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Pages 1-8

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From page 1...
... In this report, the NRC Committee on the Role of Human Factors in Home Health Care examined the wide range of people, tasks, technologies, and environments involved in health care in the home to provide an understanding of the most prevalent and serious threats to safety, the quality of care experienced, and care recipient and provider well-being associated with this care. The committee sought to enhance the viability and quality of home-based health care through recommendations that promote systems that success 1
From page 2...
... The U.S. Food and Drug Administration and the Office of the National Coordinator for Health Information Technology should collaborate to regulate, certify, and monitor health care applica tions and systems that integrate medical devices and health information technologies.
From page 3...
... Recommendation 2. The Office of the National Coordinator for Health Information Technology, in collaboration with the National Institute of Standards and Technology and the Agency for Healthcare Research and Quality, should establish design guidelines and standards, based on existing accessibility and usability guidelines, for content, accessibility, functionality, and usability of consumer health information technolo gies related to home-based health care.
From page 4...
... To date, however, home health care services suffer from being organized primarily around regulations and payments designed for inpatient or outpatient acute care settings. Little attention has been given to how different the roles are for formal caregivers when delivering services in the home or to the specific types of training necessary for appropriate, high-quality practice in this environment.
From page 5...
... The characteristics of the home can present significant barriers to autonomy or in-home care management and present risk factors for poor health, injury, compromised well-being, and greater dependence on others. Conversely, supportive physical characteristics of homes, such as grab bars, increased lighting, and communication services, enhance safety and the ability to perform daily health care tasks and to utilize effectively health care technologies that are designed to enhance health and well-being.
From page 6...
... . RESEARCH AND DEVELOPMENT In our review of the research literature, the committee learned that there is ample foundational knowledge to apply a human factors lens to home health care, particularly as improvements are considered to make health care safe and effective in the home.
From page 7...
... Using task analysis and other human factors approaches to populate the medical device database will ensure that it contains information on characteristics of the devices and implications for appropriate care recipient and device operator populations. Characterizing Caregivers, Care Recipients, and Home Environments As delivery of health care in the home becomes more common, more coherent strategies and effective policies are needed to support the workforce of individuals who provide this care.
From page 8...
... The surveys should collect data on the sociodemographic and health characteristics of indi viduals receiving care in the home, the sociodemographic attributes of formal and informal caregivers and the nature of the caregiving they provide, and the attributes of the residential settings in which the care recipients live. Tools for Assessing Home Health Care Tasks and Operators Persons caring for themselves at home as well as informal and formal caregivers vary considerably in their skills, abilities, attitudes, experience, and other characteristics, such as age, culture/ethnicity, and health literacy.


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