Difference between revisions of "Patient Assessments"
From Patient Determinants
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For Managing Health, the following assessments (or methods for capturing patient data will be developed: | For Managing Health, the following assessments (or methods for capturing patient data will be developed: | ||
| − | * [[Managing Health Assessment]] is designed to understand the patient by documenting their current [[determinants]] and [[interventions]]. | + | * [[Managing Health Assessment]] is designed to understand the patient by documenting their current [[Health Determinants|determinants]] and [[Non-Medical Interventions|non-medical interventions]]. |
* [[Well-Being Assessment]] is designed to capture the patient's goals (quality of life, care goals), care plan (goals, determinants, interventions, care team) and ensure alignment (patient, caregiver, physician, care team). | * [[Well-Being Assessment]] is designed to capture the patient's goals (quality of life, care goals), care plan (goals, determinants, interventions, care team) and ensure alignment (patient, caregiver, physician, care team). | ||
* [[Well-Being Status]] is designed to document daily status (how are you feeling, symptoms), actions (what happened?, what didn't happen?) and changes (symptoms, barriers, goals, determinants, interventions, plans). | * [[Well-Being Status]] is designed to document daily status (how are you feeling, symptoms), actions (what happened?, what didn't happen?) and changes (symptoms, barriers, goals, determinants, interventions, plans). | ||
| + | * Functional Assessments - understanding of the [https://clas.uiowa.edu/socialwork/sites/clas.uiowa.edu.socialwork/files/NursingHomeResource/documents/Katz%20ADL_LawtonIADL.pdf Katz Index of Independence in Activities of Daily Living (ADL) and Lawton - Brody Instrumental Activities of Daily Living Scale (IADL]). | ||
| + | Social Determinants of Health <br> | ||
| + | * [http://res.cloudinary.com/bdy4ger4/image/upload/v1499804346/Patient_Questionnaire_for_OPB_ckqqld.pdf Kaiser - Current Life Situation Forms] | ||
| + | * [http://www.jabfm.org/content/30/4/428/T1.expansion.html Institute of Medicine (IOM) recommended that 10 patient-reported SDH domains be documented (7/2017)] 1) Race/ethnicity*, 2) Education, 3) Financial resource strain, 4) Stress, 5) Depression*, 6) Physical activity, 7) Nicotine use/exposure*, 8) Alcohol use*, 9) Social connections/social isolation 10) Exposure to violence: intimate partner violence, 11) Neighborhood characteristics (eg, median income within census tract) (Note * = Already routinely captured in electronic health records). | ||
| + | * [https://nam.edu/wp-content/uploads/2017/05/Standardized-Screening-for-Health-Related-Social-Needs-in-Clinical-Settings.pdf Standardized Screening for Health-Related Social Needs in Clinical Settings - The Accountable Health Communities Screening Tool] | ||
| + | * [https://www.ncbi.nlm.nih.gov/books/NBK269334/#sec_000041 Capturing Social and Behavioral Domains and Measures in Electronic Health Records: Phase 2.] | ||
Other Referenced Assessments: | Other Referenced Assessments: | ||
* [https://www.nccn.org/patients/resources/life_with_cancer/pdf/nccn_distress_thermometer.pdf National Comprehensive Cancer Network (NCCN) Distress Thermometer and Problem List for Patients] | * [https://www.nccn.org/patients/resources/life_with_cancer/pdf/nccn_distress_thermometer.pdf National Comprehensive Cancer Network (NCCN) Distress Thermometer and Problem List for Patients] | ||
* [[CDC Health Risk Assessments]] is a comprehensive patient assessment completed as part of an annual wellness visit. | * [[CDC Health Risk Assessments]] is a comprehensive patient assessment completed as part of an annual wellness visit. | ||
| − | * [http://www.cdc.gov/hrqol/index.htm CDC Health-Related Quality of Life (HRQOL) is an individual's or a group's perceived physical and mental health over time. | + | * [http://www.cdc.gov/hrqol/index.htm CDC Health-Related Quality of Life (HRQOL)] is an individual's or a group's perceived physical and mental health over time. It promotes Measuring Healthy Days for [http://www.cdc.gov/hrqol/pdfs/mhd.pdf Population Assessment of Health-Related Quality of Life] |
