Poster Presentations

Introduction and Objective: People with chronic morbidities would like to be cared in their homes in presence of their loved ones. PC at home for chronic illnesses is about providing comfort desired by the patient and family members. It helps reducing economic, psychological, social and physical burden on the family ensuring patient's quality of life. Based on Cipla home care studies, Smart Phone Applications in Palliative Home Care and our own survey, we took up the following objectives, for patient care at home: a) Continuing the care from the Primary Specialist, b) Episodic management, thereby preventing avoidable emergency visits and re-admissions.

Methods: Over 15 months, we have evolved a blended solution working with many PC specialists in Bangalore and caring for 70+ patients. This solution combines clinical telepresence technology with clinical collaboration model and clinical workflows, protocols and interventions, to provide continuity of care. A Ubiqare Physician trained in palliation carries out the care protocol as specified by the specialist, extending his care and co-ordinates with care providers, supervises clinical interventions as and when needed, ensuring patient's comfort at home.

Results: We share the cohort-metrics that reflect the care outcomes, illness trajectories, rate of episodes, readmission rates, observed demand for medical attention and feedback.

Conclusion: We have been able to demonstrate the feasibility and effectiveness of quality of follow-up care by extending primary specialist's care through their involvement, coordinated and managed by a Ubiqare doctor supported by clinical telepresence, to provide care-continuity and supportive care to patients at home.