automation to a higher level. Our algorithm will link generated RAI alarms to OPAS and RAI HC, ASSASD acts. An action plan will then be generated proposing recommended acts and frequencies. The staff will then evaluate the plan and make any correction to it. Based on staff’s changes, the algorithm will adapt and propose new action plan for similar patients. The machine will never replace human and medical expertise but our solution will help improve analysis and validate action plans faster.

B.3. OPAS approval process

◦ The OPAL follow-up and renewal process already exist. CoreERP goes further… The approval OPAS process will be fully automated by the use of workflows and electronic certified signatures of the attending physician, the insurance and the home care organization. That would simplify the OPAS traceability and improve productivity for all parties.

B.4. Implementation of automated activity reports and time sheets

◦ CoreERP now manages a manual activity report for employees. In the near future, CoreERP will be able to generate automated ones based on the action plan acts and next, the billing statements.

B.5. Software enhancements

◦ CoreERP is using the most advanced open source technologies such as NodeJS, Bootstrap, Angular2, IONIC1 and CouchDB. The ultra-fast Google V8 engine allows to decouple application requests and offline synchronization, thus eliminating any latency and improving the user experience. Field staff can focus on their business activities and not worry about the mobile interface. We plan migrate the CoreERP mobile application to IONIC2 in the coming months to further improve this user experience.

B.6. Automated planning

◦ With the advanced Geo-localization tools, we will be able to create visits and optimize field staff journeys (and thus reduce the cost and duration of field staff journeys).

B.7. eMEDICS.org Health Care Network (EHC Network)

◦ CoreERP is a platform that will be opened to all physicians, clinics, pharmacies, Home care organizations, hospitals, insurance companies  (with the preservation of medical data of patients), and patients themselves, facilitating the exchange of medical information. A catalog of forms will be available to medical organizations, which will allow them to set better diagnosis and share data with the patients (patients could also provide health measurements over time).

Si vous désirez plus d’information, vous pouvez nous contacter à l’adresse mail admin@emedics.org ou nous appeler au +41 75 416 4140.

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Monitoring health – Patients overwhelmingly support it

For health monitoring, most respondents believe doctor-recommended mobile devices can help them manage care between visits.

By Jessica Davis

Regarding monitoring their health, the vast majority of Americans say they would welcome using technology and mobile devices for it, according to a recent study by the Society for Participatory Medicine, a nonprofit membership organization focused on patient engagement.

The study found 84 percent of survey respondents felt tracking blood pressure, heart rate, respiratory rate, physical activity and other data with a user-friendly mobile device between provider visits would help to better manage their health. Thanks for mobile monitoring apps.

“The important findings from the survey show patients really want to partner with physicians,” said Daniel Z. Sands, MD, co-founder, co-chair of the Society for Participatory Medicine.

“It’s not a typical service industry, like the car wash model of healthcare where the patient cruises through the system,” he added. “Providers need to engage patients, and patients want it.”

In fact, 77 percent of survey respondents felt it was both important for themselves and their healthcare provider.

ORC International interviewed more than 1,000 Americans on behalf of the Society for Participatory Medicine and found 76 percent of respondents would use a clinically accurate and easy-to-use monitoring device; 81 percent would be more likely to use a device if their provider recommended it, and 57 percent would like to use the device and share the information with their provider.

“I think many physicians believe patients just want to come in for their visits, but don’t really want to engage in their healthcare,” said Sands. “The participatory method is really important, but the question is, do physicians want to have a partnership?”

“If we get it right, we have the opportunity to leverage technology to help patients contribute to their health information without coming into the office,” he added. “This information is valuable to patients and to providers. It’s an important tool to get healthcare outside of the office.”

According to Sands, it’s a change in mindset for many providers that medical schools are attempting to combat. But it’s challenging in the constraints of a medical practice to transition to this type of care. Further research must be done on physicians to determine their issues and thoughts.

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icon form health care hospital

Patient Home Care Monitoring Will Revolutionize the Health sector in 2016

Real-time health care monitoring including the patient’s home continues to gain importance as pressures come from a variety of sources to reduce risks and costs of readmissions and hospitalizations.

