scholarly journals The Evolution of Telehealth From Pre-COVID-19 Pandemic Through A Hybrid Virtual Care Delivery Model: A Pediatric Hospital’s Journey

2021 ◽  
Vol 13 (2) ◽  
Author(s):  
Evelyn Abrahante Terrell ◽  
Saima Aftab ◽  
Anne Babitz ◽  
Lauren Butler ◽  
Nicole Gondar Hernandez ◽  
...  
Keyword(s):  
Continuity Of Care ◽  
Patient Preference ◽  
Care Delivery ◽  
Rehabilitation Services ◽  
Delivery Model ◽  
Rehabilitation Professionals ◽  
Healthcare Needs ◽  
Virtual Care ◽  
Care Delivery Model ◽  
Risk Of Exposure

The COVID-19 pandemic transformed care delivery and influenced telehealth adoption by rehabilitation professionals and their patients. The purpose of this paper is to describe a pediatric health system’s telehealth services pre-pandemic and how those services were scaled during the pandemic. A secondary aim is to provide a roadmap for the operational delivery of telehealth and rehabilitation services, including transition to a hybrid care delivery model. Findings suggested that telehealth can be rapidly scaled to address patient healthcare needs for an early intervention population during a pandemic. Telehealth use during the pandemic helped ensure continuity of care and likely reduced the risk of exposure to patients and staff to the virus. Benefits included enhanced access to care, and savings in time and money for families. Interestingly, as the pandemic declined, the use of telehealth services declined due to patient preference, with many families opting to request a return to in-person care.  

scholarly journals Continuity of Care in a Student-Run Free Clinic: Impact on Atherosclerotic Cardiovascular Disease Risk

2021 ◽  
Vol 53 (2) ◽  
pp. 129-132
Author(s):  
Cory Roth ◽  
Robert D. Cooper ◽  
David P. Way
Keyword(s):  
Cardiovascular Disease ◽  
Continuity Of Care ◽  
Care Delivery ◽  
Study Groups ◽  
Risk Scores ◽  
Atherosclerotic Cardiovascular Disease ◽  
Delivery Model ◽  
Care Delivery Model ◽  
Ascvd Risk ◽  
The Impact

Background and Objectives: Medical student-run free clinics (SRFC) provide underserved patients access to health care. Few studies have examined the effects of specific care models implemented by these clinics. We looked at the impact of a continuity of care delivery model on chronic care outcomes at an SRFC sponsored by Ohio State University College of Medicine. Methods: Using the SRFC electronic medical records, we abstracted health records of patients at risk for atherosclerotic cardiovascular disease (ASCVD). We formed three study groups matched on age and gender. Group 1 were the patients enrolled in a continuity of care program, Group 2 were patients who visit the SRFC at 3-month intervals, and Group 3 were sporadic visitors. Authors compared groups’ ASCVD risk score change over 12 months using a Group x Time Analysis of Variance. Results: We identified 81 subjects that met the qualifications for this study and assigned them to one of the three study groups. A Group x Time interaction showed that mean ASCVD risk scores improved significantly for continuity of care patients and regular visitor controls, but not for sporadic controls (F=3.82; df=2/1.72; P=.035; es=1.28). Conclusions: This SRFCs continuity of care delivery had no appreciable impact on lowering ASCVD Risk scores over and above frequent regular visits to the clinic. This finding suggests that SRFCs should focus on getting their chronic patient population to maintain a schedule of frequent check-ups, without investing in continuity of care. Longer-term studies are needed to detect a continuity of care delivery model effect.

Effectiveness of a Care Delivery Model for High-Need Older Adults in Communities

2020 ◽  
pp. 104973152098235
Author(s):  
Kuei-Min Chen ◽  
Hui-Fen Hsu ◽  
Li-Yen Yang ◽  
Chiang-Ching Chang ◽  
Yu-Ming Chen ◽  
...  
Keyword(s):  
Older Adults ◽  
Repeated Measures ◽  
Comparison Group ◽  
Care Delivery ◽  
Intervention Group ◽  
Community Dwelling ◽  
Delivery Model ◽  
Positive Effects ◽  
Repeated Measures Design ◽  
Care Delivery Model

