Prescribing Practices at a Residential Treatment Center – from Paper to Plastic (Computers)

Medication prescription procedures were reviewed at psychiatric residential treatment centers (RTC), and a quality improvement project was conducted in order to implement integrated electronic medical records (EMR) and computerized provider order entry (CPOE). To assess the impact of preexisting prescribing practices on RTCs, surveys were sent anonymously to current and past providers of regional and local RTCs. The surveys assessed the impact of the prescribing protocol on workflow, the frequency of medication errors, the impact such errors had on patient care, the overall provider satisfaction, and the discrepancies between electronic and paper charts. Current providers were then re-surveyed after implementing the integrated CPOE system in May 2020, during the COVID-19 pandemic. The first round of provider survey results revealed that the majority of staff (n = 10, 70%) observed frequent medication errors and were largely dissatisfied with the current medication ordering and administration process (n = 10;70%). Incident Response Improvement System (IRIS) reports revealed the most common medication errors were omissions, incorrect dosing, and incorrect medications administered. After the initiation and implementation of the CPOE, staff satisfaction increased with the process (n = 14;50%) noting that medication errors were less frequent than before (n = 14;50%). [ FROM AUTHOR] Copyright of Residential Treatment for Children & Youth is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

ELASTIC: Edge Workload Forecasting based on Collaborative Cloud-Edge Deep Learning

With the rapid development of edge computing in the post-COVID19 pandemic period, precise workload forecasting is considered the basis for making full use of the edge limited resources, and both edge service providers (ESPs) and edge service consumers (ESCs) can benefit significantly from it. Existing paradigms of workload forecasting (i.e., edge-only or cloud-only) are improper, due to failing to consider the inter-site correlations and might suffer from significant data transmission delays. With the increasing adoption of edge platforms by web services, it is critical to balance both accuracy and efficiency in workload forecasting. In this paper, we propose ELASTIC, which is the first study that leverages a cloud-edge collaborative paradigm for edge workload forecasting with multi-view graphs. Specifically, at the global stage, we design a learnable aggregation layer on each edge site to reduce the time consumption while capturing the inter-site correlation. Additionally, at the local stage, we design a disaggregation layer combining both the intra-site correlation and inter-site correlation to improve the prediction accuracy. Extensive experiments on realistic edge workload datasets collected from China's largest edge service provider show that ELASTIC outperforms state-of-the-art methods, decreases time consumption, and reduces communication cost. © 2023 ACM.

The COVID-19 pandemic required a rapid expansion of teledermatology services

Background: The COVID-19 pandemic required a rapid expansion of tele dermatology services. Objective(s): Analyse demographic shifts in a pediatric dermatology practice session with children of colour. Method(s): A retrospective chart review of pediatric dermatology patients seen in the four practice weeks preceding the New York COVID-19 lockdown and comparable tele dermatology visits during the COVID-19 pandemic lockdown. Demographic differences (e.g., race, age, gender and household income) were analysed. Result(s): A greater proportion of patients seen were White during lockdown (59.7%), compared to pre-lockdown (43.6%), with a reduction in Asian patients seen in lockdown (6.0%) compared to prelockdown (24.5%). A lower proportion of no-show patients (4.3%, 3/70 scheduled) were noted in lockdown compared to pre-lockdown (16%, 18/112). Preferred provider organizations and higher-income zip codes were more common for children seen during lockdown. Limitation(s): The sample addresses a limited New York pediatric dermatology practice during a short time-period. Conclusion(s): White patients and patients with preferred provider organizations were more likely to access telehealth, supporting disparity in tele dermatology services. These results demonstrate reduced healthcare access for lower-income and Asian children during the COVID-19 pandemic lockdown.

Remote care for chronic pain: A qualitative evaluation with managers, practitioners, and patients

