Reengineering the Discharge Transition Process of COVID-19 Patients Using Telemedicine, Remote Patient Monitoring, and Around-the-Clock Remote Patient Monitoring from the Emergency Department and Inpatient Units

Kodama, Rich; Arora, Sunny; Anand, Swati; Choudhary, Abu; Weingarten, Jeremy A.; Francesco, Notar; Chiricolo, Gerardo; Silber, Steven H.; Mehta, Parag

doi:10.1089/tmj.2020.0459

Cited by 29 publications

(48 citation statements)

References 8 publications

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“…Two rationales for RPM were evident from these published studies: COVID-19 positive patients discharged from hospital to enable safe and early discharge with on-going RPM [12,14,19,21,[23][24]; and RPM for suspected or con rmed COVID-19 patients in the community to ensure only those patients who required hospital treatment were admitted [13, 15-18, 22, 25, 26]. Only one study incorporated both [23].…”

Section: Rationale [Reasons For Implementation Of Rpm]mentioning

confidence: 99%

“…Patients were described in terms of con rmed or presumed COVID-19 positive [13,20,[23][24]26], low to moderate risk [12,21], at risk of developing serious COVID-19 [17], having symptoms of COVID-19 [15,18,22], and had or have COVID pneumonia [14,25]. The least ill patients were home quarantined suspected cases [16,18] whilst the most complex were patients who, after hospital discharge, still required oxygen therapy at home [19].…”

Section: Patients [Patients Included In Rpm]mentioning

confidence: 99%

“…Two studies used this method [24,25]. A further study [21] used this method initially but given the burden on staff found it was not sustainable and changed to a more automated system from a provider of RPM systems.…”

Section: Technology (Appendix 2)mentioning

confidence: 99%

“…Use of mobile apps for data input and transfer was common, reported in eight RPM implementations [14][15][19][20][21][22][23]26].…”

Section: Technology (Appendix 2)mentioning

confidence: 99%

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Remote Patient Monitoring for COVID-19 Patients: Comparisons and Framework for Reporting

Joyce

Brún

Symmons

et al. 2021

Preprint

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BackgroundRemote patient monitoring (RPM) has been implemented for COVID-19 patients by various health services at speed, without the opportunity to learn one from another. A lack of standardised reporting has hindered evaluation of RPM.AimsThe aims of this overview of RPM for COVID-19 patients are twofold: (1) to provide tabulated, descriptive information for a range of implementations to facilitate familiarization, learning and comparison; and based on this(2) to develop a framework for reporting to improve reporting consistency as a first step towards the development of reporting guidelines for RPM.MethodA rapid review of the literature for RPM for COVID-19 patients was conducted seeking studies that provided details of a specific implementation of RPM with sufficient information to compare one with another. The content of these articles was then reviewed and synthesised to a tabular format under common headings to facilitate ready comparison and to highlight omissions in reporting. Reporting consistencies and inconsistencies between the studies were then considered to develop a framework for reporting.ResultsThe studies suggested key common characteristics outlined under four headings: context, technology, process, and metrics. These were further divided into subheadings to provide a consistent tabular format to aid familiarization. Consideration of consistencies and inconsistencies in reporting suggests the following criteria be used for reporting: Dates, Rationale, Patients, Medical team, Technology provider, Communication mode, Patient equipment, Patient training, Staff training, Markers, Data Input Frequency, Thresholds for Escalation, Discharge and Metrics for: RPM Enrollment, Escalation, Patient acceptance, Staff acceptance, and Patient adherence.

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Section: Rationale [Reasons For Implementation Of Rpm]mentioning

confidence: 99%

Section: Patients [Patients Included In Rpm]mentioning

confidence: 99%

Section: Technology (Appendix 2)mentioning

confidence: 99%

“…Use of mobile apps for data input and transfer was common, reported in eight RPM implementations [14][15][19][20][21][22][23]26].…”

Section: Technology (Appendix 2)mentioning

confidence: 99%

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Remote Patient Monitoring for COVID-19 Patients: Comparisons and Framework for Reporting

Joyce

Brún

Symmons

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Similarly, the New York-Presbyterian Brooklyn Methodist Hospital implemented an RPM programme where patients with COVID-19 were provided with a pulse oximeter post-discharge, and one nurse was assigned to monitor 50 patients. 10 Post-programme surveys revealed high patient satisfaction, with over 91% of participants indicating they would recommend it to others. Similarly, the St Antonius Hospital in the Netherlands developed an RPM programme which employed at-home oxygen saturation, temperature and symptom tracking to monitor patients with severe COVID-19 after hospital discharge, including Open access those receiving oxygen therapy at home.…”

mentioning

confidence: 99%

Strengthening healthcare delivery with remote patient monitoring in the time of COVID-19

Mantena

Keshavjee

2021

BMJ Health Care Inform

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A prospective observational study evaluating the use of remote patient monitoring in ED discharged COVID-19 patients in NYC

Nair

Casler

et al. 2022

The American Journal of Emergency Medicine

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Reengineering the Discharge Transition Process of COVID-19 Patients Using Telemedicine, Remote Patient Monitoring, and Around-the-Clock Remote Patient Monitoring from the Emergency Department and Inpatient Units

Cited by 29 publications

References 8 publications

Remote Patient Monitoring for COVID-19 Patients: Comparisons and Framework for Reporting

Remote Patient Monitoring for COVID-19 Patients: Comparisons and Framework for Reporting

Strengthening healthcare delivery with remote patient monitoring in the time of COVID-19

A prospective observational study evaluating the use of remote patient monitoring in ED discharged COVID-19 patients in NYC

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