Integrating conceptual models to enhance home-based care for complex chronic diseases - SEIPS 3.0 and beyond.

Yuvaram Reddy, MBBS, MPH
University of Pennsylvania

ABSTRACT:
Home-based care for patients with complex chronic diseases can be challenging to administer, in part because these disease states, such as home dialysis for kidney failure, require complex sociotechnical interventions over a long duration of time. The complex nature of these treatments also makes it difficult to apply commonly used implementation science theories, models, and frameworks to improve care delivery. This presentation will describe real-world experiences of adapting and integrating conceptual models from human factors engineering and health equity to understand and address barriers to home dialysis use. In doing so, this presentation aims to illustrate how the systems engineering initiative for patient safety (SEIPS) 3.0 could be used for other complex chronic diseases states.