The need for a Serious Illness Digital Ecosystem (SIDE) to improve outcomes for patients receiving palliative and hospice care.

dc.contributor.author

Nicolla, Jonathan

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Bosworth, Hayden B

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Docherty, Sharron L

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Pollak, Kathryn I

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Powell, Jeremy

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Sellers, Nichole

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Reeve, Bryce B

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Samsa, Greg

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Sutton, Linda

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Kamal, Arif H

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2024-01-02T21:06:38Z

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2024-01-02T21:06:38Z

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2020-04

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Palliative and hospice care services produce immense benefits for patients living with serious illness and for their families. Due to the national shift toward value-based payment models, health systems and payers share a heightened awareness of the need to incorporate palliative and hospice services into their service mix for seriously ill patient populations. During the last decade, a tremendous amount of capital has been invested to better integrate information technology into healthcare. This includes development of technologies to promote utilization of palliative and hospice services. However, no coordinated strategy exists to link such efforts together to create a cohesive strategy that transitions from identification of patients through receipt of services. A Serious Illness Digital Ecosystem (SIDE) is the intentional aggregation of disparate digital and mobile health technologies into a single system that connects all of the actors involved in serious illness patient care. A SIDE leverages deployed health technologies across disease continuums and geographic locations of care to facilitate the flow of information among patients, providers, health systems, and payers. Five pillars constitute a SIDE, and each one is critical to the success of the system. The 5 pillars of a SIDE are: Identification, Education, Engagement, Service Delivery, and Remote Monitoring. As information technology continues to evolve and becomes a part of the care delivery landscape, it is necessary to develop cohesive ecosystems that inform all parts of the serious illness patient experience and identifies patients for the right services, at the right time.

dc.identifier

88358

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1088-0224

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1936-2692

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https://hdl.handle.net/10161/29656

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eng

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Managed Care and Healthcare Communications, LLC

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The American journal of managed care

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10.37765/ajmc.2020.42960

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https://creativecommons.org/licenses/by-nc/4.0

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Humans

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Palliative Care

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Hospice Care

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Telemedicine

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Delivery of Health Care

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The need for a Serious Illness Digital Ecosystem (SIDE) to improve outcomes for patients receiving palliative and hospice care.

dc.type

Journal article

duke.contributor.orcid

Bosworth, Hayden B|0000-0001-6188-9825

duke.contributor.orcid

Reeve, Bryce B|0000-0002-6709-8714

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SP124

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SP126

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4 Spec No.

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Duke

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School of Medicine

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School of Nursing

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Faculty

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Basic Science Departments

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Clinical Science Departments

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Institutes and Centers

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Family Medicine and Community Health

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Medicine

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Pediatrics

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Psychiatry & Behavioral Sciences

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Medicine, General Internal Medicine

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Medicine, Medical Oncology

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Duke Cancer Institute

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Duke Clinical Research Institute

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Institutes and Provost's Academic Units

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Center for the Study of Aging and Human Development

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Initiatives

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Duke Science & Society

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Population Health Sciences

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Duke Innovation & Entrepreneurship

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Psychiatry & Behavioral Sciences, Behavioral Medicine & Neurosciences

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Duke - Margolis Center For Health Policy

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Published

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26

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