Purpose: This study aimed to test the effectiveness of High-Need Community-Dwelling Older Adults Care Delivery Model (HCOACDM) in Taiwan. Methods: A cluster randomized controlled trial with repeated measures design was conducted in eight community care centers, involving 145 high-need older adults who were assigned to the intervention group or comparison group. The HCOACDM was provided over 6 months. Functional ability, quality of life, depressive symptoms, and health care and social service utilizations were measured at baseline, at 3 months, and 6 months into the intervention. The participants’ satisfaction was measured at the end of 6-month intervention. Results: Positive effects were shown on all variables in the intervention group at both the 3-month and 6-month intervals (all p < .05). The intervention group had a higher satisfaction with care delivery than the comparison group ( p < .05). Discussion: The promising findings supported a long-term implementation of the HCOACDM as applicable and beneficial.

scholarly journals Effectiveness of a Care Delivery Model for High-Need Community-Dwelling Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 279-279
Author(s):  
Kuei-Min Chen ◽  
Hui-Fen Hsu
Keyword(s):  
Older Adults ◽  
Comparison Group ◽  
Care Delivery ◽  
Care Service ◽  
Intervention Group ◽  
Community Dwelling ◽  
Delivery Model ◽  
Care Services ◽  
Care Delivery Model ◽  
Community Dwelling Older Adults

Abstract The effectiveness of sufficient care coordination for high-need community-dwelling older adults has not been discussed. This study aimed to examine the effectiveness of a newly-developed care delivery model for high-need community-dwelling older adults. A cluster randomized controlled trial with repeated measures design was employed. A total of 145 high-need older adults participated in the study and were randomly assigned to either the intervention group or comparison group. A categorized list of care services based on the types of high-need older adults as the intervention allowed care coordinators to make adequate care service linkages. The intervention period ranged over 6 months with regulated home visits and assesssments. Functional ability, quality of life, depressive symptoms, and healthcare and social service utilizations were measured at baseline, and at 3 and 6 months into the intervention. The participants’ satisfaction with care delivery was measured at the end of 6-month intervention. Results showed that the intervention group had a better functional ability, a higher quality of life, reduced depressive symptoms, and more efficient healthcare and social service utilizations than the comparison group at both the 3-month and 6-month intervals (all p &lt; .05). By the end of the 6-month study, the intervention group were more satisfied with the care service linkages than the comparison group (p &lt; .05). The positive effects of providing a categorized list of care services for care coordinators to make service linkages have been evidenced by the outcomes. The promising findings supported a further longer-term implementation of the care delivery model.

Telehealth as a new care delivery model: The headache provider experience

2021 ◽  
Author(s):  
Mia T. Minen ◽  
Christina L. Szperka ◽  
Kayla Kaplan ◽  
Annika Ehrlich ◽  
Nina Riggins ◽  
...  
Keyword(s):  
Care Delivery ◽  
Delivery Model ◽  
Care Delivery Model ◽  
Provider Experience

Abstract 2552: Adapting a novel cancer care delivery model: identifying barriers unique to care coordination for LGBTQ cancer survivors

2021 ◽  
Author(s):  
Nicolas Francone ◽  
Jonathan Alhalel ◽  
Will Dunne ◽  
Sankirtana Danner ◽  
Nihmotallahi Adebayo ◽  
...  
Keyword(s):  
Cancer Survivors ◽  
Care Coordination ◽  
Cancer Care ◽  
Care Delivery ◽  
Delivery Model ◽  
Care Delivery Model

An advanced self-care delivery model for leg ulcer management: a service evaluation

2021 ◽  
Vol 30 (9) ◽  
pp. 751-762
Author(s):  
Laura Hallas-Hoyes ◽  
Stephanie Williamson ◽  
Andrew Kerr ◽  
Trevor Andrews ◽  
Leanne Calladine
Keyword(s):  
Lower Limb ◽  
Care Delivery ◽  
Self Care ◽  
Clinical Effectiveness ◽  
Service Evaluation ◽  
Delivery Model ◽  
Suitability Assessment ◽  
Care Delivery Model ◽  
Professional Contact ◽  
The Uk

