Telemedicine Proof of Concept and Cost Savings During Underway Naval Operations

Rozycki, Stefan W; Marvin, Kastley; Landers, John; Davis, Konrad; Ambrosio, A

doi:10.1089/tmj.2020.0181

Telemedicine and e-Health

2021

DOI: 10.1089/tmj.2020.0181

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Telemedicine Proof of Concept and Cost Savings During Underway Naval Operations

Stefan W Rozycki

Kastley Marvin

John Landers

et al.

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2024

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Cited by 3 publications

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“…10 The literature supports telemedicine's capability in managing patients with abnormal BMI, where telemedicine augments delivery of comprehensive and effective care. 11,12 The literature also describes telemedicine's capability to increase access to care, 13,14 promote cost savings, [15][16][17] and achieve comparable outcomes to inoffice care. [18][19][20] Telemedicine has proven in randomized, blinded studies to directly show favorable impact weight loss efforts, and for patients with failed outpatient efforts, 12 telemedicine's ability to mitigate barriers for access to bariatric surgery care has also been demonstrated.…”

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confidence: 99%

Comparable quality performance between telemedicine and office‐based care for abnormal BMI screening and management

Baughman

Jabbarpour

et al. 2022

Obesity Science & Practice

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Background Despite widespread adoption during COVID‐19, there is limited evidence supporting the quality of telemedicine care in managing patients with abnormal BMI. Objective To evaluate the comparability of telemedicine and in‐person (office) quality performance for abnormal body mass index (BMI kg/m2) screening and management in primary care. Methods This retrospective cohort study measured Healthcare Effectiveness Data and Information Set (HEDIS) quality performance for abnormal BMI screening (patients with BMIs <18.5 or >25 kg/m2 and a qualifying documented follow up plan) across an 8‐hospital integrated health system seen via primary care from 4/1/20 ‐ 9/30/21. Encounters were divided into three exposure groups: office (excluding telemedicine), telemedicine (excluding office), and blended telemedicine (office + telemedicine). Demographic stratification compared group composition. Chi squared tests determined statistical differences in quality performance (p = <0.05). Results Demographics of sub‐groups for the 287,387 patients (office: 222,333; telemedicine: 1,556; blended‐telemedicine: 63,489) revealed a modest female predominance, majority ages 26–70, mostly White non‐Hispanics of low health risk, and the majority BMI representation was overweight, followed closely by class 1 obesity. In both HEDIS specified and HEDIS modified performance, blended‐telemedicine performed better than office (12.56%, 95% CI 12.29%–13.01%; 11.16%, 95% CI: 10.85%–11.48%; p < 0.0001); office performed better than telemedicine (4.29%, 95% CI 2.84%–5.54%; 4.79%, 95% CI 3.99%–5.35%; p < 0.0001). Conclusion Quality performance was highest for blended‐telemedicine, followed by office‐only, then telemedicine‐only. Given the known cost savings, adding telemedicine as a care venue might promote value within health systems without negatively impacting HEDIS performance.

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mentioning

confidence: 99%

Comparable quality performance between telemedicine and office‐based care for abnormal BMI screening and management

Baughman

Jabbarpour

et al. 2022

Obesity Science & Practice

View full text Add to dashboard Cite

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Military Doctors' and Nurses' Perceptions of Telemedicine and the Factors Affecting Use Intention

Park¹,

Woo

2023

Telemedicine and e-Health

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Severe Attrition and Poor Satisfaction in Patients Undergoing Telerehabilitation vs. Standard In-Person Rehabilitation after Arthroscopic Rotator Cuff Repairs and Anterior Cruciate Ligament Reconstructions

Vasavada,

Shankar,

Avila

et al. 2024

Surgeries

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Background: The use of telerehabilitation after sports medicine procedures such as an arthroscopic rotator cuff repair (ARCR) and anterior cruciate ligament reconstruction (ACLR) has rapidly increased in recent years; however, the functional outcomes and patient satisfaction with telerehabilitation compared to in-person rehabilitation remain unclear. The purpose of this study was to compare the functional outcomes and patient satisfaction with telerehabilitation to in-person rehabilitation in a randomized controlled trial after two common sports procedures, ARCR and ACLR. Methods: Two randomized controlled trials were conducted involving patients scheduled to undergo ARCR or ACLR by one of six fellowship-trained sports medicine surgeons between October 2020 and November 2021. Each trial had an enrollment goal of 60 patients. Subjects were randomized 1:1 to receive telerehabilitation or in-person rehabilitation postoperatively. Functional outcome and satisfaction metrics were collected at baseline and at post-operative visits and compared between groups. Results: In total, 16 ACLR patients were enrolled, of whom 10 (62.5%) were assigned to in-person rehabilitation and 6 (37.5%) to telerehabilitation. Additionally, 32 ARCR patients were enrolled, of whom 20 (62.5%) were assigned in-person rehabilitation and 12 (37.5%) were assigned telerehabilitation. In total, of the 30 patients assigned to in-person rehabilitation, none reported a crossover to telerehabilitation. Of the 18 patients initially assigned to telerehabilitation, 12 (67%) completed the final follow-up survey, of which 11 (92%) reported a crossover; 9 patients completed in-person rehabilitation and 2 patients completed hybrid in-person and telerehabilitation. Conclusions: Patients preferred in-person rehabilitation compared to telerehabilitation after ACLR and ARCR, as evidenced by the nearly ubiquitous crossover from telerehabilitation to in-person rehabilitation in both studies. Our findings suggest that telerehabilitation protocols still need to be perfected, and that there may be a role for a hybrid in-person and tele-rehab model.

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Telemedicine Proof of Concept and Cost Savings During Underway Naval Operations

Cited by 3 publications

References 7 publications

Comparable quality performance between telemedicine and office‐based care for abnormal BMI screening and management

Comparable quality performance between telemedicine and office‐based care for abnormal BMI screening and management

Military Doctors' and Nurses' Perceptions of Telemedicine and the Factors Affecting Use Intention

Severe Attrition and Poor Satisfaction in Patients Undergoing Telerehabilitation vs. Standard In-Person Rehabilitation after Arthroscopic Rotator Cuff Repairs and Anterior Cruciate Ligament Reconstructions

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