The Covid-19 pandemic obliged many healthcare providers to transition rapidly to a remote-only model of care. Concerns have been expressed about patient access to remote services, their appropriateness for sensitive consultations and physical examinations. Pre-pandemic research into telemedicine showed evidence of its effectiveness, but patient, staff and service user perspectives on remote care approaches remain unclear. This study explored the experiences and perceptions of care among patients, practitioners and managers in a single United Kingdom chronic pain organisation whose services were delivered remotely (telephone and online) during the pandemic. Nineteen participants (seven patients, seven practitioners, five managers) took part in in-depth qualitative interviews, conducted via telephone or online. Transcripts were analysed thematically. Five service provider and four service user themes were generated. Service provider themes comprised "The change process," "Accessibility and efficiency," "Effective when remote: Contact, support and education," "Concerns about communication, connection and disembodied work," and "Supporting and sustaining the team." Patients' themes comprised "Preferences, expectations and acceptance of remote care," "Convenience and accessibility," "Sense of support" and "Delivery modality matters." The study provides evidence from the qualitative evaluation of a single remote only service of its benefits and limitations as perceived by stakeholders. Findings suggest that service providers could address limitations, and progress to a blended care package, based on for patient need and choice. Further attention could be paid to services delivered by telephone, and to staff communication skills, resources, time management and wellbeing needs.Copyright © Nova Science Publishers, Inc.

Factors Associated with Primary Care Provider's Job Satisfaction and Organizational Commitment in China: A Machine Learning-Based Random Forest Analysis.

The objective of the study is to explore the factors that influence the job satisfaction and organizational commitment of primary care providers in China, with a focus on the impact of the COVID-19 pandemic and the rescission of restriction policies. We utilized the 20-item Minnesota Satisfaction Questionnaire (MSQ) and the 25-item organizational commitment survey to assess job satisfaction and organizational commitment. In total, 435 valid responses were included in our analysis. The average scores for job satisfaction and organizational commitment were 80.6 and 90.8. After a two-step tuning process, we built random forest models by machine learning. The results show income change, working years, working years in the current institute, and age were the four most important features associated with job satisfaction, organizational commitment, and most of their dimensions. The number of professional fields engaged, gender, job status, and types of endowment insurance were least associated. During pandemic time, income-related factors remain a core concern for primary care providers, whereas job security may lose its importance. These findings suggest that financial bonuses may be an effective way to boost morale, and age-specific motivation plans may be necessary.

Evaluation of the impact of guideline communication from the Centers for Disease Control and Prevention and the Centers for Medicare and Medicaid Services among US healthcare providers: COVID-19 prevention counselling guidance.

AIM: To evaluate healthcare provider awareness and uptake of the Centers for Medicare & Medicaid Services (CMS) billing for coronavirus disease 2019 (COVID-19) prevention counselling and the delivery of prevention counselling to patients awaiting severe acute respiratory syndrome coronavirus 2 test results. DESIGN: Cross sectional survey of US-based healthcare providers in February 2021. METHODS: Analysis of associations with healthcare provider-reported awareness of CMS prevention counselling guidance and billing with provider type, specialty, and work setting. RESULTS: A total of 1919 healthcare providers responded to the survey. Overall, 38% (726/1919) of providers reported awareness of available CMS reimbursement for COVID-19 patient counselling and 29% (465/1614) of CMS billing-eligible providers reported billing for this counselling. Among physicians, those aware of CMS guidance were significantly more likely to bill (58%) versus those unaware (10%). Among RNSights respondents eligible for CMS billing (n = 114), 31% of those aware of the guidance reported billing as compared to 0% of those not aware.

Vaccination in pregnancy: The role of the midwife.

Midwives are the front-line workers providing maternity care for women in many countries. The role of the midwife includes providing information about, and recommendations for, maternal vaccination in pregnancy and for the baby in the postnatal period. Vaccinations recommended in pregnancy include those to prevent influenza, pertussis, tetanus and now COVID-19. Vaccinations for the newborn baby include hepatitis B. Healthcare professionals play an important role in influencing decision-making around vaccination and midwives are key in supporting vaccination uptake. Midwives are strong influencer in women's decisions around vaccination for themselves and their babies. The COVID-19 vaccination programs have shone a light on vaccination in pregnancy especially as SARS-COV-2 infection has significant adverse effects in pregnancy. COVID-19 vaccination has been shown to be safe and effective in pregnancy. Despite this, there is vaccine hesitancy from pregnant women in many countries. Midwives play a unique role in the provision of care to women and families but they need specific support and information regarding vaccination in pregnancy. Targeted education, supportive mentoring and supervision and opportunities to lead innovative ways of ensuring vaccine access is logistically easy and possible are all needed. This Commentary outlines the key vaccinations recommended in pregnancy including COVID-19 vaccination and highlights some strategies to scale-up vaccination programs in pregnancy with a particular focus on the role of midwives.

