Early Telephone Appointments and Home Telehealth Monitoring May Improve 30-Day Readmission Rates in the COVID-19 Era

M, Khattab; Jimenez, Arleen Ramirez; Khattab, Mahmood; Javed, Isma; Aston, Christopher E.; Mithilesh, Shubhada; Kurdgelashvili, George; Bray-Hall, Susan

doi:10.1097/01.jmq.0000733456.04111.63

Cited by 6 publications

(9 citation statements)

References 4 publications

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“… 12 Other small‐scale, descriptive studies also showed that 30‐day readmission rates were lower in patients who received a telemedicine follow‐up post discharge than in those who received usual care. 10 , 11 , 47 Together, these findings suggest that telemedicine has the potential to serve as an effective early outpatient follow‐up strategy that can have positive outcomes in patients with HF. In addition, although the readmission rates were essentially the same during the pre‐COVID‐19 and COVID‐19 periods, results from our exploratory analysis suggested that the readmission rates were lower in the earliest phase of the pandemic but quickly returned to the pre‐COVID‐19 level (14.6% in the early‐outbreak period versus 19.2% in the reopening period).…”

Section: Discussionmentioning

confidence: 88%

“…Accordingly, prior research has suggested that the use of telemedicine in patients with HF receiving home services reduces the risks of 30‐day readmission. 10 , 47 It is possible that a combination of telemedicine and home health services contributes to their success in reducing 30‐day readmissions among patients with HF. It might also be that individuals who had home health visits received additional assistance from the home health team to set up their telemedicine appointments.…”

Section: Discussionmentioning

confidence: 99%

“… 2 , 7 , 8 , 9 As a result, many patients have been using telemedicine services to manage their disease as part of their routine medical care or during transitions of care. 8 , 10 , 11 , 12 …”

mentioning

confidence: 99%

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Effectiveness of Telemedicine Visits in Reducing 30‐Day Readmissions Among Patients With Heart Failure During the COVID‐19 Pandemic

Granger

Drake

et al. 2022

JAHA

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Background The COVID‐19 pandemic resulted in a rapid implementation of telemedicine into clinical practice. This study examined whether early outpatient follow‐up via telemedicine is as effective as in‐person visits for reducing 30‐day readmissions in patients with heart failure. Methods and Results Using electronic health records from a large health system, we included patients with heart failure living in North Carolina (N=6918) who were hospitalized between March 16, 2020 and March 14, 2021. All‐cause readmission within 30 days after discharge was examined using weighted logistic regression models. Overall, 7.6% (N=526) of patients received early telemedicine follow‐up, 38.8% (N=2681) received early in‐person follow‐up, and 53.6% (N=3711) did not receive follow‐up within 14 days of discharge. Compared with patients without early follow‐up, those who received early follow‐up were younger, were more likely to be Medicare beneficiaries, had more comorbidities, and were less likely to live in an disadvantaged neighborhood. Relative to in‐person visits, those with telemedicine follow‐up were of similar age, sex, and race but with generally fewer comorbidities. Overall, the 30‐day readmission rate (19.0%) varied among patients who received telemedicine visits (15.0%), in‐person visits (14.0%), or no follow‐up (23.1%). After covariate adjustment, patients who received either telemedicine (odds ratio [OR], 0.55; 95% CI, 0.44–0.72) or in‐person (OR, 0.52; 95% CI, 0.45–0.60) visits were similarly less likely to be readmitted within 30 days compared with patients with no follow‐up. Conclusions During the COVID‐19 pandemic, the use of telemedicine visits for early follow‐up increased rapidly. Patients with heart failure who received outpatient follow‐up either via telemedicine or in‐person had better outcomes than those who received no follow‐up.

