In-Hospital Telehealth Supports Care for Neonatal Patients in Strict Isolation

Umoren, Rachel; Gray, Megan; Handley, Sarah; Johnson, Nathaniel; Kunimura, Christina; Mietzsch, Ulrike; Billimoria, Zeenia; Lo, Mark D.

doi:10.1055/s-0040-1709687

Cited by 30 publications

(27 citation statements)

References 11 publications

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“…[12][13][14][15] One recent study used video systems, mobile devices, and digital stethoscopes to reduce both PPE use and exposure of health care workers in the intensive care unit (ICU). 16 These actions are in line with the Centers for Disease Control and Prevention's recommendation that hospitals develop protocols to manage patients with COVID-19 using telehealth or telemedicine methods as part of a comprehensive preparedness checklist. 17 Despite these efforts, much is unknown about the utilization of existing technology capabilities and the details of implementing digital solutions at scale in hospitals during a short time period for disaster responses such as COVID- 19.…”

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confidence: 73%

Inpatient Telehealth Tools to Enhance Communication and Decrease Personal Protective Equipment Consumption during Disaster Situations: A Case Study during the COVID-19 Pandemic

et al. 2020

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Background As the coronavirus disease 2019 pandemic exerts unprecedented stress on hospitals, health care systems have quickly deployed innovative technology solutions to decrease personal protective equipment (PPE) use and augment patient care capabilities. Telehealth technology use is established in the ambulatory setting, but not yet widely deployed at scale for inpatient care. Objectives This article presents and describes our experience with evaluating and implementing inpatient telehealth technologies in a large health care system with the goals of reducing use of PPE while enhancing communication for health care workers and patients. Methods We discovered use cases for inpatient telehealth revealed as a result of an immense patient surge requiring large volumes of PPE. In response, we assessed various consumer products to address the use cases for our health system. Results We identified 13 use cases and eight device options. During device setup and implementation, challenges and solutions were identified in five areas: security/privacy, device availability and setup, device functionality, physical setup, and workflow and device usage. This enabled deployment of more than 1,800 devices for inpatient telehealth across seven hospitals with positive feedback from health care staff. Conclusion Large-scale setup and distribution of consumer devices is feasible for inpatient telehealth use cases. Our experience highlights operational barriers and potential solutions for health systems looking to preserve PPE and enhance vital communication.

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confidence: 73%

Inpatient Telehealth Tools to Enhance Communication and Decrease Personal Protective Equipment Consumption during Disaster Situations: A Case Study during the COVID-19 Pandemic

et al. 2020

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“…Characteristics of technologies in the studies. [13-22,25,26,28,30,31,33,34,36-45,47,49-51,54-59,62-64,66-76,78,79,82-89,92,93,96,97, 99-103,105,107-116,118,119] 29,32,35,46,52,53,60,61,65,77,80,90,95,104,106,117] 17 (15.7) Both[20,25,29,34,41,44,45,47,49,51,56,58,61,69,70,73,76,80,81,83,86,[89][90][91][93][94][95]101,[104][105][106][107]114,115,119,120,122,123,[125][126][127][128]131,132,135,136] 46 (58.2) Built for purpose[14-16,18,20,23-26,31,34,37-39,47,50,53,54,57,62-64,67,69-72,74-77,87,90,96,97,100,101,107, 108,111,113,115,117,120,137] [26,29,44,45,52,75,78,81,85,88,89,93-95,103,104,106-109,117-119,121,122,124,126-136,138] 17,20-24,26-33,35,40,42,43,46,49,52,53,55,59-62,65-68,74,76,77,79,81,82,84,8...…”

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confidence: 99%

Overview of Technologies Implemented During the First Wave of the COVID-19 Pandemic: Scoping Review

