scholarly journals Bridging Digital Divides: GWEP Pivots to Support Telehealth for Clinical Care and Education

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 476-476
Author(s):  
Lisa Gibbs ◽  
Julie Rousseau ◽  
Sonia Sehgal ◽  
Neika Saville ◽  
Jung-Ah Lee
Keyword(s):  
Older Adults ◽  
Nursing Students ◽  
Clinical Care ◽  
Health Assessment ◽  
Community Resources ◽  
Remote Patient Monitoring ◽  
Phone Calls ◽  
Digital Divides ◽  
Remote Patient ◽  
The University

Abstract Early in the pandemic, the University of California, Irvine (UCI), GWEP pivoted to focus on building telehealth and remote patient monitoring, while supporting team-based interdisciplinary learners. Our Health Assessment Program for Seniors (HAPS) adapted to provide hybrid remote/in-person evaluations with our Geriatric Fellows and Doctor of Nurse Practitioner (DNP) students working alongside our multi-disciplinary team. Learner teams innovatively bridged the digital divide through weekly DNP support phone calls, and the Fellows delivered family conferences through Zoom. In ASSIST, medical students and nursing students gained digital competencies through a phone support system for isolated older adults with friendly weekly check-ins providing referrals to community resources. Another IRB-approved pilot, Healing at Home, diverted patients from the Emergency Room and In-Patient care with a team of ED, Hospitalists, Geriatricians teaching DNP and Fellows telehealth management. GWEP successfully piloted symbiotic learning for both older adults and health profession students through new virtual formats.

Remote patient monitoring acceptance trends among older adults residing in a frontier state

2015 ◽  
Vol 44 ◽  
pp. 174-182 ◽  
Author(s):  
Jarod T. Giger ◽  
Natalie D. Pope ◽  
H. Bruce Vogt ◽  
Cassity Gutierrez ◽  
Lisa A. Newland ◽  
...  
Keyword(s):  
Older Adults ◽  
Patient Monitoring ◽  
Remote Patient Monitoring ◽  
Remote Patient

The role of app-based remote patient monitoring in reducing primary care clinician workload during the COVID pandemic: A prospective observational real world feasibility study.

2021 ◽  
Author(s):  
Sachin Shailendra Shah ◽  
Afsana Safa ◽  
Kuldhir Johal ◽  
Dillon Obika ◽  
Sophie Valenine
Keyword(s):  
Primary Care ◽  
Patient Monitoring ◽  
Healthcare Providers ◽  
Routine Care ◽  
Full Time ◽  
Remote Patient Monitoring ◽  
Full Time Equivalent ◽  
Phone Calls ◽  
Medium Risk ◽  
Remote Patient

Abstract Background COVID-19 has placed unprecedented strain on healthcare providers, in particular, primary care services. GP practices have to effectively manage patients remotely preserving social distancing. We aim to assess an app-based remote patient monitoring solution in reducing the workload of a clinician. Primary care COVID patients in West London deemed medium risk where recruited into the virtual ward. Patients were monitored for 14 days by telephone or by both the Huma app and telephone. Information on number of phone calls, duration of phone calls and duration of time spent reviewing the app data recorded.Results The amount of time spent reviewing one patient on the telephone only arm of the study was 490 minutes, compared with 280 minutes spent reviewing one patient who was monitored via both the Huma app and telephone. Based on employed clinicians monitoring patients, this equates to a 0.04 reduction of full-time equivalent staffing I.e. for every 100 patients, it would require 4 less personal to remotely monitor them. There was no difference in mortality or adverse events between the two groups.Conclusion App-based remote patient monitoring clearly holds large economic benefit to COVID-19 patients. In wake of further waves or future pandemics, and even in routine care, app-based remote monitoring patients could free up vital resources in terms of clinical team’s time, allowing a better reallocation of services.

scholarly journals Formal clinical primary health care training. Does it make a difference?

Curationis ◽  
2002 ◽  
Vol 25 (4) ◽  
Author(s):  
G.M.C. Louwagie ◽  
M.O. Bachmann ◽  
M. Reid
Keyword(s):  
Quality Of Care ◽  
Clinical Care ◽  
Health Assessment ◽  
Primary Objective ◽  
Health Care Training ◽  
Care Training ◽  
One Year ◽  
Tract Infections ◽  
The University

