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Post-Acute COVID-19 Rehabilitation Network Proposal: From Intensive to Extensive and Home-Based IT Supported Services

Author

Listed:
  • Monica Pinto

    (Rehabilitation Medicine Unit, Strategic Health Services Department, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, 80131 Napoli, Italy)

  • Francesca Gimigliano

    (Department of Mental and Physical Health and Preventive Medicine, University of Campania “Luigi Vanvitelli”, 81100 Caserta, Italy)

  • Stefania De Simone

    (Institute for Research on Innovation and Services for Development (IRISS), National Research Council of Italy, via San Felice, 80134 Napoli, Italy)

  • Massimo Costa

    (Physical and Rehabilitation Unit, AORN Vincenzo Cardarelli, 80131 Napoli, Italy)

  • Attilio A. M. Bianchi

    (General Manager, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, 80131 Napoli, Italy)

  • Giovanni Iolascon

    (Multidisciplinary Department of Medical, Surgical and Dental Specialties, University of Campania “Luigi Vanvitelli”, 81100 Caserta, Italy)

Abstract

Management of COVID-19 post-acute syndrome is an emerging health issue in rehabilitation. This article aims to present a proposal, based on the principles of clinical governance, health management and information technology (IT), and to respond to the need for a structured organization model for post-acute COVID-19 rehabilitation. The authors present a regional-based model of a network of clinicians and healthcare managers using a dedicated IT platform to achieve both effectiveness and efficiency objectives, to ensure coordination of the available resources and the most appropriate rehabilitative treatment for patients. The proposed post-acute COVID-19 rehabilitation network has been designed according to the model of a clinical management project within the Italian national healthcare system, and its context is an easily adjustable model for the European healthcare systems. The authors base the project on current laws and scientific guidelines in rehabilitation in Italy and in Europe and use the SWOT analysis technique to assess the proposal feasibility. The primary aims of the project are: (1) standardizing the minimum assessment tools of post-COVID-19 patients with disabilities; (2) ensuring an individual rehabilitation project for each patient with international classification of functioning, disability and health (ICF) coding and (3) reporting the activity performance with appropriate indicators. The secondary aims are: (1) developing educational programs for patients and care givers also aimed at acquiring better empowerment and positive behavior; (2) creating a regional database for data collection and (3) improving IT, and specifically tele-rehabilitation, as a suitable approach during the COVID-19 emergency and also in the future. Expected results are: continuum of care; effectiveness, efficacy and appropriateness in the delivery of rehabilitation treatments through a standardized minimum assessment and the wording of the individual rehabilitation project and a precise reporting of performance indicators to measure the effectiveness of clinical activities and the satisfaction of patients and caregivers. The assessment of results will be analyzed at three and six months to implement corrective actions according to the concept of continuous improvement of the Deming cycle. The IT remote approach allows the patient to meet the needs of proximity of care and empowerment, and, at the same time, to contain the spread of infection. This project could have a significant healthcare impact ensuring a more efficient and effective management of the demand of rehabilitation post-acute COVID-19, expanding the professional skills of the rehabilitation team members, improving both clinical and process data, in addition to optimal allocation of available economic resources.

Suggested Citation

  • Monica Pinto & Francesca Gimigliano & Stefania De Simone & Massimo Costa & Attilio A. M. Bianchi & Giovanni Iolascon, 2020. "Post-Acute COVID-19 Rehabilitation Network Proposal: From Intensive to Extensive and Home-Based IT Supported Services," IJERPH, MDPI, vol. 17(24), pages 1-14, December.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:24:p:9335-:d:461573
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    References listed on IDEAS

    as
    1. W. Edwards Deming, 2000. "Out of the Crisis," MIT Press Books, The MIT Press, edition 1, volume 1, number 0262541157, April.
    2. George France & Francesco Taroni & Andrea Donatini, 2005. "The Italian health‐care system," Health Economics, John Wiley & Sons, Ltd., vol. 14(S1), pages 187-202, September.
    3. Ana-Isabel Corregidor-Sánchez & Antonio Segura-Fragoso & Juan-José Criado-Álvarez & Marta Rodríguez-Hernández & Alicia Mohedano-Moriano & Begoña Polonio-López, 2020. "Effectiveness of Virtual Reality Systems to Improve the Activities of Daily Life in Older People," IJERPH, MDPI, vol. 17(17), pages 1-24, August.
    4. Abayomi Salawu & Angela Green & Michael G. Crooks & Nina Brixey & Denise H. Ross & Manoj Sivan, 2020. "A Proposal for Multidisciplinary Tele-Rehabilitation in the Assessment and Rehabilitation of COVID-19 Survivors," IJERPH, MDPI, vol. 17(13), pages 1-13, July.
    5. Kajal Patel & Sofia Straudi & Ng Yee Sien & Nora Fayed & John L. Melvin & Manoj Sivan, 2020. "Applying the WHO ICF Framework to the Outcome Measures Used in the Evaluation of Long-Term Clinical Outcomes in Coronavirus Outbreaks," IJERPH, MDPI, vol. 17(18), pages 1-15, September.
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    Cited by:

    1. Thuvia Flannery & Hannah Brady-Sawant & Rachel Tarrant & Jennifer Davison & Jenna Shardha & Stephen Halpin & Manoj Sivan & Denise Ross, 2022. "A Mixed-Methods Evaluation of a Virtual Rehabilitation Program for Self-Management in Post-COVID-19 Syndrome (Long COVID)," IJERPH, MDPI, vol. 19(19), pages 1-14, October.
    2. Tahissa Frota Cavalcante & Caroline Evaristo Lourenço & José Erivelton de Souza Maciel Ferreira & Lídia Rocha Oliveira & João Cruz Neto & Josemberg Pereira Amaro & Rafaella Pessoa Moreira, 2023. "Models of Support for Caregivers and Patients with the Post-COVID-19 Condition: A Scoping Review," IJERPH, MDPI, vol. 20(3), pages 1-12, January.

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