Health care workers' mental health in the face of COVID-19: a systematic review and meta-analysis.

BACKGROUND: Healthcare workers are leading the way in treating patients with coronavirus disease 2019 (COVID-19). Due to the high levels of psychological stress, this group is more likely to experience psychological issues. These psychological problems in healthcare providers include depression, anxiety, insomnia, stress and post-traumatic stress disorder (PTSD). The goal of this systematic review and meta-analysis was to find out how common these problems were in the face of COVID-19. METHODS: On 20 February 2022, systematic searches were conducted in the PubMed, Cochrane Library, Scopus, EMBASE, Science Direct, Web of Science and ProQuest databases. Two authors selected articles based on search keywords. As a last step, articles about the prevalence of psychological problems among healthcare workers in the face of COVID-19 were looked at and analysed for five different outcomes. RESULTS: The initial search yielded 18,609 articles. After reviewing the titles, abstracts and full texts of the articles, 44 were chosen for the final analysis and 29 were subjected to a meta-analysis. Insomnia, anxiety, depression, PTSD and stress are among the psychological issues faced by healthcare workers. Furthermore, the highest pooled prevalence of depression, anxiety, insomnia, PTSD and stress was 36% (95% confidence interval (CI) 24-50%), 47% (95% CI 22-74%), 49% (95% CI 28-70%), 37% (95% CI 19-59%) and 27% (95% CI 6-69%). CONCLUSIONS: In this meta-analysis, insomnia was found to be the most common mental health problem, followed by anxiety, PTSD, depression and stress in healthcare workers in the face of the COVID-19 pandemic. Generally, the pooled prevalence of these mental health problems was higher among physicians, nurses and older staff in the subgroup analysis. As a result, health policymakers and managers of the health care system should think about effective interventions to promote mental health, paying particular attention to these two groups.Key pointsStudies conducted in China reported more mental problems than in other countries.Health policymakers and health system managers should hold training programs to promote healthcare workers' mental health with a particular focus on more vulnerable groups.The prevalence of PTSD, stress, anxiety, depression and insomnia were higher among physicians, nurses and older staff.Health systems at both national and local levels have to take older physicians, nurses and healthcare providers into consideration while designing interventions.

Virtual Geritalk: Does Intensive Virtual Communication Skills Training Improve Use of Serious Illness Communication Skills?

Background: The COVID-19 pandemic presented a unique opportunity to adapt in-person communication skills training to a virtual format. Objective: Examine use of serious illness communication skills by learners after participating in an intensive virtual communication skills training. Design: Prospective cohort study. Setting/Subjects: Icahn School of Medicine at Mount Sinai, Clinical Fellows. Measurements: Family Meeting Communication Assessment Tool (FAMCAT) assessed fundamental and advanced communication skills. Results: As compared to a historical benchmark obtained after a prior in-person course, the virtual course showed equivalent or better use of communication skills across fundamental skills and advanced skills. Conclusions: Our findings suggest that a virtual communication skills training is associated with the use of serious illness communication skills in the clinical setting by learners.

Association of workload and practice of respectful maternity care among the healthcare providers, before and during the early phase of COVID-19 pandemic in South Western Nepal: a cross-sectional study.

INTRODUCTION: Respectful maternity care is an approach that involves respecting women's belief, choices, emotions, and dignity during the childbirth process. As the workload among maternity care workforce affects intrapartum quality care, respectful maternity care might have also been affected, particularly during the pandemic. Thus, this study was conducted to examine the association between workload among healthcare providers and their practice of respectful maternity care, before and during the early phase of pandemic. METHODS: A cross-sectional study was conducted in South Western Nepal. A total of 267 healthcare providers from 78 birthing centers were included. Data collection was done through telephone interviews. The exposure variable was workload among the healthcare providers, and the outcome variable was respectful maternity care practice before and during the COVID-19 pandemic. Multilevel mixed-effect linear regression was used to examine the association. RESULTS: The median client-provider ratio before and during the pandemic was 21.7 and 13.0, respectively. The mean score of respectful maternity care practice was 44.5 (SD 3.8) before the pandemic, which was decreased to 43.6 (SD 4.5) during the pandemic. Client-provider ratio was negatively associated with respectful maternity care practice for both times; before (Coef. -5.16; 95% CI -8.41 to -1.91) and during (Coef. -7.47; 95% CI -12.72 to -2.23) the pandemic. CONCLUSIONS: While a higher client-provider was associated with a lower respectful maternity care practice score both before and during the COVID-19 pandemic, the coefficient was larger during the pandemic. Therefore, workload among the healthcare providers should be considered before the implementation of respectful maternity care, and more attention should be given during the pandemic.