The Centers for the Medicare and Medicaid Services (CMS), enforcing the 2012 Medicare Readmission Reduction Program, the States and managed organizations have to deal with tighter budgets, rising costs of service, and stricter capitation rates.

Until recently, homecare reporting was archaic at best. The home was a “black box” where no information was generated when a home aide entered the residence and closed the door. Well-intentioned aides and nurses visited a patient’s home, administered and documented their visit in piles of paperwork that were often not reviewed or actionable.

Data input was first “modernized” to record home aide hours and minimal data about care by telephone. Such systems are used primarily for time and attendance. Aides visit the patient’s homes and use the patient’s home phone to document that their work shift has started. When the shift ends (and only when the shift is over), the home aide dials the phone to report the end of their shift, and with all the limitations inherent in pressing numbers on a dial pad, report that they had administered a few elements of care. Since they cannot see the output of what they entered, such data entry is error prone and of limited value.

To move home health care forward and to reduce costs requires a new approach. Forward thinking home aide agencies, health care providers, managed care organizations and hospitals are looking for innovative solutions that leverage the proliferation of tablets, smartphones and the ubiquitous Cloud to improve care at home, where patients spend most of their lives and where so many significant health events occur.

Thanks to technology, the “black box” of healthcare monitoring can be transformed into a sea of data where home health aides can gather 500-1,000 data points per month. The real-time collection and utilization of data from the home will offer these ten key benefits for specific patient populations, their families and every member of the patient’s care team in 2016.

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Home Care in Switzerland

Home care continues its negative showing due to maturity and pressure from private label

Sales of home care registered retail value declines across many categories in 2013, in part due to the maturity of a number of categories, such as laundry care, and the pressure from private label on value sales. While private final consumption grew at a fairly healthy level in 2013, consumers continued to display a strong preference for value-for-money home care. A further obstacle to growth was the strength of the Swiss Franc, which continued to provide a strong incentive for cross-border sales.

Home care continued to be heavily impacted by declining unit prices across virtually all categories as competition from private label and between branded manufacturers remained fierce. The strength of retail giant Migros’ private label continued to be detrimental to unit prices, given the fact that the retailer offers a large and popular range of value-for-money home care. Another source of pressure was the higher inflow of cheaper imports from the EU/EEA following the opening of the Swiss market in July 2012. In the face of growing competition from private label and cheaper imports, branded manufacturers responded with more frequent price promotions, thereby adding further downward pressure on unit prices.

Private label and large multinationals compete vigorously

Although there is a fairly large number of players present in Swiss home care, the majority of sales remained in the hands of private label and a small number of leading global players. The most significant player remained Swiss retail chain, Migros, with its private label range of home care accounting for the largest value share in 2013, and resulting in overall private label being ahead of branded products. After private label, the three leading global players, Unilever, Procter & Gamble and Henkel, took the leading positions, relying on their well-known global brands.

Discounters continues to gain but supermarkets remains the strongest channel

In line with the growing demand for private label home care, discounters registered the fastest growth in value sales in 2013. This was particularly detrimental to the value share of health and beauty specialist retailers and traditional grocery retailers, but also supermarkets and hypermarkets felt the pinch. The growing strength of discounters was further underpinned by the fierce outlet expansion pursued by German discounter chains, Lidl and Aldi, which in turn also put pressure on domestic discounter chain, Denner. However, in absolute terms, supermarkets remained the most important channel in home care in 2013, supported by the strong performance of the private label ranges of leading supermarket chain, Migros.

Lack of demand for premium products expected to hamper future sales of home care

Sales of home care are expected to register a stagnant performance in constant value terms at 2013 prices over the forecast period. While demand will remain positive across most categories, consumers are expected to grow increasingly reluctant to spend on premium products, especially in view of the growing availability of higher-quality private label alternatives. The uncertain outlook for Switzerland’s economic performance is further expected to impact consumers’ spending decisions to the detriment of home care. In addition, growing price competition between manufacturers, retailers and private label, especially following the recent opening of the Swiss market to cheaper imports from the EU and EEA, will result in unit price declines across virtually all categories, thus adding further pressure on value sales.

