View in EDS

Rapid Implementation of Telehealth Services in a Pediatric Pulmonary Clinic During COVID-19.

Saved in:
Bibliographic Details
Title: Rapid Implementation of Telehealth Services in a Pediatric Pulmonary Clinic During COVID-19.
Authors: Davis, Jaclyn, Gordon, Rachel, Hammond, Adam, Perkins, Ryan, Flanagan, Frances, Rabinowitz, Elliot, Simoneau, Tregony, Sawicki, Gregory S.
Source: Pediatrics. Jul2021, Vol. 148 Issue 1, p1-9. 9p.
Subjects: Evaluation of medical care, Health services accessibility, Attitude (Psychology), Pediatrics, Medical personnel, Patient satisfaction, Human services programs, Medical protocols, Surveys, Pulmonology, Quality assurance, COVID-19 pandemic, Telemedicine
Abstract: OBJECTIVES: The coronavirus pandemic created significant, abrupt challenges to the delivery of ambulatory health care. Because tertiary medical centers limited elective in-person services, telehealth was rapidly enacted in settings with minimal previous experience to allow continued access to care. With this quality improvement (QI) initiative, we aimed to achieve a virtual visit volume of at least 75% of our prepandemic volume. We also describe patient and provider experience with telehealth services. METHODS: Our QI team identified the primary drivers contributing to low telehealth volume and developed a telehealth scheduling protocol and data tracking system using QI-based strategies. Patients and providers were surveyed on their telehealth experience. RESULTS: At the onset of the pandemic, weekly visit volume dropped by 65% (99 weekly visits; historical average of 281). Over the subsequent 3 weeks, using rapid Plan-Do-Study-Act cycles, we achieved our goal volume. In surveys, it was indicated that most participants had never before used telehealth (71% of patients; 82% of providers) yet reported high satisfaction (90% of patients; 81% of providers). Both groups expressed concern over the lack of in-person assessments. Most respondents were interested in future use of telehealth. CONCLUSIONS: With a QI-based approach, we successfully maintained access to care via telehealth services for pediatric pulmonary patients during the coronavirus pandemic and found high rates of satisfaction among patients and providers. Telehealth will likely continue to be a part of our health care delivery platform, expanding the reach of our services. Further work is needed to understand the effects on clinical outcomes. [ABSTRACT FROM AUTHOR]
Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
FullText Text:
  Availability: 0
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 151239601
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Rapid Implementation of Telehealth Services in a Pediatric Pulmonary Clinic During COVID-19.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Davis%2C+Jaclyn%22">Davis, Jaclyn</searchLink><br /><searchLink fieldCode="AR" term="%22Gordon%2C+Rachel%22">Gordon, Rachel</searchLink><br /><searchLink fieldCode="AR" term="%22Hammond%2C+Adam%22">Hammond, Adam</searchLink><br /><searchLink fieldCode="AR" term="%22Perkins%2C+Ryan%22">Perkins, Ryan</searchLink><br /><searchLink fieldCode="AR" term="%22Flanagan%2C+Frances%22">Flanagan, Frances</searchLink><br /><searchLink fieldCode="AR" term="%22Rabinowitz%2C+Elliot%22">Rabinowitz, Elliot</searchLink><br /><searchLink fieldCode="AR" term="%22Simoneau%2C+Tregony%22">Simoneau, Tregony</searchLink><br /><searchLink fieldCode="AR" term="%22Sawicki%2C+Gregory+S%2E%22">Sawicki, Gregory S.</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Pediatrics%22">Pediatrics</searchLink>. Jul2021, Vol. 148 Issue 1, p1-9. 9p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Evaluation+of+medical+care%22">Evaluation of medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br /><searchLink fieldCode="DE" term="%22Attitude+%28Psychology%29%22">Attitude (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Pediatrics%22">Pediatrics</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+personnel%22">Medical personnel</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+satisfaction%22">Patient satisfaction</searchLink><br /><searchLink fieldCode="DE" term="%22Human+services+programs%22">Human services programs</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+protocols%22">Medical protocols</searchLink><br /><searchLink fieldCode="DE" term="%22Surveys%22">Surveys</searchLink><br /><searchLink fieldCode="DE" term="%22Pulmonology%22">Pulmonology</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+assurance%22">Quality assurance</searchLink><br /><searchLink fieldCode="DE" term="%22COVID-19+pandemic%22">COVID-19 pandemic</searchLink><br /><searchLink fieldCode="DE" term="%22Telemedicine%22">Telemedicine</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: OBJECTIVES: The coronavirus pandemic created significant, abrupt challenges to the delivery of ambulatory health care. Because tertiary medical centers limited elective in-person services, telehealth was rapidly enacted in settings with minimal previous experience to allow continued access to care. With this quality improvement (QI) initiative, we aimed to achieve a virtual visit volume of at least 75% of our prepandemic volume. We also describe patient and provider experience with telehealth services. METHODS: Our QI team identified the primary drivers contributing to low telehealth volume and developed a telehealth scheduling protocol and data tracking system using QI-based strategies. Patients and providers were surveyed on their telehealth experience. RESULTS: At the onset of the pandemic, weekly visit volume dropped by 65% (99 weekly visits; historical average of 281). Over the subsequent 3 weeks, using rapid Plan-Do-Study-Act cycles, we achieved our goal volume. In surveys, it was indicated that most participants had never before used telehealth (71% of patients; 82% of providers) yet reported high satisfaction (90% of patients; 81% of providers). Both groups expressed concern over the lack of in-person assessments. Most respondents were interested in future use of telehealth. CONCLUSIONS: With a QI-based approach, we successfully maintained access to care via telehealth services for pediatric pulmonary patients during the coronavirus pandemic and found high rates of satisfaction among patients and providers. Telehealth will likely continue to be a part of our health care delivery platform, expanding the reach of our services. Further work is needed to understand the effects on clinical outcomes. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=151239601
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1542/peds.2020-030494
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 1
    Subjects:
      – SubjectFull: Evaluation of medical care
        Type: general
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Attitude (Psychology)
        Type: general
      – SubjectFull: Pediatrics
        Type: general
      – SubjectFull: Medical personnel
        Type: general
      – SubjectFull: Patient satisfaction
        Type: general
      – SubjectFull: Human services programs
        Type: general
      – SubjectFull: Medical protocols
        Type: general
      – SubjectFull: Surveys
        Type: general
      – SubjectFull: Pulmonology
        Type: general
      – SubjectFull: Quality assurance
        Type: general
      – SubjectFull: COVID-19 pandemic
        Type: general
      – SubjectFull: Telemedicine
        Type: general
    Titles:
      – TitleFull: Rapid Implementation of Telehealth Services in a Pediatric Pulmonary Clinic During COVID-19.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Davis, Jaclyn
      – PersonEntity:
          Name:
            NameFull: Gordon, Rachel
      – PersonEntity:
          Name:
            NameFull: Hammond, Adam
      – PersonEntity:
          Name:
            NameFull: Perkins, Ryan
      – PersonEntity:
          Name:
            NameFull: Flanagan, Frances
      – PersonEntity:
          Name:
            NameFull: Rabinowitz, Elliot
      – PersonEntity:
          Name:
            NameFull: Simoneau, Tregony
      – PersonEntity:
          Name:
            NameFull: Sawicki, Gregory S.
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 07
              Text: Jul2021
              Type: published
              Y: 2021
          Identifiers:
            – Type: issn-print
              Value: 00314005
          Numbering:
            – Type: volume
              Value: 148
            – Type: issue
              Value: 1
          Titles:
            – TitleFull: Pediatrics
              Type: main
ResultId 1