ArticleJournal of hospital medicine2021
Implementing a Telehospitalist Program Between Veterans Health Administration Hospitals: Outcomes, Acceptance, and Barriers to Implementation.
Article in Journal of hospital medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Lessons Learned About Digital Health Tool Acceptability Among Rural Older Adults: Systematic Review Guided by the Technology Acceptance Model.JMIR aging · 2026Pooled it
- Remote vs In-home Physician Visits for Hospital-Level Care at Home: A Randomized Clinical Trial.JAMA network open · 2022Trial
- A Descriptive Analysis of a Rural Telehospital Medicine Program in the Veterans Health Administration: A Multi-Facility, Mixed-Methods Evaluation.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Article
- Feasibility and early outcomes of a multi-site TeleHospitalist admissions programme: staff and patient perspectives from a large health system.BMJ open quality · 2026Article
- Willingness for video visits for non-emergent health issues, mental health, or specialty visits.Frontiers in digital health · 2026Article
- Innovative telehospitalist model optimizes medical triage in collaboration with community emergency departments: A cross-sectional study.Journal of telemedicine and telecare · 2026Article
- Impact of Telehealth on Health Disparities Associated With Travel Time to Hospital for Patients With Recurrent Admissions: 4-Year Panel Data Analysis.Journal of medical Internet research · 2024Article
- Refining the Implementation of a Hub-and-Spoke Model for TelePain Through Qualitative Inquiry.Journal of technology in behavioral science · 2022Article
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTelehospitalist services are an innovative alternative approach to address staffing issues in rural and small hospitals.
objectiveTo determine clinical outcomes and staff and patient satisfaction with a novel telehospitalist program among Veterans Health Administration (VHA) hospitals. DESIGN, SETTING, AND
participantsWe conducted a mixed-methods evaluation of a quality improvement program with pre- and postimplementation measures. The hub site was a tertiary (high-complexity) VHA hospital, and the spoke site was a 10-bed inpatient medical unit at a rural (low-complexity) VHA hospital. All patients admitted during the study period were assigned to the spoke site.
interventionReal-time videoconferencing was used to connect a remote hospitalist physician with an on-site advanced practice provider and patients. Encounters were documented in the electronic health record. MAIN OUTCOMES: Process measures included workload, patient encounters, and daily census. Outcome measures included length of stay (LOS), readmission rate, mortality, and satisfaction of providers, staff, and patients. Surveys measured satisfaction. Qualitative analysis included unstructured and semi-structured interviews with spoke-site staff.
resultsTelehospitalist program implementation led to a significant reduction in LOS (3.0 [SD, 0.7] days vs 2.3 [SD, 0.3] days). The readmission rate was slightly higher in the telehospitalist group, with no change in mortality rate. Satisfaction among teleproviders was very high. Hub staff perceived the service as valuable, though satisfaction with the program was mixed. Technology and communication challenges were identified, but patient satisfaction remained mostly unchanged.
conclusionTelehospitalist programs are a feasible and safe way to provide inpatient coverage and address rural hospital staffing needs. Ensuring adequate technological quality and addressing staff concerns in a timely manner can enhance program performance.
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