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BAPTIST HEALTH Home Health Network
in partne= rship with
BAPTIST H= EALTH Women and Children’s Program
Telehealth OB
Program
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Content-Location: file:///C:/EB25548D/BaptistHomeHealthNetworkOBTelehealthProgram_files/slide0002.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Baptist Home Health Network in partnership with Baptist Health’= ;s Women and Children’s Program
Program Purpose
•Provide i= n-home observation and care for women with high risk pregnancies = 3;
<= span style=3D'mso-special-format:bullet;position:absolute;left:-4.67%'>•<= /span>Strict admission criteria
<= span style=3D'mso-special-format:bullet;position:absolute;left:-4.67%'>•<= /span>Experienced OB staff nurses
<= span style=3D'mso-special-format:bullet;position:absolute;left:-4.67%'>•<= /span>Clinical guidelines
<= span style=3D'mso-special-format:bullet;position:absolute;left:-4.67%'>•<= /span>Allow for care that is safe and effective
•<= /span>Promotes positive health outcomes for mother and baby
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Patients who benefit:
•Pregnant patients referred by their physician with a diagnosis of:
•Preeclampsia
•Gestational hypertension
•Gestational diabetes
•Pre-existing medical conditions that warrant close observation
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Program Details
•Multidisciplinary care
•Home health visits conducted by OB-RN <= /span>
•Telehealth monitor placed in home until birth =
•Daily data transmission and review for early identification of ch= ange in medical condition
•Patient education
•Compliance monitoring
•Outcome driven
------=_NextPart_01C683DA.C54B8D90 Content-Location: file:///C:/EB25548D/BaptistHomeHealthNetworkOBTelehealthProgram_files/slide0006.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Baptist Home Health Network in partnership with Baptist Health’= ;s Women and Children’s Program
Multidisciplinary Care
•OB-RN Case Managers work with patient’s Primary Physician and conducts home visits to <= /span>achieve compliance with patient’s plan of care.
•Social Worker, Certified Diabetes Educ= ator and Dietitian available to see patient as needed.
•
------=_NextPart_01C683DA.C54B8D90 Content-Location: file:///C:/EB25548D/BaptistHomeHealthNetworkOBTelehealthProgram_files/slide0005.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Baptist Home Health Network in partnership with Baptist Health’= ;s Women and Children’s Program
Home Health OB-RN Visits
–Maternal assessment
•Symptom inquiry, review weight log, fetal kick cou= nts, protein urine levels = ;
•Review symptoms to report to MD =
•BP, HR, reflexes, presence/grade/location edema= 3;
•Draw lab work as ordered
•Patient education
–Fetal assessment
•Heart rate
•Activity
•
------=_NextPart_01C683DA.C54B8D90 Content-Location: file:///C:/EB25548D/BaptistHomeHealthNetworkOBTelehealthProgram_files/slide0008.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Baptist Home Health Network in partnership with Baptist Health’= ;s Women and Children’s Program
Telehealth-
 What does our system do?
<= span style=3D'font-size:67%'>•Records da= ta from physiological measurements
<= span style=3D'font-size:67%'>•Provides reminders to perform scheduled health tasks
<= span style=3D'font-size:67%'>•Monitors compliance with plan of care
<= span style=3D'font-size:67%'>•Collects information about symptoms
<= span style=3D'font-size:67%'>•Provides educational material about medical conditions/ medications
<= span style=3D'font-size:67%'>•Alerts cli= nician when parameters are out of acceptable boundaries
<= span style=3D'font-size:67%'>•Alerts pat= ient to contact clinician when necessary
•
•A state-of-the-art tool to improve quality of c= are!
------=_NextPart_01C683DA.C54B8D90 Content-Location: file:///C:/EB25548D/BaptistHomeHealthNetworkOBTelehealthProgram_files/slide0007.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Baptist Home Health Network in partnership with Baptist Health’= ;s Women and Children’s Program
Telehealth Monitor
•Daily data sent to agency through phone lines for = review by OB-RN
–Blood Pressure
–Weight
–Urine protein level
–Fetal kick count
–Glucose
–Pulse ox and heart rate
–Answers to symptom questions
–(three lead ecg also available)
------=_NextPart_01C683DA.C54B8D90 Content-Location: file:///C:/EB25548D/BaptistHomeHealthNetworkOBTelehealthProgram_files/slide0009.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Baptist Home Health Network in partnership with Baptist Health’= ;s Women and Children’s Program
Patient Education
•Topics discussed with patient during visits with <= /span>content reinforced on monitor: <= /div>
–Preeclampsia
–Gestational Hypertension
–Gestational Diabetes
–Normal pregnancy and prenatal care
–Healthy eating for mom and baby =
–Dangers of smoking, alcohol, drug use <= /span>
–Other topics as appropriate
•Educational videos and patient OB handbook =
------=_NextPart_01C683DA.C54B8D90 Content-Location: file:///C:/EB25548D/BaptistHomeHealthNetworkOBTelehealthProgram_files/slide0011.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Baptist Home Health Network in partnership with Baptist Health’= ;s Women and Children’s Program
Program Goals
•No difference in pregnancy related bir= th outcomes between women who receive in-home prenatal care and those = who receive in-hospital prenatal care.
<= span class=3DBB style=3D'position:absolute;left:-3.97%'>•Cost of s= ervice much less for in-home prenatal care versus in-patient prenatal care
•High patient satisfa= ction with program
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Birth Outcomes
•Tracked and evaluated quarterly
–Birth weight
–APGAR score
–Infant admission to Neonatal ICU
–Infant re-admission to hospital
–Eclampsia
–Cesarean
–Maternal re-admission
–Maternal/infant LOS
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3D"Healthy
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