ArticleJournal of the American Medical Directors Association2026
Clinical Performance of the Remote After-Hours Telemedicine Medical Officer of the Day (Tele-MOD) Program: A Cohort Study.
Article in Journal of the American Medical Directors Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
- Perceptions of Telemedicine Use for Specialist Care in Skilled Nursing Facilities.JAMA network open · 2026Article
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Authors and funding
8 authors.
Funding
Abstract
objectivesThe aim of this study was to examine the clinical performance of the Telemedicine Medical Office of the Day (Tele-MOD) program, an after-hours telemedicine service, focusing on transfers and video visits, including utilization and cost savings, at two Community Living Centers (VA nursing homes).
designRetrospective cohort study. SETTING AND
participantsUsing administrative data, we assessed Tele-MOD visits at 2 VA nursing homes from April 2023 through June 2024.
methodsWe described the demographics for Veterans seen by the Tele-MOD program, including those associated with video visits. We also compared rates of emergency department (ED) visits and hospitalization for the 30 days before and after each resident's initial Tele-MOD visit. Finally, we estimated costs associated with the care of each resident seen by the Tele-MOD program.
resultsThe Tele-MOD program completed 3949 visits, serving 492 unique Veterans. Most Veterans were male (97%), White (79%), with a mean age of 76.2 (±10.4) years. Only 12.6% of visits involved video visits with residents; most were managed telephonically. The conditions most associated with video visits were signs and symptoms of abnormal findings including infection, and external causes of morbidity including injuries (P = .001 and P < .001, respectively). ED visits decreased 33.2% and 6.1% for VA and non-VA (ie, community care) settings, respectively; hospitalizations decreased 49.4% and 10.3% for VA and non-VA hospitals, respectively (P < .001 for both). All-cause 30-day readmission rates decreased 54.9% (P < .001). The estimated costs of care declined $45,538 per Veteran (P < .001). CONCLUSION AND IMPLICATIONS: Our findings indicate that the Tele-MOD program reduced ED visits, hospitalizations, 30-day readmission rates, and cost of VA and community care of VA nursing home residents. Furthermore, they suggest that the dissemination of the Tele-MOD program to additional VA nursing homes may yield similar benefits for more Veterans, as well as cost savings.
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