Role of Telehealth in the Management of COVID-19: Lessons Learned from Previous SARS, MERS, and Ebola Outbreaks

Keshvardoost, Sareh; Bahaadinbeigy, Kambiz; Fatehi, Farhad

doi:10.1089/tmj.2020.0105

Cited by 140 publications

(125 citation statements)

References 4 publications

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“…The role of telehealth in responding to epidemics and pandemics has been described previously [25][26][27] and health systems around the country have expanded use of telehealth in response to COVID-19 for outpatients, emergency departments, and intensive care units. [28][29][30] Prior to the COVID-19 pandemic our hospital had an established telehealth program for second opinions, select outpatient subspecialty visits, and limited interhospital consultations.…”

Section: Background and Significancementioning

confidence: 99%

Rapid Implementation of an Inpatient Telehealth Program during the COVID-19 Pandemic

et al. 2020

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Abstract Background Relaxation of laws and regulations around privacy and billing during the COVID-19 pandemic provide expanded opportunities to use telehealth to provide patient care at a distance. Many health systems have transitioned to providing outpatient care via telehealth; however, there is an opportunity to utilize telehealth for inpatients to promote physical distancing. Objective This article evaluates the use of a rapidly implemented, secure inpatient telehealth program. Methods We assembled a multidisciplinary team to rapidly design, implement, and iteratively improve an inpatient telehealth quality improvement initiative using an existing videoconferencing system at our academic medical center. We assigned each hospital bed space a unique meeting link and updated the meeting password for each new patient. Patients and families were encouraged to use their own mobile devices to join meetings when possible. Results Within 7 weeks of go-live, we hosted 1,820 inpatient telehealth sessions (13.3 sessions per 100 bedded days). We logged 104,647 minutes of inpatient telehealth time with a median session duration of 22 minutes (range 1–1,961). There were 5,288 participant devices used with a mean of 3 devices per telehealth session (range 2–22). Clinicians found they were able to build rapport and perform a reasonable physical exam. Conclusion We successfully implemented and scaled a secure inpatient telehealth program using an existing videoconferencing system in less than 1 week. Our implementation provided an intuitive naming convention for providers and capitalized on the broad availability of smartphones and tablets. Initial comments from clinicians suggest the system was useful; however, further work is needed to streamline initial setup for patients and families as well as care coordination to support clinician communication and workflows. Numerous use cases identified suggest a role for inpatient telehealth will remain after the COVID-19 crisis underscoring the importance of lasting regulatory reform.

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Section: Background and Significancementioning

confidence: 99%

Rapid Implementation of an Inpatient Telehealth Program during the COVID-19 Pandemic

et al. 2020

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“…In face of the pandemic, telehealth/ teleconsultation, that is, professional contact through technological means, has stood out as an instrument to replace face-to-face meetings, reducing physical contact and promoting social isolation. 10 A number of studies indicate that teleconsultation in cardiac rehabilitation is highly effective in supporting the self-management of care through phone calls, videoconferences and mobile applications. 11…”

Section: Results Of the Experience Of The Project's Team In Face Of Tmentioning

confidence: 99%

Care Transition for Liver Transplanted Patients During the Covid-19 Pandemic

Knihs

Sens

Silva

et al. 2020

Texto contexto - enferm.

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Objective: to submit the experience lived in the care transition for hospital discharge of patients undergoing liver transplantation due to the COVID-19 pandemic. Method: an experience report on hospital discharge planning and care transition for patients undergoing liver transplantation at a teaching hospital. Results: after COVID-19 pandemic has been declared, several technological means were used to support self-care strategies at the time of the hospital-home transition, as well as remote care for patients focusing on doubts about the routine of care and treatments. In addition, new counterreferral strategies were structured, prioritizing safety and social isolation. Conclusion: the adjustments in care transition with the support of the technologies provided transplanted patients access to all the information that guides self-care. Likewise, they regulated the flow of the support network and the health network, decreasing the possibility for COVID-19 spread, infection and development.

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“…As a result, cancer caregivers often have to step up to address patients' healthcare needs and wants [37,[46][47][48][49], which, in turn, could exert substantial mental and physical stress on informal caregivers, above and beyond COVID-19-related burdens the general public shoulders on a daily basis [17][18][19]. Technology-based health solutions can bypass spatial distancing constraints caused by COVID-19 and have the abilities to address unique challenges cancer patients and their caregivers face amid COVID-19 [50][51][52][53].…”

Section: Resultsmentioning

confidence: 99%

Technology-based Health Solutions for Cancer Caregivers to Better Shoulder the Impact of COVID-19: A Systematic Review Protocol

McDonnell

Liang

et al. 2020

Preprint

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Background Cancer patients are particularly vulnerable to COVID-19, partially owing to their compromised immune systems and curbed or cut cancer healthcare services caused by the pandemic. As a result, cancer caregivers may have to shoulder triple crises: the COVID-19 pandemic, pronounced healthcare needs from the patient, and elevated need for care from within. While technology-based health interventions have the potential to address unique challenges cancer caregivers face amid COVID-19, limited insights are available. Thus, to bridge this gap, we aim to identify technology-based interventions designed for cancer caregivers and report the characteristics and effects of these interventions concerning the distinctive challenges cancer caregivers face amid COVID-19. Additionally, this paper will present practical insights into the diverse intervention approaches that can assist in the delivery of digital health solutions for cancer caregivers amid and beyond COVID-19.Methods A systematic review of the literature will be conducted in PubMed, PsycINFO, CINAHL, and Scopus in September, 2020. Articles that center on technology-based interventions for cancer caregivers will be included in the review. The search strategy was developed in consultation with an academic librarian who is experienced in systematic review studies. Titles, abstracts, and full-text articles will be screened against eligibility criteria developed a priori. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses procedures will be followed for the reporting process.Results NA—This is a protocol study.Conclusions COVID-19 has uprooted cancer care as we know it. Due to barriers introduced by the COVID-19 pandemic, such as medical resources rationing, cancer caregivers often have to step up to address patients' healthcare needs and wants. This, in turn, will exert substantial stress on informal caregivers, above and beyond COVID-19-related burdens the general public shoulders on a daily basis. Findings of this study can shed light on evidence-based and practical solutions cancer caregivers can utilize to mitigate the unique challenges they face amid COVID-19. Furthermore, results of this study will also offer valuable insights for researchers who aim to develop interventions for cancer caregivers in the context of COVID-19. In addition, we also expect to be able to identify areas for improvement that need to be addressed in order for health experts to more adequately help cancer caregivers weather the storm of global health crises like COVID-19 and beyond.Study Protocol Registration: PROSPERO CRD42020196301

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Role of Telehealth in the Management of COVID-19: Lessons Learned from Previous SARS, MERS, and Ebola Outbreaks

Cited by 140 publications

References 4 publications

Rapid Implementation of an Inpatient Telehealth Program during the COVID-19 Pandemic

Rapid Implementation of an Inpatient Telehealth Program during the COVID-19 Pandemic

Care Transition for Liver Transplanted Patients During the Covid-19 Pandemic

Technology-based Health Solutions for Cancer Caregivers to Better Shoulder the Impact of COVID-19: A Systematic Review Protocol

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