Throughout South Africa, primary clinical care is mainly provided by nurses. In line with this, most professional nurses of the former Bloemfontein local authority completed a one year “Advanced Diploma in Health Assessment, Diagnosis and Treatment” course at the University of the Free State. This study aimed to compare the clinical competencies of nurses who obtained this diploma with those who did not. The primary objective was to assess the clinical management of one chronic and one acute disease (diabetes mellitus and acute respiratory tract infections in adults, respectively) for these two groups of nurses. Relationships between quality of care and nurses1 and clinics1 characteristics were also examined since they could be predictors of quality of care, independent of the influence of training.

scholarly journals Design Thinking to Create a Remote Patient Monitoring Platform for Older Adults' Homes

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
H. A. Kolnick ◽  
Jennifer Miller ◽  
Olivia Dupree ◽  
Lisa Gualtieri
Keyword(s):  
Older Adults ◽  
Patient Monitoring ◽  
Design Thinking ◽  
Digital Health ◽  
Public Health Practice ◽  
Home Health ◽  
Remote Patient Monitoring ◽  
Thinking Process ◽  
Barriers And Opportunities ◽  
Remote Patient

How might clinicians collect the vitals needed for effective scheduled video visits for older adults? This challenge was presented by AARP to graduate students in a Digital Health course at Tufts University School of Medicine. The design thinking process was used to create a product that would meet this need, keeping the needs and constraints of older adults, especially those with chronic conditions or other barriers to health, central to the solution. The initial steps involved understanding and empathizing with the target audience through interviews and by developing personas and scenarios that identified barriers and opportunities. The later steps were to ideate potential solutions, design a prototype, and define product success. The design thinking process led to the design of Home Health Hub, a remote patient monitoring (RPM) platform designed to meet the unique needs of older adults. Additionally, Home Health Hub can conceivably benefit all users of telehealth, regardless of health status—an important need during the COVID-19 pandemic, and in general due to increased use of virtual visits. Home Health Hub is one example of what can be achieved with the dedicated use of design thinking. The design thinking process can benefit public health practice as a whole by encouraging practitioners to delve into a problem to find the root causes and empathize with the needs and constraints of stakeholders to design innovative, human-centered solutions.

scholarly journals Sensor, Wearable, and Remote Patient Monitoring Competencies for Clinical Care and Training: Scoping Review

2021 ◽  
Author(s):  
Donald M. Hilty ◽  
Christina M. Armstrong ◽  
Amanda Edwards-Stewart ◽  
Melanie T. Gentry ◽  
David D. Luxton ◽  
...  
Keyword(s):  
Scoping Review ◽  
Patient Monitoring ◽  
Clinical Care ◽  
Remote Patient Monitoring ◽  
Remote Patient ◽  
And Training

scholarly journals Mobile app-based Remote Patient Monitoring in Acute Medical Conditions: A Prospective Feasibility Study Exploring Digital Health Solutions on Clinical Workload during the COVID Crisis. (Preprint)

2020 ◽  
Author(s):  
Sachin Shailendra Shah ◽  
Andrew Gvozdanovic ◽  
Matthew Knight ◽  
Julien Gagnon
Keyword(s):  
Feasibility Study ◽  
Patient Monitoring ◽  
Mobile App ◽  
Full Time ◽  
Remote Patient Monitoring ◽  
Phone Calls ◽  
Clinical Scenarios ◽  
Remote Patient ◽  
The Impact ◽  
Clinical Workload

BACKGROUND Digital remote patient monitoring (RPM) can add value to virtual wards; this has become more apparent in the context of the COVID-19 pandemic. Healthcare providers are overwhelmed resulting in clinical teams spread more thinly. We aim to assess the impact of the introduction of an app-based RPM (Huma Therapeutics) on a clinician's workload in the context of a COVID-19 specific virtual ward. OBJECTIVE This prospective feasibility study aims to evaluate the health economic effect (in terms of clinical workload) a mobile app has on a telephone based virtual ward in the monitoring of COVID-19 patients clinically ready for discharge from hospital. METHODS A prospective feasibility study was carried out over one month where clinician workload was monitored, and full time equivalents (FTE) savings equated. An NHS hospital repurposed a telephone-based respiratory virtual ward for COVID-19. Amber status (NHS definition) COVID-19 patients were monitored for 14 days post-discharge to help identify deteriorating patients earlier. A smartphone-based app was introduced to monitor data points submitted by the patients with telephone calls used for communication. A comparison of clinical workload between those monitored by telephone only (Cohort 1) with those monitored via mobile app and telephone (Cohort 2) was undertaken. RESULTS 56 patients were enrolled in the app-based virtual ward (Cohort 2). Digital RPM reduced the number of phone calls from a mean total of 9 to 4 over monitoring period. There was no change in the mean duration of phone calls (8.5minutes), and no reports of readmissions or mortality. This equates to a mean saving of 47.60 working hours. This translates to 3.30 fewer FTEs (raw phone call data), resulting in 1.1 fewer FTEs required to monitor 100 patients when adjusted for time spent reviewing app data. Individual clinicians were averaging 10.9 minutes per day. CONCLUSIONS Smartphone-based RPM technologies may offer tangible reductions in clinician workload at a time of severe service strain. In this small pilot, we demonstrate the economic and operational impact digital RPM technology can have in improving working efficiency and reducing operational costs. Whilst this particular RPM solution was deployed for the COVID-19 pandemic, it may set a precedent for wider utilisation of digital RPM solutions in other clinical scenarios where increased care delivery efficiency is sought. CLINICALTRIAL

