Development of eHOME, mobile instrument for reporting, monitoring, and consulting drug-related problems in Home Care

Duration: September 2014 - March 2017
Involved professors: Professor Dr. M.J. Schuurmans, Dr. E.R. Heerdink
Involved researchers: PhD student N.E. Dijkstra, Dr. C.G.M. Sino
Accompanying PhD research: Prevention of drug-related problems in the home situation (N.E. Dijkstra)
Related education: (Post) Bachelor of Nursing
URL website project: Nienke Dijkstrahttps://healthcode.nl/app-rvi.html

Goal and target group

The objective of this project was to develop an electronic HOME system (eHOME), a mobile version of the Home care Observation of Medication-related problems by home care Employees (HOME)-instrument that includes a monitoring and a consulting system for professionals in primary care. The system is developed in collaboration with the end-users (e.g. home care professionals, general practitioners and pharmacists) by means of a human-centered design approach.

Relevancy for professional practice / social relevance

The eHOME system supports home care professionals in reporting drug-related problems during care provision. Besides it provides the monitoring of problems over time and consultation of problems with general practitioner and pharmacists in primary care. Information of drug-related problems monitored over time provides valuable information for medication reviews. 

Educational relevancy

Students of the (post) Bachelor Nursing program learns as a professional nurse for diverse CanMEDS Roles to recognize drug-related problems, organizing collaboration with other health care professionals (home care workers, general practitioners and pharmacists) by efficient communication of problems for safer medication care.

Consortium/research partners

Various partners are involved in this project:

  • University of Applied Sciences Utrecht
  • Health Base Heath Code
  • home care organizations (Omring, Zorgbalans and Vierstroom)
  • ZONH care optimization Noord-Holland
  • CodeYellow

Co-financing

VGZ health insurance

Results/products

By using an iterative design approach and by involving home care professionals, general practitioners, and pharmacists throughout the process eHOME was developed. The eHOME-instrument was found to be an easy-to-use system.

Publication

http://humanfactors.jmir.org/2018/1/e10/ 

Implementation

The HealthCode foundation and the University of Applied Sciences Utrecht (https://healthcode.nl/app-rvi.html) implements the system in primary care settings in the Netherlands.