TY - JOUR
T1 - A Scalable Framework for Telehealth
T2 - The Mayo Clinic Center for Connected Care Response to the COVID-19 Pandemic
AU - Haddad, Tufia C.
AU - Blegen, Rebecca N.
AU - Prigge, Julie E.
AU - Cox, Debra L.
AU - Anthony, Greg S.
AU - Leak, Michelle A.
AU - Channer, Dwight D.
AU - Underwood, Page Y.
AU - Williams, Ryan D.
AU - Hofschulte, Rhapsody D.
AU - Christopherson, Laura A.
AU - Coffey, Jordan D.
AU - Terkonda, Sarvam P.
AU - Yiannias, James A.
AU - Costello, Brian A.
AU - Russi, Christopher S.
AU - Colby, Christopher E.
AU - Ommen, Steve R.
AU - Demaerschalk, Bart M.
N1 - Publisher Copyright:
© 2021 Tufia C. Haddad et al. Published by Mary Ann Liebert, Inc.
PY - 2021/2/1
Y1 - 2021/2/1
N2 - Background: The Mayo Clinic Center for Connected Care has an established organizational framework for telehealth care delivery. It provides patients, consumers, care teams, and referring providers access to clinical knowledge through technologies and integrated practice models. Central to the framework are teams that support product management and operational functions. They work together across the asynchronous, synchronous video telemedicine, remote patient monitoring (RPM), and mobile core service lines. Methods: The organizational framework of the Center for Connected Care and Mayo Clinic telehealth response to the COVID-19 pandemic is described. Barriers to telehealth delivery that were addressed by the public health emergency are also reported. This report was deemed exempt from full review by the Mayo Clinic IRB. Results: After declaration of the COVID-19 pandemic, there was rapid growth in established telehealth offerings, including patient online services account creation, secure messaging, inpatient eConsults, express care online utilization, and video visits to home. Census for the RPM program for patients with chronic conditions remained stable; however, its framework was rapidly adapted to develop and implement a COVID-19 RPM service. In addition to this, other new telehealth and virtual care services were created to support the unique needs of patients with COVID-19 symptoms or disease and the health care workforce, including a digital COVID-19 self-assessment tool and video telemedicine solutions for ambulances, emergency departments, intensive care units, and designated medical-surgical units. Conclusion: Rapid growth, adoption, and sustainability of telehealth services through the COVID-19 pandemic were made possible by a scalable framework for telehealth and alignment of regulatory and reimbursement models.
AB - Background: The Mayo Clinic Center for Connected Care has an established organizational framework for telehealth care delivery. It provides patients, consumers, care teams, and referring providers access to clinical knowledge through technologies and integrated practice models. Central to the framework are teams that support product management and operational functions. They work together across the asynchronous, synchronous video telemedicine, remote patient monitoring (RPM), and mobile core service lines. Methods: The organizational framework of the Center for Connected Care and Mayo Clinic telehealth response to the COVID-19 pandemic is described. Barriers to telehealth delivery that were addressed by the public health emergency are also reported. This report was deemed exempt from full review by the Mayo Clinic IRB. Results: After declaration of the COVID-19 pandemic, there was rapid growth in established telehealth offerings, including patient online services account creation, secure messaging, inpatient eConsults, express care online utilization, and video visits to home. Census for the RPM program for patients with chronic conditions remained stable; however, its framework was rapidly adapted to develop and implement a COVID-19 RPM service. In addition to this, other new telehealth and virtual care services were created to support the unique needs of patients with COVID-19 symptoms or disease and the health care workforce, including a digital COVID-19 self-assessment tool and video telemedicine solutions for ambulances, emergency departments, intensive care units, and designated medical-surgical units. Conclusion: Rapid growth, adoption, and sustainability of telehealth services through the COVID-19 pandemic were made possible by a scalable framework for telehealth and alignment of regulatory and reimbursement models.
KW - COVID-19
KW - remote patient monitoring
KW - telehealth
KW - telemedicine
KW - virtual care
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U2 - 10.1089/tmr.2020.0032
DO - 10.1089/tmr.2020.0032
M3 - Review article
AN - SCOPUS:85112676784
SN - 2692-4366
VL - 2
SP - 78
EP - 87
JO - Telemedicine Reports
JF - Telemedicine Reports
IS - 1
ER -