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HISI  Presentation  Dr Pamela Hussey
Dr Pamela Hussey  Creating Archetypes for Patient Assessment with Nurses to Facilitate Shared Patient Care with Older  – Lessons Learnt
PARTNERS located @
Presentation Will Consider  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Some Background  ,[object Object],[object Object]
Continuity of Care is Required ,[object Object],[object Object],[object Object]
Challenges and Solutions ,[object Object],[object Object]
Sponsors and Focus  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinically Visualisation is a Core Requirement  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Technically Standards are a Core Requirement ,[object Object],[object Object],[object Object],[object Object]
Research Question(s)   ,[object Object],[object Object],[object Object],[object Object]
Actions Steps Included Documentary Analysis Focus Group Interviews Selection of Core Concepts(EN13940) Pilot Paper Prototype 6/12 n=18 patients Mapping tool to Ref Terminology: ICNP IHTSDO Mapping tool to Link EHR (EN13606) Stratified Evaluation CMO configurations Emerging Models of Meaning & Knowledge Underpinned by Web 2.0 Technologies
Informing and Guiding Work   Datasets  C.HOBIC & INMDS Health Information Standards   EN13606 EN13940 ISO 11179 EN18104 Archetype Application  – OpenEHR LinkEHR Models  based on  Gerard Frerik’s Semantic Stack
Research Tools ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Research Practice Interface  ,[object Object],[object Object]
Study Outputs and Linkage ,[object Object],[object Object],[object Object],[object Object]
Higher Order Models ©P Hussey
A Model of Knowledge ,[object Object],[object Object],[object Object]
Using Models of Knowing   ,[object Object],Models of Meaning specific use  Outcomes Assessment includes  Section 1 = Functional status  Section 2 = Symptom management Section 3 = Readiness for D/C  Section 4 = Self care medical devices
Models of Thought   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Concepts: Time & Health Issue   ,[object Object],[object Object],[object Object],[object Object],[object Object]
Concepts are Arranged in a Framework  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],EN13606
From Meaning  To Knowledge
Function Status  ,[object Object],[object Object]
Clinical Viewpoint Aggregate Data  Functional Status Episode 1 Episode 2 Ability to perform hygiene 0.875 0.8125 Ability to dress 0.625 0.6875 Ability to groom oneself 0.625 0.625 Ability to bath 1.625 1.6875 Ability to mobilise 1 1.25 Ability to walk 0.875 1.125 Ability to transfer chair or bed 0.6875 0.625 Ability to walk in room 0.625 0.8125 Ability to walk in corridor 0.75 0.9375 Ability to toilet oneself 0.625 0.5 Ability to feed self 0.25 0.25 Falls Frequency 0.5 0.5 Falls Risk 1.5625 4.5625 Pressure Ulcer & Skin Integrity 3.875 3.6875 Breathing & Dyspnoea 0.6875 0.875 Weakness & Fatigue 1.3125 1.5 Nausea 0.125 0.1875 Fluid Balance 0.125 0.25 Pain Frequency 0.625 0.625 Pain Intensity 0.3125 0.5
Summary of Findings   ,[object Object],[object Object],[object Object]
Other Useful Data Included   ,[object Object],[object Object],Lesson 4  Interagency communication is difficult to achieve - multifaceted process
 
Current State of Play   ,[object Object],[object Object],[object Object],[object Object],[object Object]
The Final Cumulative Result   ,[object Object],[object Object]
Acknowledgements ,[object Object],[object Object],[object Object],[object Object],[object Object]
PARTNERS Web Site www.partnersct.com
Contact Details  ,[object Object],I am tomorrow, or some future day  what I establish today....Joyce

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Creating Archetypes For Patient Assessment With Nurses To Facilitate Shared Patient Care With Older - Pamela Hussey

  • 1. HISI Presentation Dr Pamela Hussey
  • 2. Dr Pamela Hussey Creating Archetypes for Patient Assessment with Nurses to Facilitate Shared Patient Care with Older – Lessons Learnt
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  • 12. Actions Steps Included Documentary Analysis Focus Group Interviews Selection of Core Concepts(EN13940) Pilot Paper Prototype 6/12 n=18 patients Mapping tool to Ref Terminology: ICNP IHTSDO Mapping tool to Link EHR (EN13606) Stratified Evaluation CMO configurations Emerging Models of Meaning & Knowledge Underpinned by Web 2.0 Technologies
  • 13. Informing and Guiding Work Datasets C.HOBIC & INMDS Health Information Standards EN13606 EN13940 ISO 11179 EN18104 Archetype Application – OpenEHR LinkEHR Models based on Gerard Frerik’s Semantic Stack
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  • 17. Higher Order Models ©P Hussey
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  • 23. From Meaning To Knowledge
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  • 25. Clinical Viewpoint Aggregate Data Functional Status Episode 1 Episode 2 Ability to perform hygiene 0.875 0.8125 Ability to dress 0.625 0.6875 Ability to groom oneself 0.625 0.625 Ability to bath 1.625 1.6875 Ability to mobilise 1 1.25 Ability to walk 0.875 1.125 Ability to transfer chair or bed 0.6875 0.625 Ability to walk in room 0.625 0.8125 Ability to walk in corridor 0.75 0.9375 Ability to toilet oneself 0.625 0.5 Ability to feed self 0.25 0.25 Falls Frequency 0.5 0.5 Falls Risk 1.5625 4.5625 Pressure Ulcer & Skin Integrity 3.875 3.6875 Breathing & Dyspnoea 0.6875 0.875 Weakness & Fatigue 1.3125 1.5 Nausea 0.125 0.1875 Fluid Balance 0.125 0.25 Pain Frequency 0.625 0.625 Pain Intensity 0.3125 0.5
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  • 32. PARTNERS Web Site www.partnersct.com
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