A Secure and Efficient Scheme for Mutual Authentication for Integrity of Exchanged Data in IoMT

The emergence of pandemic diseases like Covid-19 in recent years has made it more important for Internet of Medical Things (IoMT) environments to build contact between patients and doctors in order to control their health state. Patients will be able to send their healthcare data to the cloud server of the medical service provider in remote medical environments through sensors connected to their smart devices, such as watches or smartphones. However, patients' worries surrounding their data privacy protection are still present. In order to ensure the security and privacy of patients' healthcare data in remote medical environments, a number of different schemes have been proposed by researchers. However, these schemes have not been able to take all security requirements into account. Consequently, in this study, we have proposed a secure and effective protocol to safeguard the privacy of patients' medical data when it is sent to the server. This protocol entails two components: mutual authentication of the patient and the server of the medical service provider, as well as the integrity of the exchanged data. Also, our scheme satisfies security requirements and is resistant to well-known attacks. Following this, we used the Scyther tool to formally analyze our proposed scheme. The results showed that the scheme is secure, and in the section on performance analysis, we demonstrated that the proposed scheme performs better than comparable schemes. © 2023 IEEE.

Bringing health information exchange to the Middle East and North Africa: the case of Malaffi in Abu Dhabi

Launched in 2019, Malaffi is the first health information exchange (HIE) platform in the Middle East and North Africa region. It safely and securely connects public and private healthcare providers in the Emirate of Abu Dhabi. Malaffi allows for meaningful, real-time exchange of patient health information between the providers, establishing a centralized database of unified patient records, thus improving healthcare quality and patient outcomes. Now that the foundation has been firmly established by collating 99% of all patient episodes in the Emirate, Malaffi is implementing tools to support population health. Recently these activities were focused on COVID-19 response. In the future, these population health services will offer insights to improve care delivery. This case study demonstrates the HIE status in the UAE and focuses on the establishment of Malaffi in Abu Dhabi. © 2023 Elsevier Inc. All rights reserved.

Application of Cloud Computing in an Education Sector through Education and Learning as a Service and its Cost Benefit Analysis

An education sector across the globe is facing numerous challenges. It is being one of the most badly affected sectors due to Covid-19. This paper presents a perspective on applying Cloud Computing technologies in the field of education at several ion levels. In addition, it proposes Education and Learning as a Service model and Decision-Making Matrix for an Organization. © 2023 IEEE.

Satisfaction with telerheumatology care: Patient and clinician perspectives

Use of telerheumatology has increased significantly due to the circumstances surrounding the COVID-19 pandemic. This period of widespread adoption of telerheumatology represents an opportunity to improve access to care in the future by leveraging the newfound experience with and acceptance of telerheumatology achieved during this time. In order to optimize telerheumatology use and efficacy moving forward, the experience of patients and providers with the current state of technology must be considered. In this chapter, we summarize the available evidence describing patient and provider experience with telerheumatology across its lifespan. Patients generally have reported high satisfaction with their telerheumatology visits, citing increased convenience and improved access to care as the primary benefits. Noted barriers included apprehension and nervousness about the process, technologic barriers, and concerns regarding the quality of care. Physicians' opinions were more mixed but overall reported being satisfied with delivering care via telerheumatology. Perceived benefits included shorter waiting times, whereas barriers included impaired communication, inaccurate diagnosis, and possibility for delay in care. Patient and physician attitudes regarding telerheumatology have changed positively in the setting of the COVID-19 pandemic. Future studies should assess whether this positive attitude is temporary or whether it continues in future years. © The Author(s), under exclusive license to Springer Nature Switzerland AG 2022. All rights reserved.

