Implementation and Evaluation of Diabetes Management via Clinical Video Telehealth

Verbosky, Natalie; Beckey, Cherylyn; Lutfi, Nahla

doi:10.2337/dc15-1391

Cited by 5 publications

(10 citation statements)

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“…Improved access to quality care and reductions in health care utilization expenses are additional benefits of telehealth technology. Three of the four telehealth cost analysis reviews demonstrated promising benefits with regard to reducing treatment costs and complications for patients living in rural areas (13–16). Varied telehealth models are available as an alternative to in-person medical and educational encounters.…”

Section: Resultsmentioning

confidence: 99%

“…Telehealth is also used for reducing costs, time, and risks associated with traveling to a main medical center (13). A pilot quality improvement program to provide CVT pharmacotherapy clinics for patients with diabetes was implemented at the West Palm Beach Veterans Affairs Medical Center (WPBVA) from 1 October 2012 to 30 April 2013.…”

Section: Resultsmentioning

confidence: 99%

“…Interactive video telehealth technology may improve glycemic control through improved access to quality care (7,12,13,18,22,24). Patient empowerment and self-care management through DSME also may be improved (17,23).…”

Section: Resultsmentioning

confidence: 99%

“…Patients using telehealth in rural areas have expressed high satisfaction rates resulting from improved access to specialty care, reduced costs, and enhanced convenience (7,12,13 17,19,27). PCPs have also expressed satisfaction with the technology’s ability to provide resources for both professional development and patient care management (18,21,24,27).…”

Section: Resultsmentioning

confidence: 99%

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Interactive Video Telehealth Models to Improve Access to Diabetes Specialty Care and Education in the Rural Setting: A Systematic Review

McLendon

2017

Diabetes Spectrum

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Interactive Video Telehealth Models to Improve Access to Diabetes Specialty Care and Education in the Rural Setting: A Systematic Review

McLendon

2017

Diabetes Spectrum

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“…Philip analyses the expansion of clinical pharmacy through increased use of outpatient pharmacists for anticoagulation services (Philip et al, 2015 ). Verbosky assesses the implementation of diabetes management via telehealth, whilst Owsley evaluates telemedicine for diabetic eye screening (Owsley et al, 2015 ; Verbosky et al, 2016 ). Singh studies the implementation and benefits of a pharmacist-managed telehealth anticoagulation clinic (Singh et al, 2015 ).…”

Section: Discussionmentioning

confidence: 99%

A Scoping Review of the Quality and the Design of Evaluations of Mobile Health, Telehealth, Smart Pump and Monitoring Technologies Performed in a Pharmacy-Related Setting

et al. 2018

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Background: There is currently a need for high quality evaluations of new mobile health, telehealth, smart pump and monitoring technologies undertaken in a pharmacy-related setting. We aim to evaluate the use of these monitoring technologies performed in this setting.Methods: A systematic searching of English articles that examined the quality and the design of technologies conducted in pharmacy-related facilities was performed using the following databases: MEDLINE and Cumulative index to Nursing and Allied Health Literature (CINAHL) to identify original studies examining the quality and the design of technologies and published in peer-reviewed journals. Extraction of articles and quality assessment of included articles were performed independently by two authors. Quality scores over 75% are classed as being acceptable using a “relatively conservative” quality benchmark. Scores over 55% are included using a “relatively liberal” cut-off point.Results: Screening resulted in the selection of 40 formal evaluations. A substantial number of studies (32, 80.00%) were performed in the United States, quantitative in approach (33, 82.50%) and retrospective cohort (24, 60.00%) in study design. The most common pharmacy-related settings were: 22 primary care (55.00%); 10 hospital pharmacy (25.00%); 7 community pharmacy (17.50%); one primary care and hospital pharmacy (2.50%). The majority of the evaluations (33, 82.50%) reported clinical outcomes, six (15.00%) measured clinical and economic outcomes, and one (2.50%) economic only. Twelve (30.00%) quantitative studies and no qualitative study met objective criteria for “relatively conservative” quality. Using a lower “relatively liberal” benchmark, 27 quantitative (81.82%) and four qualitative (57.41%) studies met the lower quality criterion.Conclusion: Worldwide, few evaluations of mobile health, telehealth, smart pump and monitoring technologies in pharmacy-related setting have been published.Their quality is often below the standard necessary for inclusion in a systematic review mainly due to inadequate study design.

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Enhancing diabetes care through care coordination, telemedicine, and education: Evaluation of a rural pilot program

McLendon

Wood

Stanley

2019

Public Health Nursing

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Objective: To provide a comprehensive evaluation of a grant-funded pilot diabetes care program. Rural adult patients living with poorly controlled diabetes were targeted for care. Design and Sample:Retrospective study using a purposive sample of patients at select primary care sites with a glycated hemoglobin (A1C) greater than 8%. Interventions included nurse care management, telemedicine endocrinology consults, as well as diabetes self-management education (DSME), to enhance disease management and prevention of complications.Measures: Pre/post labs, DSME test scores, hospital claims data, satisfaction surveys, and a focus group were evaluated. Results: Fifty-nine adults, 21-76 years of age, participated. Interventions demonstrated statistically significant reduction in A1C (10.10 vs. 9.27; p value = 0.002); DSME test score improvement (76.23 vs. 96.04; p < 0.05) and reduced hospital utilization (Emergency Department use 0.86 vs. 0.40; p value = 0.04; inpatient admissions 0.09 vs. 0.02; p value = 0.02). Patients and providers indicated strong satisfaction with the program components. Less hospital utilization reduced emergency department costs by 51.4% and inpatient costs by 96%. A rural community advisory network indicated satisfaction in delivery of program activities and outcome measures.Conclusions: This rural model shows potential for improving diabetes control, access to specialty care through telemedicine, and reduction of health care utilization costs.

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Implementation and Evaluation of Diabetes Management via Clinical Video Telehealth

Abstract: Figure 1-Patient satisfaction survey results.

Cited by 5 publications

References 0 publications

Interactive Video Telehealth Models to Improve Access to Diabetes Specialty Care and Education in the Rural Setting: A Systematic Review

Interactive Video Telehealth Models to Improve Access to Diabetes Specialty Care and Education in the Rural Setting: A Systematic Review

A Scoping Review of the Quality and the Design of Evaluations of Mobile Health, Telehealth, Smart Pump and Monitoring Technologies Performed in a Pharmacy-Related Setting

Enhancing diabetes care through care coordination, telemedicine, and education: Evaluation of a rural pilot program

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