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Healthy living facts

Healthy living facts

This article is designed to give tips to readers about how they can improve or augment actions in their life to have a healthy lifestyle; it is not meant to be all inclusive but will include major components that are considered to be parts of a lifestyle that lead to good health. In addition to the tips about what people should do for healthy living, the article will mention some of the tips about avoiding actions (the don’ts) that lead to unhealthy living.

“Healthy living” to most people means both physical and mental health are in balance or functioning well together in a person. In many instances, physical and mental health are closely linked, so that a change (good or bad) in one directly affects the other. Consequently, some of the tips will include suggestions for emotional and mental “healthy living.”

Eating (diet)

All humans have to eat food for growth and maintenance of a healthy body, but we humans have different requirements as infants, children (kids), teenagers, young adults, adults, and seniors. For example, infants may require feeding every four hours until they gradually age and begin to take in more solid foods. Eventually they develop into the more normal pattern of eating three times per day as young kids. However, as most parents know, kids, teenagers, and young adults often snack between meals. Snacking is often not limited to these age groups because adults and seniors often do the same.

Tips:

  • Eat three meals a day (breakfast, lunch, and dinner); it is important to remember that dinner does not have to be the largest meal.
  • The bulk of food consumption should consist of fruits, vegetables, whole grains, and fat-free or low-fat milk products.
  • Choose lean meats, poultry, fish, beans, eggs, and nuts (with emphasis on beans and nuts).
  • Choose foods that are low in saturated fats, trans fats, cholesterol, salt (sodium), and added sugars; look at the labels because the first listed items on the labels comprise the highest concentrations of ingredients.
  • Control portion sizes; eat the smallest portion that can satisfy hunger and then stop eating.
  • Snacks are OK in moderation and should consist of items like fruit, whole grains, or nuts to satisfy hunger and not cause excessive weight gain.
  • Avoid sodas and sugar-enhanced drinks because of the excessive calories in the sodas and sugar drinks; diet drinks may not be a good choice as they make some people hungrier and increase food consumption.
  • Avoid eating a large meal before sleeping to decrease gastroesophageal reflux and weight gain.
  • If a person is angry or depressed, eating will not solve these situations and may make the underlying problems worse.
  • Avoid rewarding children with sugary snacks; such a pattern may become a lifelong habit for people.
  • Avoid heavy meals in the summer months, especially during hot days.
  • A vegetarian lifestyle has been promoted for a healthy lifestyle and weight loss; vegetarians should check with their physicians to be sure they are getting enough vitamins, minerals, and iron in their food.
  • Cooking foods (above 165 F) destroys most harmful bacteria and other pathogens; if you choose to eat uncooked foods like fruits or vegetables, they should be thoroughly washed with running treated (safe to drink) tap water right before eating.
  • Avoid eating raw or undercooked meats of any type.

Tips for special situations:

  • People with diabetes should use the above tips and monitor their glucose levels as directed; try to keep the daily blood glucose levels as close to normal as possible.
  • People with unusual work schedules (night shifts, college students, military) should try to adhere to a breakfast, lunch, and dinner routine with minimal snacking.
  • People who prepare food should avoid using grease or frying foods in grease.
  • People trying to lose weight (body fat) should avoid all fatty and sugary foods and eat mainly vegetables, fruits, and nuts and markedly reduce his/her intake of meat and dairy products.
  • Seek medical advice early if you cannot control your weight, food intake, or if you have diabetes and cannot control your blood glucose levels.

Physical activity and exercise

Physical activity and exercise is a major contributor to a healthy lifestyle; people are made to use their bodies, and disuse leads to unhealthy living. Unhealthy living may manifest itself in obesity, weakness, lack of endurance, and overall poor health that may foster disease development.

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October 10, 2015 / Posted by / Healthy living facts