Rapid Deployment of Inpatient Telemedicine In Response to COVID-19 Across Three Health Systems

Vilendrer, Stacie; Patel, Birju; Chadwick, Whitney; Hwa, Michael; Asch, Steven M.; Pageler, Natalie M.; Ramdeo, Rajiv; Saliba‐Gustafsson, Erika A.; Strong, Philip; Sharp, Christopher

doi:10.1093/jamia/ocaa077

Cited by 88 publications

(78 citation statements)

References 27 publications

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“…16 The advent of the COVID-19 outbreak resulted in a rapid and significant adoption of telemedicine for both chronic and acute conditions. 1,17,18 This skyrocketing prevalence is driven by the need of stopping the spread of COVID-19 with many patients using telemedicine for the first time during the pandemic. 19 The usage is also driven by the supply of insurance coverage by payers and infrastructure by providers.…”

Section: Introductionmentioning

confidence: 99%

Telemedicine for Acute Conditions During COVID-19: A Nationwide Survey Using Crowdsourcing

Kato-Lin

Thelen

2021

Telemedicine and e-Health

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Section: Introductionmentioning

confidence: 99%

Telemedicine for Acute Conditions During COVID-19: A Nationwide Survey Using Crowdsourcing

Kato-Lin

Thelen

2021

Telemedicine and e-Health

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“…1 Schwamm et al described the use of an in-room video intercom system to minimise PPE consumption and reduce the risks of nosocomial COVID-19 infection, and the rapid deployment of telemedicine solutions in response to COVID-19 have also described by other groups in the NewYork-Presbyterian and Stanford Health Care systems. [2][3][4]…”

Section: Challenges Of Covid-19 On Critical Carementioning

confidence: 99%

Rapid deployment of virtual ICU support during the COVID-19 pandemic

Igra

McGuire

Naldrett

et al. 2020

Future Healthcare Journal

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The COVID-19 pandemic brought many serious challenges to the clinical workplace, and was a catalyst to novel approaches to the way in which we practice medicine. These challenges include extreme numbers of critically ill patients overwhelming many intensive care units, how to maintain the flow of communication between clinicians, patients and their families, and how to prevent the spread of infection working on quarantined units in personal protective equipment. The Royal Brompton and Harefield Hospitals deployed a series of digital solutions to try to address some of those challenges and a series of case studies describes their clinical application in three clinical domains: communicating with families, clinical communication between clinicians and the delivery of clinical education.

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“…Similarly, clinicians have altered the most basic aspects of patient care owing to social distancing while simultaneously adjusting to near daily changes in practice protocols. In this environment, the use of telehealth has increased substantially [ 3 - 5 ], bolstered by a temporary relaxation of technology requirements [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

A Mobile App to Facilitate Socially Distanced Hospital Communication During COVID-19: Implementation Experience

Anyanwu¹,

Ward²,

Shah³

et al. 2021

JMIR Mhealth Uhealth

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Background COVID-19 has significantly altered health care delivery, requiring clinicians and hospitals to adapt to rapidly changing hospital policies and social distancing guidelines. At our large academic medical center, clinicians reported that existing information on distribution channels, including emails and hospital intranet posts, was inadequate to keep everyone abreast with these changes. To address these challenges, we adapted a mobile app developed in-house to communicate critical changes in hospital policies and enable direct telephonic communication between clinical team members and hospitalized patients, to support social distancing guidelines and remote rounding. Objective This study aimed to describe the unique benefits and challenges of adapting an app developed in-house to facilitate communication and remote rounding during COVID-19. Methods We adapted moblMD, a mobile app available on the iOS and Android platforms. In conjunction with our Hospital Incident Command System, resident advisory council, and health system innovation center, we identified critical, time-sensitive policies for app usage. A shared collaborative document was used to align app-based communication with more traditional communication channels. To minimize synchronization efforts, we particularly focused on high-yield policies, and the time of last review and the corresponding reviewer were noted for each protocol. To facilitate social distancing and remote patient rounding, the app was also populated with a searchable directory of numbers to patient bedside phones and hospital locations. We monitored anonymized user activity from February 1 to July 31, 2020. Results On its first release, 1104 clinicians downloaded moblMD during the observation period, of which 46% (n=508) of downloads occurred within 72 hours of initial release. COVID-19 policies in the app were reviewed most commonly during the first week (801 views). Users made sustained use of hospital phone dialing features, including weekly peaks of 2242 phone number dials, 1874 directory searches, and 277 patient room phone number searches through the last 2 weeks of the observation period. Furthermore, clinicians submitted 56 content- and phone number–related suggestions through moblMD. Conclusions We rapidly developed and deployed a communication-focused mobile app early during COVID-19, which has demonstrated initial and sustained value among clinicians in communicating with in-patients and each other during social distancing. Our internal innovation benefited from our team’s familiarity with institutional structures, short feedback loops, limited security and privacy implications, and a path toward sustainability provided by our innovation center. Challenges in content management were overcome through synchronization efforts and timestamping review. As COVID-19 continues to alter health care delivery, user activity metrics suggest that our solution will remain important in our efforts to continue providing safe and up-to-date clinical care.

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Rapid Deployment of Inpatient Telemedicine In Response to COVID-19 Across Three Health Systems

Cited by 88 publications

References 27 publications

Telemedicine for Acute Conditions During COVID-19: A Nationwide Survey Using Crowdsourcing

Telemedicine for Acute Conditions During COVID-19: A Nationwide Survey Using Crowdsourcing

Rapid deployment of virtual ICU support during the COVID-19 pandemic

A Mobile App to Facilitate Socially Distanced Hospital Communication During COVID-19: Implementation Experience

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