Evidence map›Paper›PMID 32495830›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2020

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

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

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 43 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 2 pooled it
16.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 2 syntheses or guidelines pooled it, 105 citations in OpenAlex.

  1. Telemedicine Implementation for Safety Net Populations: A Systematic Review.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024
    Pooled it
  2. Pooled it
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  7. Teamwork in Rural Emergency Health Care: A Simulation-Based Cross-over Study of Co-located and Distributed Teams.Simulation in healthcare : journal of the Society for Simulation in Healthcare · 2025
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  11. Review
  12. Flow-Sizing Critical Care Resources.Critical care medicine · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Stacie VilendrerDepartment of Medicine, Stanford Medicine, 291 Campus Drive, Stanford, CA, 94305, USA.
Birju PatelDepartment of Medicine, Stanford Medicine, 291 Campus Drive, Stanford, CA, 94305, USA.
Whitney ChadwickDivision of Hospital Medicine, Department of Pediatrics, Stanford University School of Medicine & Information Services Department, Stanford Children's Health.
Michael HwaDepartment of Medicine, County of Santa Clara Health System, 751 S. Bascom Ave, San Jose, CA 95128, USA.
Steven AschDepartment of Medicine, Stanford Medicine, 291 Campus Drive, Stanford, CA, 94305, USA.
Natalie PagelerDivision of Critical Care Medicine, Department of Pediatrics, Stanford University School of Medicine & Information Services Department, Stanford Children's Health.
Rajiv RamdeoTechnology and Digital Solutions, Stanford Medicine, 300 Pasteur Drive, Palo Alto, CA, 94304, USA.
Erika A Saliba-GustafssonDepartment of Medicine, Stanford Medicine, 291 Campus Drive, Stanford, CA, 94305, USA.
Philip StrongAdministration, County of Santa Clara Health System, 751 S. Bascom Ave, San Jose, CA 95128, USA.
Christopher SharpDepartment of Medicine, Stanford Medicine, 291 Campus Drive, Stanford, CA, 94305, USA.
Stanford Medicine · USSanta Clara County Behavioral Health Services · USStanford University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo reduce pathogen exposure, conserve personal protective equipment, and facilitate health care personnel work participation in the setting of the COVID-19 pandemic, three affiliated institutions rapidly and independently deployed inpatient telemedicine programs during March 2020. We describe key features and early learnings of these programs in the hospital setting.

methodsRelevant clinical and operational leadership from an academic medical center, pediatric teaching hospital, and safety net county health system met to share learnings shortly after deploying inpatient telemedicine. A summative analysis of their learnings was re-circulated for approval.

resultsAll three institutions faced pressure to urgently standup new telemedicine systems while still maintaining secure information exchange. Differences across patient demographics and technological capabilities led to variation in solution design, though key technical considerations were similar. Rapid deployment in each system relied on readily available consumer-grade technology, given the existing familiarity to patients and clinicians and minimal infrastructure investment. Preliminary data from the academic medical center over one month suggested positive adoption with 631 inpatient video calls lasting an average (standard deviation) of 16.5 minutes (19.6) based on inclusion criteria. DISCUSSION: The threat of an imminent surge of COVID-19 patients drove three institutions to rapidly develop inpatient telemedicine solutions. Concurrently, federal and state regulators temporarily relaxed restrictions that would have previously limited these efforts. Strategic direction from executive leadership, leveraging off-the-shelf hardware, vendor engagement, and clinical workflow integration facilitated rapid deployment.

conclusionThe rapid deployment of inpatient telemedicine is feasible across diverse settings as a response to the COVID-19 pandemic.

Indexed as

BetacoronavirusInpatientsTelemedicineAcademic Medical CentersCaliforniaComputers, HandheldCoronavirus InfectionsCOVID-19Hospitals, CountyHospitals, PediatricHumansInfectious Disease Transmission, Patient-to-ProfessionalPandemicsPneumonia, ViralSafety-net ProvidersSARS-CoV-2COVID-19, pandemic, infection control, PPE useinformation technologyinpatient telemedicinetechnology implementationteleroundingvirtual rounding

Identifiers

PMID32495830
PMCPMC7314045
OpenAlexW3031578054

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.