Stroke remains one of the most common reasons for admission to acute care hospitals. The authors know of no studies that have examined the rehabilitation aspect of care incorporating the NIHSS in this manner. This study draws a connection between neurologic impairment by using the NIHSS and LOS and discharge destination in an acute inpatient rehabilitation stroke unit. In the future, multidisciplinary rehabilitation teams may consider using this measure to predict LOS and disposition at discharge from inpatient rehabilitation.
This study introduces an interesting dichotomy. Peer review clearly influences resident outlook on professionalism and yet there is a high suspicion regarding its implementation. If appropriately implemented, peer review may be a potent method of enhancing the education of this ACGME requirement.
Health care reform, coupled with recent technologic advances, is driving the rapid adoption of medical technology. Individual medical practitioners and integrated health care delivery systems have been forced to alter their approach to technology and to understand the potential applications within their practice. Among these technologic innovations is mobile health (mHealth), which is the practice of medical or public health supported by mobile electronic devices. mHealth enables the monitoring and delivery of health care and healthrelated information to a broad community in a real-time fashion. The power of mHealth stems from the ability to provide information, education, and resources to both health care providers and patients where and when they need it, thus extending traditional modes of information sharing and dissemination across the spectrum of health delivery. The dynamic nature of the devices and the accompanying software applications (apps) allows users to interact with each other and to access data in an unprecedented manner. For physicians and other members of a multidisciplinary care team, the result could be improved communication and alignment of services, clinical monitoring, multidisciplinary coordination of care, patient education, access to health records, and continuing medical education; for patients, mHealth could provide an additional point of contact with their providers that is interactive and that accompanies them throughout their day in their individual psychosocial milieu, allowing them to access information and become empowered at the point of need.Currently, our physical medicine and rehabilitation (PM&R) department is conducting a prospective study evaluating the impact of tablet computers, specifically the iPad (Apple Inc. Cupertino, CA), on patient care and resident education within a rehabilitation setting. Here we discuss attitudes among PM&R resident and attending physicians toward mHealth to better understand the current use and potential benefits within our field.The rapid movement of technology that is emerging outside of the traditional realm of hospital-driven information technology was initially dominated by personal digital assistant devices and by phones with advanced computer-like capabilities (smartphones) and has recently expanded to encompass tablet computers, including the iPad. There are currently more than 15,000 health-related apps available on iTunes, and at least 3 medical schools have already integrated iPads into the first-year curriculum [1,2]. Recent surveys suggest that 22% of physicians will own an iPad by the end of 2010 and more than 50% will have one by the end of 2011 [3,4].The rapid adoption of mobile technology by health care practitioners has been matched by the use of mobile devices by patients. In fact, more than 80% of Medicaid patients text regularly, and groups who would otherwise have limited access to Internet services (eg, ethnic minorities) are leading adopters of Smartphones and tablets [5]. Not only can mHealth reach individuals whenev...
Introduction: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) altered the delivery of outpatient care and expanded the use of telehealth solutions. This research underscores the importance of providing options for accessing health care services and diagnostic testing in a clinically rigorous manner. Providing options for patients will be essential in curtailing the spread of COVID-19, and any concomitant confusion caused by the overlapping symptomology of the flu and other upper respiratory viruses. Methods: A survey was sent to patients to collect information related to their experience with testing, guidance, and consults in a telehealth model for SARS-CoV-2. Specifically, patients were asked where they would have sought testing and care had this model not been available, and their satisfaction level with the service itself. Results: More than 1,400 patients responded to the survey for a response rate of 15%. Results demonstrate that patients who underwent testing and received guidance/ consults through this model would have visited other inperson clinical environments such as emergency rooms or urgent care centers. Although *70% of patients had never used telehealth services before, >90% were highly satisfied with their experience. Conclusion: Many health experts are predicting a second wave for COVID-19 infections around the country. Given the strong overlap of flu and other upper respiratory infections with COVID-19, the winter season could prove challenging both to contain the spread of the virus and to differentiate the cause. This research sheds additional light on the importance of providing patients with viable safe alternatives to obtain diagnostic testing, guidance, and consults.
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