A examine by Mayo Clinic investigators highlights the event and implementation of Mayo Clinic’s large-scale COVID-19 Distant Affected person Monitoring Program, which has served greater than 7,000 sufferers throughout 41 states.
The examine evaluated the influence of this system, together with:
- Affected person engagement with the know-how.
- Price of alerts and escalations managed by digital care groups.
- Use of acute care assets.
- Affected person scientific outcomes.
Outcomes of the examine are printed in NPJ Digital Medicine.
“Our examine investigated how our established Distant Affected person Monitoring Program with centralized nursing that helps continual illness administration may successfully be tailored to serve numerous sufferers with an acute situation akin to COVID-19,” says Tufia Haddad, M.D., medical director for the COVID-19 Distant Affected person Monitoring Program in Mayo Clinic’s Middle for Digital Well being. Dr. Haddad is a Mayo Clinic medical oncologist.
Dr. Haddad says because the COVID-19 pandemic shut down routine exercise within the U.S. in March 2020, hospitals rushed to develop new methods to assist nonhospitalized sufferers with COVID-19 who have been in danger for extreme sickness. Mayo Clinic expanded telemedicine providers, together with Distant Affected person Monitoring at the moment.
“At Mayo, we decided the feasibility and security of a COVID-19 Distant Affected person Monitoring Program by fastidiously contemplating affected person engagement with the know-how, together with charges of alerts and escalations, the function of digital care groups in affected person monitoring, acute care assets, and affected person scientific outcomes,” says Dr. Haddad. “Our aim with the Distant Affected person Monitoring Program was to assist forestall extreme sickness amongst high-risk sufferers with COVID-19, scale back the burden on hospitals and emergency departments, and protect private protecting tools for front-line well being care employees.”
As Mayo Clinic carried out its COVID-19 Distant Affected person Monitoring program, planners weren’t positive if sufferers would interact with the distant monitoring know-how and a digital care staff whereas coping with the signs of the virus.
“We give our sufferers who participated in this system lots of credit score for his or her willingness to assist us examine how efficient this care is perhaps in supporting them and different sufferers sooner or later,” says Dr. Haddad. “By sharing our program implementation, feasibility and security outcomes, we goal to supply proof to take care of among the regulatory and medical licensure tips that have been relaxed,” says Dr. Haddad.
She says these adjustments enabled care supply throughout state traces in response to a public well being emergency.
“We additional imagine the outcomes of this examine assist the 2021 growth of the Facilities for Medicare & Medicaid’s (CMS) closing rule to reimburse for qualifying Distant Affected person Monitoring Program providers for acute situation administration,” says Dr. Haddad. “These have been main obstacles to telehealth and digital care adoption previous to the pandemic, and these examine outcomes might assist inform different wanted well being care coverage adjustments to maintain adoption of this know-how past the COVID-19 pandemic.”
Dr. Haddad says the examine additionally demonstrates the efficacy of incorporating interventions that assist affected person entry and engagement and mitigate digital well being disparities.
“Our examine included the event of protocols to evaluate sufferers’ technical readiness following enrollment, together with offering directions in a number of languages, Distant Affected person Monitoring tools supply on to sufferers’ residence or restoration location, and utilization of a know-how platform with built-in cellular-enabled connectivity to assist sufferers with out Web entry.” She says workers additionally monitored affected person engagement and used asynchronous and synchronous communication, akin to safe messages and phone calls to test in with sufferers and supply nonclinical help. These interventions contributed to an total affected person engagement fee of 78.9%, demonstrating that sufferers will interact with the know-how and a centralized distant care staff.
“Even among the many sickest and highest-risk sufferers, digital care at residence offers a protected, efficient and handy manner for each sufferers and care groups to stay related and coordinate on applicable care selections,” says Dr. Haddad.