Quality Management of Patient Generated Health Data from Wearables: Development of a Guideline for Remote Patient Monitoring (Preprint)

2021 ◽  
Author(s):  
Robab Abdolkhani ◽  
Kathleen Gray ◽  
Ann Borda ◽  
Ruth DeSouza
Keyword(s):  
Quality Management ◽  
Health Information ◽  
Health Informatics ◽  
Patient Monitoring ◽  
Clinical Decision Making ◽  
Clinical Care ◽  
Health Data ◽  
Remote Patient Monitoring ◽  
Data Quality Management ◽  
Remote Patient

BACKGROUND Patient-Generated Health Data (PGHD) collected from innovative wearables are enabling healthcare to shift to outside clinical settings through Remote Patient Monitoring (RPM) initiatives. However, PGHD are collected continuously under the patient’s responsibilities in rapidly changing circumstances during the patient’s daily life. This poses risks to the quality of PGHD and, in turn, reduces their trustworthiness and fitness for use in clinical practice. OBJECTIVE Using a socio-technical health informatics lens, this research aimed to investigate how Data Quality Management (DQM) principles can be applied to ensure that PGHD from wearables can reliably inform clinical decision making in RPM. METHODS First, clinicians, health information specialists and MedTech industry representatives with experience in RPM were interviewed to identify DQM challenges. Second, those groups were joined by patients in a workshop to co-design potential solutions to meet the expectations of all stakeholders. Third, the findings along with literature and policy review results, were interpreted to construct a guideline. Finally, we validated the guideline through a Delphi survey of international health informatics and health information management experts. RESULTS The resulting guideline comprised 19 recommendations across seven aspects of DQM. It explicitly addressed the needs of patients and clinicians but implied that there must be collaboration among all stakeholders, to meet these needs. CONCLUSIONS The increasing proliferation of PGHD from wearables in RPM requires a systematic approach to DQM so that these data can be reliably used in clinical care. The developed guideline is a significant next step toward safe RPM.

scholarly journals A prospective observational real world feasibility study assessing the role of app-based remote patient monitoring in reducing primary care clinician workload during the COVID pandemic

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Sachin Shailendra Shah ◽  
Afsana Safa ◽  
Kuldhir Johal ◽  
Dillon Obika ◽  
Sophie Valentine
Keyword(s):  
Primary Care ◽  
Patient Monitoring ◽  
Healthcare Providers ◽  
Routine Care ◽  
Full Time ◽  
Remote Patient Monitoring ◽  
Full Time Equivalent ◽  
Phone Calls ◽  
Novel Coronavirus ◽  
Remote Patient

Abstract Background The novel coronavirus disease in 2019 (COVID-19) has placed unprecedented strain on healthcare providers, in particular, primary care services. General practitioners (GP) have to effectively manage patients remotely preserving social distancing. We aim to assess an app-based remote patient monitoring solution in reducing the workload of a clinician and reflect this as time-saved in an economic context. Primary care COVID patients in West London deemed medium risk were recruited into the virtual ward. Patients were monitored for 14 days by telephone or by both the Huma app and telephone. Information on number of phone calls, duration of phone calls and duration of time spent reviewing the app data was recorded. Results The amount of time spent reviewing one patient in the telephone only arm of the study was 490 min, compared with 280 min spent reviewing one patient who was monitored via both the Huma app and telephone. Based on employed clinicians monitoring patients, this equates to a 0.04 reduction of full-time equivalent staffing I.e. for every 100 patients, it would require 4 less personnel to remotely monitor them. There was no difference in mortality or adverse events between the two groups. Conclusion App-based remote patient monitoring potentially holds large economic benefit to COVID-19 patients. In wake of further waves or future pandemics, and even in routine care, app-based remote monitoring patients could free up vital resources in terms of clinical team’s time, allowing a better reallocation of services.

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