Can You Spare 100 Days? The Allogeneic Hematopoietic Cell Transplant Caregiver Requirement

Allogeneic hematopoietic cell transplantation (alloHCT) is a potentially curative treatment for patients diagnosed with blood cancers (such as acute myeloid leukemia) and blood disorders (such as sickle cell disease). It is a resource-intensive treatment that generally requires a long hospital stay and recovery period. If continuous caregiver support is not available, alloHCT likely will not be a treatment option. To learn more about caregiver requirements and perspectives on those requirements, we conducted web-based focus groups with alloHCT social workers who worked with adult patients at United States (US) transplant centers (TCs) from May-July 2022. Web-based interviews with adult alloHCT recipients,caregivers of adult alloHCT recipients, and physicians/advanced practice professionals will also be conducted. Twenty-two social workers from TCs across the US (Midwest [n=8];West [n=5];Northeast: [n=5];South, [n=4]) and with varying volumes (median: 97 alloHCTs performed/year) participated. All noted their TC required a caregiver to proceed to alloHCT. However, there was variation across TCs in the length of time a recipient was required to have a caregiver, the distance/time needed to stay near the TC post-alloHCT, and COVID-19 vaccination requirements. The majority of participants also noted variance among the transplant team in allowing exceptions for caregiver requirements. All participants noted it would be helpful to have a 'gold standard' of requirements across TCs, though there was discussion about what such a standard would include, as well as the need for flexibility to account for different patient and TC needs. Social workers were also asked to identify patient barriers to meeting the caregiver requirement;common barriers included patients feeling they did not have anyone to ask to be a caregiver, the need to relocate closer to the TC, and financial barriers. The impact of the COVID-19 pandemic was also noted (e.g., vaccination requirements, and increased telework allowing more flexibility for caregivers). In analysis of the first of four populations interviewed in this study, social workers reported variation in caregiver requirements across TCs. Finding a caregiver is one of many barriers patients face in accessing alloHCT. Though this variation may allow for some flexibility, it may also contribute to access barriers. This study focused on those who received an alloHCT, but further research is needed to learn about barriers faced by those unable to access alloHCT. Results from this and other cohorts will describe current practices related to caregiver requirements and help inform the development of new programs to reduce caregiver-related barriers to alloHCT.Copyright © 2023 American Society for Transplantation and Cellular Therapy

Developing Contemporary Survivorship Clinic for Recipients of Hematopoietic Cell Transplantation: A Single Center Experience

Introduction: Survival after hematopoietic cell transplantation (HCT) has improved tremendously over the last few decades. HCT survivors are at increased risk of long-term complications and secondary cancers. This poses unique challenges to the HCT-related healthcare system given the growing need for survivorship care. Developing a HCT survivorship program with a dedicated clinic to survivors ensures equitable access to care and ongoing patient education. Herein, we describe our program survivorship model and our initial experience. Method(s): The Moffitt Cancer Center (MCC) survivorship clinic (SC) planning committee was initiated in September 2019. The SC was launched in January 2021 with the mission to provide high-quality, comprehensive, and personalized survivorship care and to empower patients and community health care providers with education and a roadmap for screening for late effects. The SC initially focused on allogeneic (allo) HCT patients and later opened to autologous (auto) HCT recipients in February 2022. HCT patients are referred by primary HCT team after HCT with an emphasis on preferred timeframe of initial SC visit no earlier than 3 months but less than 12 months from HCT. SC is located at 2 physical locations: main campus and satellite, with virtual visit options to account for the distance from MCC and COVID considerations. SC applies a consultative model. SC is staffed by dedicated advanced practice professional (APP), supervised by SC faculty. The scope of SC care includes but is not limited to prevention of infections (education, vaccinations), surveillance of late effects (endocrine, pulmonary function, cardiac, bone health), and general cancer screenings (breast, colon, skin cancer). Patients' clinical data from SC inception to August 2022 were reviewed. Result(s): From January 2021 to August 2022, a total of 138 patients were seen in SC. The majority were seen in person (62% in clinic, 38% by virtual visit). Median age was 58 years (range, 19-82). Median time to first SC visit was 21 months (range, 3-1464) after HCT. Allo HCT was the most common type of HCT seen in clinic (87%, n=120). Most common diagnoses were acute myeloid leukemia (43%, n=59), myelodysplastic syndrome (17%, n=23), and acute lymphoblastic leukemia (10%, n=14). Only 17 patients (12%) were seen in 2021 but the volume increased significantly in 2022. Currently there are more than 10 patients seen in SC per month. Conclusion(s): We report successful experience in launching a contemporary HCT SC despite the challenges of an ongoing COVID pandemic. As a stand-alone cancer center, we serve a wide geographical location with subspecialty and primary care providers dispersed throughout the community. Our consultative model and experience could provide a useful guide for other programs. In 2023, we plan to expand our SC to a broader population of patients receiving other cellular immunotherapies.Copyright © 2023 American Society for Transplantation and Cellular Therapy

