Telehealth Use to Promote Quality Outcomes and Reduce Costs in Stroke Care

Halbert, Kelsey; Bautista, Cynthia

doi:10.1016/j.cnc.2019.02.001

Cited by 13 publications

(8 citation statements)

References 9 publications

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“…These are all important indicators for hospital quality. 35 Telehealth was also found to improve patient satisfaction, which has a positive impact on TPS. 36 Therefore, telehealth can be an important capability to improve a hospital’s TPS.…”

Section: Policy and Practice Recommendationsmentioning

confidence: 91%

Telehealth and hospital performance: Does it matter?

Zhao

Hamadi

et al. 2020

J Telemed Telecare

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Introduction Previous studies indicated that telehealth services may improve hospital performance. However, the extent to which these telehealth provisions would improve hospital total performance score under the hospital value-based purchasing (HVBP) programme is not clear. The aim of this study is to examine the association between telehealth provision and hospital performance. Methods We performed a retrospective analysis of the association between the provision of telehealth services and 2699 hospital’s total performance score (TPS) on the 2018 HVBP programme and its four domains. Multivariate regression models were used to analyse TPS and hospital performance on each domain. Telehealth services offered by a hospital was categorically operationalized as hospitals with no telehealth services, with one to two telehealth services, and with three or more telehealth services. Results Hospitals with one to two telehealth services have TPS (ß coefficient = 1.50; 95% confident intervals (CI): 0.28, 2.73; p < 0.05) and hospitals with three or more telehealth services have higher efficiency and cost reduction (ß = 1.10; 95% CI: 0.32, 1.87; p < 0.01) domain scores. However, the impact of telehealth on clinical care, person and community engagement, and safety domain scores was not significant. Discussion The expansion of hospital telehealth service provision can improve not only the efficiency of care, but also the total performance of the hospital. Since total performance is directly associated with hospital payments from the government, these findings have significant practice and policy implications. In addition, the effect of telehealth on other quality measures such as clinical care and safety needs further investigation.

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Section: Policy and Practice Recommendationsmentioning

confidence: 91%

Telehealth and hospital performance: Does it matter?

Zhao

Hamadi

et al. 2020

J Telemed Telecare

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“…Although there are several barriers to providing a tele-stroke service, telehealth does provides an accurate diagnosis and appropriate treatment. 104…”

Section: Resultsmentioning

confidence: 99%

“…Although there are several barriers to providing a tele-stroke service, telehealth does provides an accurate diagnosis and appropriate treatment. 104 A small study in Spain on inflammatory bowel disease suggested a high probability of the telehealth platform being more cost-effective than standard and telephone care at least in the short term. 105 Another factor that undermines cost effectiveness is the need for staff training.…”

Section: Telehealth and Medicine Today ®mentioning

confidence: 99%

Telehealth: Is It Only for the Rural Areas? A Review of Its Wider Use

Muzammil

2020

Telehealth and Medicine Today

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Telehealth (also known as telemedicine, digital medicine) is a relatively new concept in healthcare provision, which is perceived as a useful mode of managing patients at remote locations. As this technology evolves, the need arises to explore telehealth as part of holistic care. Much literature on telehealth is available but most are specialty-based or focus on one or two aspects of care provision. This article focuses on the four main building blocks of telehealth: perception by healthcare staff, perception by patients, quality of Internet and technology, and cost effectiveness based on 2 years of published literature.

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“…69,78 In multiple studies, remote telehealth services have proven easy to use, have used less resources (eg, transportation, time off from work), and have been well received by patients, caregivers, and clinical staff under the appropriate circumstances. 79,80 Whether in person or virtual, support to be encouraged includes stroke rehabilitation therapies, maintaining a healthy lifestyle, physical activity, and preserving social networks. 27,67,81,82 It is necessary that technology development teams continue to advance the infrastructure of telehealth services to provide opportunities for high-quality rehabilitation service delivery.…”

Section: Health Care Delivery Levelmentioning

confidence: 99%