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 affect of this system, together with:
- Affected person engagement with the expertise.
- Charge of alerts and escalations managed by digital care groups.
- Use of acute care assets.
- Affected person scientific outcomes.
Outcomes of the examine are revealed in NPJ Digital Medication.
Our examine investigated how our established Distant Affected person Monitoring Program with centralized nursing that helps persistent illness administration might successfully be tailored to serve numerous sufferers with an acute situation akin to COVID-19.”
Tufia Haddad, M.D., Medical Director, COVID-19 Distant Affected person Monitoring Program, Mayo Clinic’s Heart 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 had 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 expertise, together with charges of alerts and escalations, the position of digital care groups in affected person monitoring, acute care assets, and affected person scientific outcomes,” says Dr. Haddad. “Our objective with the Distant Affected person Monitoring Program was to assist stop extreme sickness amongst high-risk sufferers with COVID-19, scale back the burden on hospitals and emergency departments, and protect private protecting gear for front-line well being care employees.”
As Mayo Clinic applied its COVID-19 Distant Affected person Monitoring program, planners weren’t certain if sufferers would have interaction with the distant monitoring expertise and a digital care staff whereas coping with the signs of the virus.
“We give our sufferers who participated in this system quite a lot of credit score for his or her willingness to assist us examine how efficient this care may be in supporting them and different sufferers sooner or later,” says Dr. Haddad. “By sharing our program implementation, feasibility and security outcomes, we purpose to offer proof to take care of among the regulatory and medical licensure tips that had been relaxed,” says Dr. Haddad.
She says these adjustments enabled care supply throughout state strains 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 had been main boundaries 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 expertise 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 gear supply on to sufferers’ house or restoration location, and utilization of a expertise platform with built-in cellular-enabled connectivity to assist sufferers with out Web entry.” She says employees additionally monitored affected person engagement and used asynchronous and synchronous communication, akin to safe messages and phone calls to examine in with sufferers and provide nonclinical help. These interventions contributed to an general affected person engagement charge of 78.9%, demonstrating that sufferers will have interaction with the expertise and a centralized distant care staff.
“Even among the many sickest and highest-risk sufferers, digital care at house offers a secure, efficient and handy method for each sufferers and care groups to stay linked and coordinate on acceptable care selections,” says Dr. Haddad.
Coffey, J.D., et al. (2021) Implementation of a multisite, interdisciplinary distant affected person monitoring program for ambulatory administration of sufferers with COVID-19. NPJ Digital Medication. doi.org/10.1038/s41746-021-00490-9.