Healthcare Industry: Embracing Potential of Big Data across Value Chain

In the fast-moving era of the Industrial Revolution (Industry 4.0), digitally fueled devices and technologies are paramount for driving innovation and creating values across a myriad of industries. A case in point is - Healthcare Industry. Healthcare insurance companies, hospitals, and other providers around the world are belligerently leveraging digital tools and technologies such as Big Data analytics, Lake, Machine Learning, Artificial Intelligence, Internet of Things (IoT), Natural Language Processing, smart sensors, and the Internet of Things (IoT), for improving the overall quality of care and overall process efficiency and effectiveness. The Healthcare industry has been a center of discussion for embracing Big Data practice across the value chain for the past couple of decades due to the prodigious potential that is concealed in it. With so much abundant information, there have been numerous provocations related to the apiece stage of maneuvering big data that can only be amplified by leveraging high-end computer science results for big data analytics, as mentioned above. Well-organized healthcare ecosystem, analysis, and magnification of big data can influence the course of the game by opening new paths in terms of offering unique yet innovative products and services for the modern age technology-propelled healthcare value chain. This paper emphasizes the impetus of Big Data across the healthcare value chain, which involves the amalgamation of technology, data, and business, yielding better decisions and improving the experience across all touch points. © 2022 IEEE.

Pediatric telerheumatology

Telemedicine has been catapulted to mainstream use during the COVID-19 pandemic. Prior to the COVID-19 global pandemic, its use in pediatric rheumatology was limited, with only four studies in existence. With the onset of the COVID-19 pandemic and its social distancing requirements, pediatric rheumatologists worldwide pivoted to delivering virtual direct-to-home care, and thus far, most providers and families have found this to be an acceptable model, continuing to provide some ongoing virtual care in their practices. Additionally, telemedicine has the potential to alleviate some of the problems related to workforce shortage and access to care in pediatric rheumatology. Pediatric rheumatology patients are a unique population to care for through telemedicine. Since several key parts of the musculoskeletal examination are hands on, such as feeling for signs of inflammatory arthritis including warmth, swelling, fluid, synovial thickening, etc. of individual joints, specific techniques and considerations are discussed to assist with a succinct and thorough virtual pediatric musculoskeletal examination. A modified version of the pediatric gait, arms, legs, and spine (pGALS) adapted for virtual or video visits is reviewed (V-pGALS) as a systematic approach to virtual telerheumatology visits. Despite widespread acceptance of telemedicine among families and pediatric rheumatologists, more evaluation is needed on best practices in telemedicine, outcomes of patients seen via telemedicine, barriers, and inequities that telemedicine may create. Continued innovation, ongoing technical advancements, and creative solutions are imperative for this facet of healthcare to continue to advance over the next several decades. © The Author(s), under exclusive license to Springer Nature Switzerland AG 2022. All rights reserved.

HanAPP Buhay: Android Java-Based Mobile Commerce Application for Freelance Home Service Providers and Client Job Seekers

Service providers from the informal sectors in the Philippines are left unemployed or want to look for part-time jobs due to the sudden COVID-19 pandemic. With the country on lockdown and as strict restrictions are implemented, people started adopting the e-commerce and m-commerce market. The rise in the Filipino masses using smartphones and participating in mobile commerce to purchase products and services over the Internet has given researchers a potential solution for the arising problem. Thus, the primary objective of the research is to design and develop a user-friendly mobile application that will give a platform where potential home service providers can offer their services to potential clients. HanAPP Buhay, a mobile application that is created in Android Studio with Java as a programming language, is a platform where service providers can offer a variety of home services including laundry, plumbing, cleaning, and electrical works to potential clients. As for the Application Programming Interface (API), Stripe and Firebase are the tools utilized for databases and transaction purposes. The researchers conducted a series of surveys and experiments and have determined that in the 38 trials, the HanAPP Buhay mobile application is functioning 100% accurately as expected, 99.995382330563% and 99.994941213182% working at real-time booking of appointments in the 16 trials for clients and 22 trials for workers respectively, have a reliable user's interface and secured data of both users through the Scrypt algorithm, and effective in its overall specifications in terms of customer's satisfaction. © 2022 IEEE.