| + | * [https://www.cdc.gov/diabetes/prevention/pdf/prediabetestest.pdf CDC Prediabetes Screening Test] | ||
| + | Other Assessments <Br> | ||
| + | * [https://en.m.wikipedia.org/wiki/DASS_(psychology) Depression Anxiety Stress Scales (DASS)] - is made up of 42 self-report items to be completed over five to ten minutes, each reflecting a negative emotional symptom. | ||
| + | * [https://www.rand.org/health/surveys_tools/mos/36-item-short-form.html Short Form Health Survey (SF-36)] - is a set 36 items of generic, coherent, and easily administered patient reported quality-of-life measures utilized by managed care organizations and by Medicare for routine monitoring and assessment of care outcomes in adult patients. | ||
| + | * [https://euroqol.org/eq-5d-instruments/ EQ-5D] - is a standardized instrument developed by the EuroQol Group as a measure of that can be used in a wide range of health conditions and treatments comprising five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. | ||
Latest revision as of 14:59, 6 June 2018
Patient assessments are designed to capture patient information for a particular condition (such as COPD Assessment) or service (such as an Emergency Room, Hospital or Physician Office Visit). The Centers for Disease Control and Prevention (CDC) developed a Health Risk Assessment (HRA) designed for the Medicare Annual Wellness Visits.
For Managing Health, the following assessments (or methods for capturing patient data will be developed:
- Managing Health Assessment is designed to understand the patient by documenting their current determinants and non-medical interventions.
- Well-Being Assessment is designed to capture the patient's goals (quality of life, care goals), care plan (goals, determinants, interventions, care team) and ensure alignment (patient, caregiver, physician, care team).
- Well-Being Status is designed to document daily status (how are you feeling, symptoms), actions (what happened?, what didn't happen?) and changes (symptoms, barriers, goals, determinants, interventions, plans).
- Functional Assessments - understanding of the Katz Index of Independence in Activities of Daily Living (ADL) and Lawton - Brody Instrumental Activities of Daily Living Scale (IADL).
Social Determinants of Health
- Kaiser - Current Life Situation Forms
- Institute of Medicine (IOM) recommended that 10 patient-reported SDH domains be documented (7/2017) 1) Race/ethnicity*, 2) Education, 3) Financial resource strain, 4) Stress, 5) Depression*, 6) Physical activity, 7) Nicotine use/exposure*, 8) Alcohol use*, 9) Social connections/social isolation 10) Exposure to violence: intimate partner violence, 11) Neighborhood characteristics (eg, median income within census tract) (Note * = Already routinely captured in electronic health records).
- Standardized Screening for Health-Related Social Needs in Clinical Settings - The Accountable Health Communities Screening Tool
- Capturing Social and Behavioral Domains and Measures in Electronic Health Records: Phase 2.
Other Referenced Assessments:
- National Comprehensive Cancer Network (NCCN) Distress Thermometer and Problem List for Patients
- CDC Health Risk Assessments is a comprehensive patient assessment completed as part of an annual wellness visit.
- CDC Health-Related Quality of Life (HRQOL) is an individual's or a group's perceived physical and mental health over time. It promotes Measuring Healthy Days for Population Assessment of Health-Related Quality of Life
- CDC Prediabetes Screening Test
Other Assessments
- Depression Anxiety Stress Scales (DASS) - is made up of 42 self-report items to be completed over five to ten minutes, each reflecting a negative emotional symptom.
- Short Form Health Survey (SF-36) - is a set 36 items of generic, coherent, and easily administered patient reported quality-of-life measures utilized by managed care organizations and by Medicare for routine monitoring and assessment of care outcomes in adult patients.
- EQ-5D - is a standardized instrument developed by the EuroQol Group as a measure of that can be used in a wide range of health conditions and treatments comprising five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression.