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Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

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Effectiveness of Telemedicine Visits in Reducing 30‐Day Readmissions Among Patients With Heart Failure During the COVID‐19 Pandemic

Granger

Drake

et al. 2022

JAHA

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“…One aspect of discharge planning in the form of follow-up care in the first 2 weeks is very important because it can reduce the risk of readmission within 30 days. 18 This health care service can facilitate access for follow-up of patients after treatment by using communication with related health workers via telephone or online video conferencing, which can be done from the patient's home or from the affiliated health facility closest to the patient. Limited access to health care, especially in follow-up patients, can result in worsening the patient's health if follow-up is not carried out.…”

Section: Telemedicine As a Discharge Planning Strategymentioning

confidence: 99%

“…Therefore, the use of this method can monitor the patient's symptoms and adherence to drug consumption. [18][19][20] Based on previous research, patients and health where restrictions on the use of telehealth have ceased to exist. 13.14 While there are many advantages to using telemedicine services in remote populations, some limitations are also unavoidable from this solution.…”

Section: Telemedicine As a Discharge Planning Strategymentioning

confidence: 99%

Overview of Discharge Plan Strategies in Rural and Remote Areas: A Narrative Literature Review

Wiryawan

Adhuri

2022

Bioscmed

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Discharge planning is a systematic process that includes assessment, preparation, and coordination and involves various disciplines to provide optimal service. In Indonesia, there are 62 underdeveloped areas that have limitations in health services. Discharge planning in remote areas requires adaptation to be accepted in the community. This review aims to find an effective patient discharge strategy to be implemented in rural areas. Telepharmaceuticals and telerobots act as discharge planning interventions in remote areas. Remote monitoring, such as a pharmacological intervention in late life (PILL) program that focuses on monitoring the treatment of patients with polypharmacy. Interprofessional education and collaborative practice (IPECP) is suitable to be carried out in remote areas where limited facilities stimulate health workers to collaborate. Patient activation measure (PAM) to assess the ability and engagement of patients in maintaining their health. In addition, interventions were found in the form of making patient-centered guidelines in the form of ROADMAP (rural options at discharge - model of active planning).

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An electronic consultation program impacts on heart failure patients' prognosis: implications for heart failure care

et al. 2022

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Aims e-consults are asynchronous, clinician-to-clinician exchanges that answer focused, non-urgent, patient-specific questions using the electronic medical record. We instituted an e-consultation programme (2013)(2014)(2015)(2016)(2017)(2018)(2019) for all general practitioners (GPs) referrals to cardiologists that preceded patients' in-person consultations when considered. In our study, we aimed to analyse the clinical characteristics, 1 year prognosis and the prognostic determinants of patients with a previous diagnosis of HF referred for an e-consult, categorized by their previous HF-related hospitalization status (recent hospitalization, <1 year before; remote hospitalization, >1 year before or never been hospitalized because of HF), and to analyse the impact of reducing the time elapsed between e-consultation and response by the cardiologist in terms of prognosis. Methods and resultsEpidemiological and clinical data were obtained from 4851 HF patients referred by GPs to the cardiology department for an e-consultation 2013 and 2020. The delay of time to e-consults were solved was 8.6 + 8.6 days with 84.3% solved in <14 days. For the 1 year prognosis evaluation after the e-consult were assessed the cardiovascular hospitalizations, HF-related hospitalizations, HF-related mortality, cardiovascular mortality, and all-cause mortality. Compared with the group without a previous hospitalization, patients with recent and remote HF hospitalization were at higher risk of a new HF-related hospitalization (

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Early Telephone Appointments and Home Telehealth Monitoring May Improve 30-Day Readmission Rates in the COVID-19 Era

Cited by 6 publications

References 4 publications

Effectiveness of Telemedicine Visits in Reducing 30‐Day Readmissions Among Patients With Heart Failure During the COVID‐19 Pandemic

Effectiveness of Telemedicine Visits in Reducing 30‐Day Readmissions Among Patients With Heart Failure During the COVID‐19 Pandemic

Overview of Discharge Plan Strategies in Rural and Remote Areas: A Narrative Literature Review

An electronic consultation program impacts on heart failure patients' prognosis: implications for heart failure care

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