Page Comparison

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• Link to the use case 2 for home care as an outcome

• SDOH typical stakeholders supporting social and community needs are currently overburdened or not operating at normal capacity (Hassanah)https://www.ajmc.com/newsroom/how-can-employers-address-social-determinants-of-health-exacerbated-by-covid19

• https://www.cdc.gov/coronavirus/2019-ncov/covid-data/investigations-discovery/assessing-risk-factors.html

Subcomponent 15: Case Management of COVID-19 cases, individuals under suspicion and those at risk

Define high risk clinical conditions- use CDC conditions

• Targeting patients via text, email and patient portal-- education about symptoms and exposure, risk reduction activity

• PopHealth program to enroll high risk individuals-- symptom checking, asking about needs and safety, recommendations-- text-based pilot at Alliance-- see screen shot

• Consider creation of “high risk for COVID-19” data element?

• Consider also high risk via essential worker or healthcare worker status

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Individuals under suspicion -

• Present in clinic, via phone, via virtual visit, referrals (formal or informal) from inpatient/ED, testing center, other providers, referral from health department or organization notifying patient of exposure (workplace, etc)

• Record initial evaluation: exposures and symptoms

• If presenting to healthcare provider --> immediate evaluation and plan

• If presenting to clinic with symptoms → schedule evaluation and provide quarantine recommendation

• If notified of exposure → refer to testing and provide quarantine recommendation

• If referred from healthcare facility → follow up recommendations and schedule evaluation?

• Testing plan

• Contact tracking

Components of the Clinical Evaluation:

• Health conditions of risk

• Needs at home/in community

  • Medication/health supplies

  • Food

  • Housing

  • Safety

• Symptoms

• Ability to quarantine

Statuses in workflow: