Implementation and early experience of a pediatric electrophysiology telehealth program

Schweber, Jonathan; Roelle, Lisa; Ocasio, Juliana; Dalal, Aarti; Miller, Nathan; Hare, George F. Van; Silva, Jennifer N. Avari

doi:10.1016/j.cvdhj.2021.12.004

Cited by 7 publications

(7 citation statements)

References 20 publications

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“…Technology has become increasingly prominent in the healthcare field, ranging from consumer-based digital health technologies to evolving Telehealth (TH) programs. Importantly, TH programs have been reported as high quality, safe, and have increased access to patients located in geographic regions with limited access to resources 1 , 2 . In the field of pediatric cardiology, TH programs underwent exponential growth during the during the COVID-19 pandemic to limit exposure to both patients and providers 3 .…”

Section: Introductionmentioning

confidence: 99%

Expanding telehealth through technology: Use of digital health technologies during pediatric electrophysiology telehealth visits

Roelle

Ocasio

Littell

et al. 2022

Cardiovascular Digital Health Journal

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Section: Introductionmentioning

confidence: 99%

Expanding telehealth through technology: Use of digital health technologies during pediatric electrophysiology telehealth visits

Roelle

Ocasio

Littell

et al. 2022

Cardiovascular Digital Health Journal

Self Cite

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“…For example, based on a national survey amongst pediatric heart center physicians, preventative cardiology visits, pre-procedural counseling, post-procedural counseling, and electrophysiology were thought to be better candidates for virtual appointments [13]. This was particularly true for pediatric electrophysiology patients who reported a high rate (98%) of patient satisfaction with their telehealth appointment and ancillary testing supporting the potential for sustainability of telehealth long term for pediatric electrophysiology [14]. Another study analyzing different rates of telemedicine use amongst adult cardiology subspecialties during the COVID-19 pandemic, noted lowest rates of telemedicine use in heart transplant and vascular medicine [15].…”

Section: Discussionmentioning

confidence: 99%

Remote Care Adoption in Underserved Congenital Heart Disease Patients during the COVID-19 Era

Morrison

Moore

Moreno

et al. 2022

Preprint

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Objective The COVID-19 pandemic restricted in-person appointments and prompted an increase in remote healthcare delivery. Our goal was to assess access to remote care for complex pediatric cardiology patients. Methods We performed a retrospective chart review of Texas Children’s Hospital (TCH) pediatric cardiology outpatient appointments from March 2020 to December 2020 for established congenital heart disease (CHD) patients 1 to 17 yo. Primary outcome variables were remote care use of telemedicine and patient portal activation. Primary predictor variables were age, sex, insurance, race/ethnicity, language, and location. Descriptive statistics were used to analyze patient demographics. Multivariate logistic regression determined associations with remote care use (p < 0.05). Results We identified 5,410 established patients with clinic appointments during the identified timeframe. Adopters of telemedicine included 13% of patients (n = 691). Of the prior non patient portal users, 4.5% activated their accounts. On multivariate analysis, older age (10–17 yo) was associated with increased telemedicine (OR 2.05, 95%CI 1.73, 2.45) and patient portal use (OR 1.70, 95%CI 1.33, 2.18). Public insurance (OR 1.73, 95%CI 1.31, 2.29) and Spanish speaking were associated with increased patient portal adoption. Race/ethnicity was not significantly associated with telemedicine use or patient portal adoption. Conclusion Telehealth adoption among older children may be indicative of their ability to aid in the use of these technologies. Higher participation in patient portal activation among publicly insured and Spanish speaking patients is encouraging and demonstrates ability to navigate some degree of remote patient care. Adoption of remote patient care may assist in reducing access to care disparities.

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“…For example, based on a national survey amongst pediatric heart center physicians, preventative cardiology visits, pre-procedural counseling, post-procedural counseling, and electrophysiology were thought to be better candidates for virtual appointments [ 16 ]. This was particularly true for pediatric electrophysiology patients who reported a high rate (98%) of patient satisfaction with their telehealth appointment and ancillary testing supporting the potential for sustainability of telehealth long term for pediatric electrophysiology [ 17 ]. Another study analyzing different rates of telemedicine use amongst adult cardiology subspecialties during the COVID-19 pandemic, noted lowest rates of telemedicine use in heart transplant and vascular medicine [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Remote Care Adoption in Underserved Congenital Heart Disease Patients During the COVID-19 Era

et al. 2022

View full text Add to dashboard Cite

The COVID-19 pandemic restricted in-person appointments and prompted an increase in remote healthcare delivery. Our goal was to assess access to remote care for complex pediatric cardiology patients. We performed a retrospective chart review of Texas Children’s Hospital (TCH) pediatric cardiology outpatient appointments from March 2020 to December 2020 for established congenital heart disease (CHD) patients 1 to 17 yo. Primary outcome variables were remote care use of telemedicine and patient portal activation. Primary predictor variables were age, sex, insurance, race/ethnicity, language, and location. Descriptive statistics were used to analyze patient demographics. Multivariate logistic regression determined associations with remote care use ( p < 0.05). We identified 5,410 established patients with clinic appointments during the identified timeframe. Adopters of telemedicine included 13% of patients ( n = 691). Of the prior non patient portal users, 4.5% activated their accounts. On multivariate analysis, older age (10–17 yo) was associated with increased telemedicine (OR 2.04, 95%CI 1.71, 2.43) and patient portal use (OR 1.70, 95%CI 1.33, 2.17). Public insurance (OR 1.66, 95%CI 1.25, 2.20) and Spanish speaking were associated with increased patient portal adoption. Race/ethnicity was not significantly associated with telemedicine use or patient portal adoption. Telehealth adoption among older children may be indicative of their ability to aid in the use of these technologies. Higher participation in patient portal activation among publicly insured and Spanish speaking patients is encouraging and demonstrates ability to navigate some degree of remote patient care. Adoption of remote patient care may assist in reducing access to care disparities. Supplementary Information The online version contains supplementary material available at 10.1007/s00246-022-03042-4.

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Implementation and early experience of a pediatric electrophysiology telehealth program

Cited by 7 publications

References 20 publications

Expanding telehealth through technology: Use of digital health technologies during pediatric electrophysiology telehealth visits

Expanding telehealth through technology: Use of digital health technologies during pediatric electrophysiology telehealth visits

Remote Care Adoption in Underserved Congenital Heart Disease Patients during the COVID-19 Era

Remote Care Adoption in Underserved Congenital Heart Disease Patients During the COVID-19 Era

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