Background: Lower limb ulceration is a common cause of suffering in patients and its management poses a significant burden on the NHS, with venous leg ulcers (VLUs) being the most common hard-to-heal wound in the UK. It is estimated that over one million patients in the UK have lower limb ulceration, of which 560,000 were categorised as VLUs, with a cost burden of over £3 billion each year. Objective: The aim of this service evaluation was to assess the effects of implementing a self-care delivery model on clinical outcomes with the intention of limiting face-to-face health professional contact to one appointment every 6 weeks. Method: A suitability assessment was conducted and a cohort of patients were moved to a self-care delivery model. Patient data were collected, anonymised and independently analysed, comparing time to healing against data on file from a previous report. Results: This highlighted that, in 84 of the 95 patients selected, the VLUs had healed by week 24 on the pathway, a further 10 patients' VLUs had healed by week 42 and only one remaining patient reached 42 weeks without healing. Conclusion: These results support the hypothesis that patients with VLUs can self-care and deliver clinical effectiveness. It is recommended that all services explore the possibility of introducing a self-care model for VLU care.

Acceptability of HIV testing for adolescents and young adults by delivery model: a systematic review

2021 ◽  
pp. jim-2021-002056
Author(s):  
Peter Thomas Leistikow ◽  
Vidhi Patel ◽  
Christian Nouryan ◽  
Joseph Steven Cervia
Keyword(s):  
Young Adults ◽  
North America ◽  
Care Delivery ◽  
Linkage To Care ◽  
Adolescents And Young Adults ◽  
Hiv Screening ◽  
Model Of Care ◽  
Delivery Model ◽  
Care Delivery Model ◽  
The World

HIV infections are prevalent among adolescents and young adults, of whom 44% remain unaware of their diagnosis. HIV screening presents numerous challenges including stigma, fear, and concerns about confidentiality, which may influence young people’s acceptance of HIV screening and linkage to care differently from individuals in other age groups. It is imperative to understand which care delivery models are most effective in facilitating these services for youth. This systematic review analyzes the rates of HIV test acceptance and linkage to care by care delivery model for adolescents and young adults. Studies were classified into emergency department (ED), primary care/inpatient setting, community-based program, or sexually transmitted infection clinic models of care. From 6395 studies initially identified, 59 met criteria for inclusion in the final analyses. Rate of test acceptance and linkage to care were stratified by model of care delivery, gender, race, age ranges (13–17, 18–24 years) as well as site (North America vs rest of the world). A significant difference in acceptance of HIV testing was found between care models, with high rates of test acceptance in the ED setting in North America and primary care/hospital setting in the rest of the world. Similarly, linkage to care differed by model of care, with EDs having high rates of linkages to HIV care in North America. Future studies are needed to test mechanisms for optimizing outcomes for each care delivery model in addressing the unique challenges faced by adolescents and young adults.

Acuity-Adaptable Nursing Care: Exploring Its Place in Designing the Future Patient Room

2011 ◽  
Vol 5 (1) ◽  
pp. 77-93 ◽  
Author(s):  
Melissa A. Kwan
Keyword(s):  
Patient Safety ◽  
Care Delivery ◽  
Outcome Data ◽  
Patient Room ◽  
Patient Transfers ◽  
Delivery Model ◽  
Care Delivery Model ◽  
Original Definition ◽  
The Future ◽  
Original Concept

Aim: To substantiate the anticipated benefits of the original acuity-adaptable care delivery model as defined by innovator Ann Hendrich. Background: In today's conveyor belt approach to healthcare, upon admission and through discharge, patients are commonly transferred based on changing acuity needs. Wasted time and money and inefficiencies in hospital operations often result—in addition to jeopardizing patient safety. In the last decade, a handful of hospitals pioneered the implementation of the acuity-adaptable care delivery model. Built on the concept of eliminating patient transfers, the projected outcomes of acuity-adaptable units—decreased average lengths of stay, increased patient safety and satisfaction, and increased nurses' satisfaction from reduced walking distances—make a good case for a model patient room. Conclusion: Although some hospitals experienced the projected benefits of the acuity-adaptable care delivery model, sustaining the outcomes proved to be difficult; hence, the original definition of acuity-adaptable units has not fared well. Variations on the original concept demonstrate that eliminating patient transfers has not been completely abandoned in healthcare redesign and construction initiatives. Terms such as flex-up, flex-down, universal room, and single-stay unit have since emerged. These variations convolute the search for empirical evidence to support the anticipated benefits of the original concept. To determine the future of this concept and its variants, a significant amount of outcome data must be generated by piloting the concept in different hospital settings. As further refinements and adjustments to the concept emerge, the acuity-adaptable room may find a place in future hospitals.

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