Evidence map›Paper›PMID 32610350›Full record

ArticleApplied clinical informatics2020

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

Jonathan D Hron, Chase R Parsons, Lee Ann Williams, Marvin B Harper, Fabienne C Bourgeois

Open access · bronzeAbstract read
In one paragraph

Article in Applied clinical informatics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 3 pooled it
9.7field-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

33 citing papers in PubMed, 3 syntheses or guidelines pooled it, 60 citations in OpenAlex.

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  12. Implementation of a pilot electronic parent support tool in and after neonatal intensive care unit discharge.Journal of perinatology : official journal of the California Perinatal Association · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Jonathan D HronDivision of General Pediatrics, Department of Pediatrics, Boston Children's Hospital, Boston, Massachusetts, United States.
Chase R ParsonsDivision of General Pediatrics, Department of Pediatrics, Boston Children's Hospital, Boston, Massachusetts, United States.
Lee Ann WilliamsPatient Care Operations, Boston Children's Hospital, Boston, Massachusetts, United States.
Marvin B HarperDepartment of Pediatrics, Harvard Medical School, Boston, Massachusetts, United States.
Fabienne C BourgeoisDivision of General Pediatrics, Department of Pediatrics, Boston Children's Hospital, Boston, Massachusetts, United States.
Boston Children's Hospital · USHarvard University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRelaxation 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.

objectiveThis article evaluates the use of a rapidly implemented, secure inpatient telehealth program.

methodsWe 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.

resultsWithin 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.

conclusionWe 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.

Indexed as

Health Plan ImplementationInpatientsPandemicsTelemedicineBetacoronavirusCoronavirus InfectionsCOVID-19FeedbackHospitalsHumansPneumonia, ViralSARS-CoV-2

Identifiers

PMID32610350
PMCPMC7329373
OpenAlexW3038930876

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.