Telemedicine Collaboration Improves Perinatal Regionalization and Lowers Statewide Infant Mortality

Kim, E. W.; Teague-Ross, Terri J.; Greenfield, William W.; Williams, David; Kuo, Dennis Z.; Hall, Richard

doi:10.1097/01.ogx.0000442817.34860.71

Cited by 7 publications

(11 citation statements)

References 25 publications

(34 reference statements)

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“…8 For hospitalized patients there are numerous reports of using telehealth for rapid evaluation for intensive care and subspecialty consults such as dermatology, infectious diseases, and psychiatry, where a thorough chart review, history, and visual exam may provide consultants with sufficient information to make clinical recommendations. [9][10][11][12][13][14][15][16][17][18] Telehealth has also been used to engage patients and families in their care during and after hospitalization. [19][20][21] One major limitation to the widespread adoption of telehealth initiatives has been the lack of payment models 22 however, in response to the COVID-19 pandemic both federal and state governments have loosened restrictions on privacy and billing for telehealth visits in an effort to allow health care providers to continue to care for patients while reducing potential exposure to the virus.…”

Section: Background and Significancementioning

confidence: 99%

Rapid Implementation of an Inpatient Telehealth Program during the COVID-19 Pandemic

et al. 2020

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Abstract Background Relaxation of laws and regulations around privacy and billing during the COVID-19 pandemic provide expanded opportunities to use telehealth to provide patient care at a distance. Many health systems have transitioned to providing outpatient care via telehealth; however, there is an opportunity to utilize telehealth for inpatients to promote physical distancing. Objective This article evaluates the use of a rapidly implemented, secure inpatient telehealth program. Methods We assembled a multidisciplinary team to rapidly design, implement, and iteratively improve an inpatient telehealth quality improvement initiative using an existing videoconferencing system at our academic medical center. We assigned each hospital bed space a unique meeting link and updated the meeting password for each new patient. Patients and families were encouraged to use their own mobile devices to join meetings when possible. Results Within 7 weeks of go-live, we hosted 1,820 inpatient telehealth sessions (13.3 sessions per 100 bedded days). We logged 104,647 minutes of inpatient telehealth time with a median session duration of 22 minutes (range 1–1,961). There were 5,288 participant devices used with a mean of 3 devices per telehealth session (range 2–22). Clinicians found they were able to build rapport and perform a reasonable physical exam. Conclusion We successfully implemented and scaled a secure inpatient telehealth program using an existing videoconferencing system in less than 1 week. Our implementation provided an intuitive naming convention for providers and capitalized on the broad availability of smartphones and tablets. Initial comments from clinicians suggest the system was useful; however, further work is needed to streamline initial setup for patients and families as well as care coordination to support clinician communication and workflows. Numerous use cases identified suggest a role for inpatient telehealth will remain after the COVID-19 crisis underscoring the importance of lasting regulatory reform.

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Section: Background and Significancementioning

confidence: 99%

Rapid Implementation of an Inpatient Telehealth Program during the COVID-19 Pandemic

et al. 2020

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“…A study by Kim et al (2014) found positive impacts in delivery patterns in non-NICU hospitals using telemedicine services. 70 Ganesan et al presented a classic example of collaboration using ICTs in health sector to increase physical activity resulting in increased outcome. Academic researchers teamed up with the private sector professionals to implement and monitor the 100-day Stepathlon programme among 70,000 participants where most of the participants were from developing countries.…”

Section: Discussionmentioning

confidence: 99%

<p>Telemedicine in Resource-Limited Setting: Narrative Synthesis of Evidence in Nepalese Context</p>

Siddiquee¹,

Poudyal²,

Pandey³

et al. 2020

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The traditional model of health services imposes limitations, especially in resourcelimited countries like Nepal. Introduction to information technology can mitigate various challenges like geographic complexity, urban-rural disparity, poor accessibility, shortage of healthcare professionals, inadequate health facilities, higher cost, and time. Nepal is a resourcelimited country with diverse geographic features making it hard to have proper access to healthcare facilities. Telemedicine service has the potential to improve service quality and accessibility of the disadvantaged and underserved population by overcoming the existing challenges. The objective of this review was to explore the roles of telemedicine in vanquishing existing challenges. Seven data sources (namely CINAHL, PubMed, POPLINE, Web of Science, Scopus, DOAJ and Summon) were consulted using five keywords (telemedicine, telehealth, eHealth, mHealth and Nepal to find the literature using the Boolean operator AND) to obtain the relevant materials. The narrative synthesis method was used to review papers and to analyze the findings. This review selected 27 papers for further analysis by scrutinizing 1161 initial search results. The most common features of telemedicine services so far, implemented or piloted in Nepal, were addressing geographic remoteness (21%), a shortage of in healthcare service providers (11%), saving time (11%), addressing challenges of extreme conditions (10%), cost saving (9%), service quality (9%) and real-time services (8%). Some other features of telemedicine were communication, transportation, referral, collaboration, addressing challenges in proper diagnosis and the shortage of health professionals. In a nutshell, the review findings suggested improved service quality, increased collaboration and accessibility and decreased the disparity in comparison with traditional health service models. Although it cannot be said that telemedicine in Nepal has been mainstreamed, yet the appeal is increasing due to its positive impact, especially in rural and hard-to-reach areas where with a lack of healthcare set-up and professionals.

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“…Telemedicine and tele-sonography have been used in states with large rural populations such as Arkansas. 28,29 This is a growing trend, both internationally and in the United States.…”

Section: Perinatal Regionalizationmentioning

confidence: 99%

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Telemedicine Collaboration Improves Perinatal Regionalization and Lowers Statewide Infant Mortality

Cited by 7 publications

References 25 publications

Rapid Implementation of an Inpatient Telehealth Program during the COVID-19 Pandemic

Rapid Implementation of an Inpatient Telehealth Program during the COVID-19 Pandemic

<p>Telemedicine in Resource-Limited Setting: Narrative Synthesis of Evidence in Nepalese Context</p>

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