Monday, November 3, 2003

This presentation is part of : Health Promotion

Health Checkpoint: A Telehealth Application in Health Promotion

Kathryn Votava, PhD, RN, Community Nursing Center, University of Rochester, Rochester, NY, USA and Patricia Chiverton, EdD, RN, FNAP, School of Nursing, University of Rochester, Rochester, NY, USA.
Learning Objective #1: Describe the operation of the Health Checkpoint Telehealth program for health promotion
Learning Objective #2: Evaluate the impact of the Health Checkpoint health promotion program on consumer outcomes including health status, consumer satisfaction and health care cost-benefit

Objective: To determine the effectiveness of a unique Telehealth application, Health Checkpoint™, on health outcomes, customer satisfaction and health care cost benefit. Health Checkpoint™ is an innovative method that integrates nursing care with technology and provides easy access for consumers to health promotion interventions. A Telehealth monitoring system, which transmits patient vital signs to a central station for regular, clinical review, supports Health Checkpoint™. Health CheckpointTM provides immediate feedback to the consumer to let them know if their vital sign readings are within the parameters that have been established to measure their success in reaching their health promotion goals. The consumer maintains on-going communication with the nurse and together they focus on achieving the consumers individualized health promotion goal. Trended information can be electronically provided to other health care providers. This program also enables a relatively small nursing work force to offer health promotion services to large groups of consumers, thereby addressing concerns related to the nursing shortage. Design: Prospective observational multi-group design. Population, Sample and Setting: The settings and populations include several sites: a university faculty group, an administrative staff group, a manufacturing operation, a fitness center and a volunteer fire department. N = 200. Variables: Health Status as measured by human vital signs and Health Risk Appraisal Scores (HRA), Customer Satisfaction, and health care costs Methods: Human vital signs are collected with the telemonitoring device and trended over six months. HRA scores are collected at admission and at six months. Customer satisfaction is measured at six months. Health costs are measured with utilization survey data over the six-month time frame. Data collection will be completed by June 2003. Findings: The age range is from 24 - 72. Initial trend analysis demonstrates positive patient outcomes with respect to health promotion goals and customer satisfaction at a reasonable cost.

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