Abd‐Alrazaq¹,

Hassan²,

Abuelezz³

et al. 2021

J Med Internet Res

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Background Technologies have been extensively implemented to provide health care services for all types of clinical conditions during the COVID-19 pandemic. While several reviews have been conducted regarding technologies used during the COVID-19 pandemic, they were limited by focusing either on a specific technology (or features) or proposed rather than implemented technologies. Objective This review aims to provide an overview of technologies, as reported in the literature, implemented during the first wave of the COVID-19 pandemic. Methods We conducted a scoping review using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) Extension for Scoping Reviews. Studies were retrieved by searching 8 electronic databases, checking the reference lists of included studies and relevant reviews (backward reference list checking), and checking studies that cited included studies (forward reference list checking). The search terms were chosen based on the target intervention (ie, technologies) and the target disease (ie, COVID-19). We included English publications that focused on technologies or digital tools implemented during the COVID-19 pandemic to provide health-related services regardless of target health condition, user, or setting. Two reviewers independently assessed the eligibility of studies and extracted data from eligible papers. We used a narrative approach to synthesize extracted data. Results Of 7374 retrieved papers, 126 were deemed eligible. Telemedicine was the most common type of technology (107/126, 84.9%) implemented in the first wave of the COVID-19 pandemic, and the most common mode of telemedicine was synchronous (100/108, 92.6%). The most common purpose of the technologies was providing consultation (75/126, 59.5%), followed by following up with patients (45/126, 35.7%), and monitoring their health status (22/126, 17.4%). Zoom (22/126, 17.5%) and WhatsApp (12/126, 9.5%) were the most commonly used videoconferencing and social media platforms, respectively. Both health care professionals and health consumers were the most common target users (103/126, 81.7%). The health condition most frequently targeted was COVID-19 (38/126, 30.2%), followed by any physical health conditions (21/126, 16.7%), and mental health conditions (13/126, 10.3%). Technologies were web-based in 84.1% of the studies (106/126). Technologies could be used through 11 modes, and the most common were mobile apps (86/126, 68.3%), desktop apps (73/126, 57.9%), telephone calls (49/126, 38.9%), and websites (45/126, 35.7%). Conclusions Technologies played a crucial role in mitigating the challenges faced during the COVID-19 pandemic. We did not find papers describing the implementation of other technologies (eg, contact-tracing apps, drones, blockchain) during the first wave. Furthermore, technologies in this review were used for other purposes (eg, drugs and vaccines discovery, social distancing, and immunity passport). Future research on studies on these technologies and purposes is recommended, and further reviews are required to investigate technologies implemented in subsequent waves of the pandemic.

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“…4,5,21,24,25 Furthermore, with the ongoing COVID-19 pandemic, current circumstances favor feasibility, as telemedicine use has increased substantially in the U.S. and Canadian health care systems. [26][27][28][29][30][31][32] While there are concerns that small, community hospitals may not view telemedicine as practical given the often limited resource availability, we found that hospitals with Level I well newborn nurseries rated teleneonatology more feasible than did hospitals with Level II special care nurseries. As most of our respondents were clinicians (versus administrators), the simplicity of program implementation and utilization may have had a greater impact on feasibility ratings than considerations about program cost.…”

Section: Discussionmentioning

confidence: 57%

“…The survey was conducted during a time when telehealth services expanded significantly across U.S. and Canadian health care systems for inpatient and outpatient care during the COVID-19 pandemic. 27,28,30,31 This greater familiarity with telemedicine may have increased the likelihood of positive provider attitudes toward teleneonatology.…”

Section: Discussionmentioning

confidence: 99%

Provider Perspectives on the Acceptability, Appropriateness, and Feasibility of Teleneonatology

et al. 2021

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Objective We aimed to measure provider perspectives on the acceptability, appropriateness, and feasibility of teleneonatology in neonatal intensive care units (NICUs) and community hospitals. Study Design Providers from five academic tertiary NICUs and 27 community hospitals were surveyed using validated implementation measures to assess the acceptability, appropriateness, and feasibility of teleneonatology. For each of the 12 statements, scale values ranged from 1 to 5 (1 = strongly disagree; 5 = strongly agree), with higher scores indicating greater positive perceptions. Survey results were summarized, and differences across respondents assessed using generalized linear models. Results The survey response rate was 56% (203/365). Respondents found teleneonatology to be acceptable, appropriate, and feasible. The percent of respondents who agreed with each of the twelve statements ranged from 88.6 to 99.0%, with mean scores of 4.4 to 4.7 and median scores of 4.0 to 5.0. There was no difference in the acceptability, appropriateness, and feasibility of teleneonatology when analyzed by professional role, years of experience in neonatal care, or years of teleneonatology experience. Respondents from Level I well newborn nurseries had greater positive perceptions of teleneonatology than those from Level II special care nurseries. Conclusion Providers in tertiary NICUs and community hospitals perceive teleneonatology to be highly acceptable, appropriate, and feasible for their practices. The wide acceptance by providers of all roles and levels of experience likely demonstrates a broad receptiveness to telemedicine as a tool to deliver neonatal care, particularly in rural communities where specialists are unavailable. Key Points

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In-Hospital Telehealth Supports Care for Neonatal Patients in Strict Isolation

Abstract: Telehealth supports patient care in isolation. • Telehealth reduced health care provider exposures. • Telehealth conserves personal protective equipment.

Cited by 30 publications

References 11 publications

Inpatient Telehealth Tools to Enhance Communication and Decrease Personal Protective Equipment Consumption during Disaster Situations: A Case Study during the COVID-19 Pandemic

Inpatient Telehealth Tools to Enhance Communication and Decrease Personal Protective Equipment Consumption during Disaster Situations: A Case Study during the COVID-19 Pandemic

Overview of Technologies Implemented During the First Wave of the COVID-19 Pandemic: Scoping Review

Provider Perspectives on the Acceptability, Appropriateness, and Feasibility of Teleneonatology

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