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Tele Critical Care Implementation And Education Project, Jeffrey Dover 2020 The University of San Francisco

Tele Critical Care Implementation And Education Project, Jeffrey Dover

Master's Projects and Capstones

Abstract

Problem: The intensive care unit has the highest rate of mortality and patient care costs in the hospital. There are significant challenges in improving care and controlling costs. One solution adopted by many healthcare organizations is intensive care telemedicine. Commonly known as eICUs or Tele Critical Care (TCC). These specialty units provide access to intensivists and nurses 24-hours a day and has shown success in reducing mortality and length of stay while providing cost savings.

Challenges exist in introducing telemedicine to a new setting. Barriers identified are high initial cost of equipment, competing priorities for resources, and nurse acceptance ...


The Rapid Increase In Telemedicine Visits During Covid-19, Chelsea Johnson, Kathryn Taff, Brian R. Lee, Amanda Montalbano 2020 Children's Mercy Kansas City

The Rapid Increase In Telemedicine Visits During Covid-19, Chelsea Johnson, Kathryn Taff, Brian R. Lee, Amanda Montalbano

Patient Experience Journal

Prior to the COVID-19 pandemic, facilitated telemedicine encounters were available at outreach locations; however, our tertiary children’s hospital had not invested widely in direct to patient telemedicine. Our daily pediatric subspecialty visits dropped from an average of 2066 visits a day prior to COVID-19 in our community to 1000 patients a day during the study period. Over the four-week period from April 15 to May 12, 2020, patient and family experience ratings of percentage of positive responses (9 or 10) on the provider rating 0-10 scale between telemedicine and in-person visits were compared for our pediatric subspecialty clinics using ...


Workshop #5: Workforce: Evacuations, Shelter Staffing, Workforce Structure, Capacity, Ppe, And Telemedicine: After-Action Report (Aar), CONVERGE NSF Working Group, Joshua G. Behr, Wie Yusuf, Jennifer Marshall, Elizabeth Dunn 2020 Old Dominion University

Workshop #5: Workforce: Evacuations, Shelter Staffing, Workforce Structure, Capacity, Ppe, And Telemedicine: After-Action Report (Aar), Converge Nsf Working Group, Joshua G. Behr, Wie Yusuf, Jennifer Marshall, Elizabeth Dunn

Presentations, Lectures, Posters, Reports

Participants in the breakout sessions for the CONVERGE COVID-19 Working Group’s Workshop 5 (Workforce) identified several issues, including unique staffing challenges for this compound event, needed training revisions to address shelter protocols specific to COVID-19, additional staffing needs based on the unusual use of congregate and non-congregate shelters to address COVID-19 risks, and the increased need for ancillary services for staff and volunteers during and after an event.

Ensuring shelter operations are maintained despite COVID-19 will require adequate staffing. Layoffs, furloughs and hiring freezes have affected base employee numbers, where many jurisdictions rely on county and city employees, along ...


Expanding The Capacity Of Rural Cancer Care With Teleoncology, Jason Semprini 2020 University of Iowa

Expanding The Capacity Of Rural Cancer Care With Teleoncology, Jason Semprini

Online Journal of Rural Research & Policy

Background: In the United States, 6 of the 25 leading causes of death stem from site-specific cancers, resulting in over 1.7 million deaths annually. Yet, this burden is not evenly distributed. While the incidence of cancer is significantly higher in urban areas, rural regions face higher rates of cancer mortality. Identifying the factors contributing rural cancer disparities can facilitate more effective and feasible policy solutions.’

Problem Definition: Rural Americans are geographically isolated from high-quality cancer services and face systemic barriers to NCI designated comprehensive cancer centers. Given this disparity, rural Americans have failed to fully realize the benefits of ...


Psjh Telehealth Covid-19 Repsonse, Todd Czartoski 2020 Providence Health System

Psjh Telehealth Covid-19 Repsonse, Todd Czartoski

Articles, Abstracts, and Reports

No abstract provided.


Home Telemonitoring Of Covid Patients By Medical Students At The Christiana Care Virtual Practice, Thomas Marconi, Jr, Chelsea Richards 2020 Thomas Jefferson University

Home Telemonitoring Of Covid Patients By Medical Students At The Christiana Care Virtual Practice, Thomas Marconi, Jr, Chelsea Richards

House Staff Quality Improvement and Patient Safety Conference (2020-)

SARS-Cov2 arrived in Delaware on March 11, 2020. By March 22, 2020, stay at home orders were in place1. During this time, CareVio, a subsidiary of ChristianaCare, was tasked with developing a strategy to monitor the Delaware community. CareVio repurposed Twistle – a telemonitoring application utilized to distribute symptom related surveys and conduct text message conversations for follow up. This service had the capability to act as a virtual information desk and triage patients to be seen by virtual practice providers or the emergency department. Patient monitoring via Twistle was initiated on March 18, 2020 and medical students from Sidney Kimmel ...


Telemedicine Certified Recovery Specialists For Patients With Opioid Use Disorders In The Emergency Department In Covid-19, Kory S. London, MD 2020 Thomas Jefferson University

Telemedicine Certified Recovery Specialists For Patients With Opioid Use Disorders In The Emergency Department In Covid-19, Kory S. London, Md

House Staff Quality Improvement and Patient Safety Conference (2020-)

COVID-19 is a staggering tragedy in a number of manners, but the lack of available access points to healthcare services due to federal, state, local and institutional regulations and decisions creates higher levels of patient vulnerability.

Patients with opioid use disorders (OUD) are especially vulnerable given high levels of coexistent housing insecurity, food insecurity and lack of primary care at baseline. These patients frequently utilize the emergency department for both medical and non-medical concerns.

Existing pathways to assist these patients utilize in person certified (peer) recovery specialists (CRS) who are not employed by the enterprise. Given the need to limit ...


A Telehealth Clinical Workflow For Academic Radiation Oncology Programs During The Covid19 Pandemic, Gregor Manukian, MD, PhD, Christian Fernandez, MD, Paul Forrest, Adam Dicker, MD, PhD, Mark D. Hurwitz, MD 2020 Thomas Jefferson University

A Telehealth Clinical Workflow For Academic Radiation Oncology Programs During The Covid19 Pandemic, Gregor Manukian, Md, Phd, Christian Fernandez, Md, Paul Forrest, Adam Dicker, Md, Phd, Mark D. Hurwitz, Md

House Staff Quality Improvement and Patient Safety Conference (2020-)

  • COVID19 has resulted in drastic measures to decrease exposure risks within healthcare systems, with cancer patients at increased risk of infection and death (Liang. Lancet Oncol. 2020).
  • Telehealth is the delivery of medical care via interactive audio and/or video telecommunication services.
  • Telehealth was previously used sparingly within the department of radiation oncology but has suddenly become the preferred method of contact.
  • In order to maintain quality of care, patient satisfaction, resident learning, and reimbursement, a robust telehealth clinical workflow is critical.
  • Our department engaged various stakeholder to quickly develop a clinical workflow.


Covid-19 Student Telehealth Support Initiative, Yash Varma, Mary White, Alexandra Leto 2020 Thomas Jefferson University

Covid-19 Student Telehealth Support Initiative, Yash Varma, Mary White, Alexandra Leto

House Staff Quality Improvement and Patient Safety Conference (2020-)

SKMC students partnered with numerous TJUH departments and developed a telehealth support initiative to:

  • Help TJUH patients navigate the telehealth system
  • Reduce system-wide appointment delays experienced by patients
  • Provide direction to COVID-19 resources

A Volunteer Script was prepared to help patients troubleshoot common issues with accessing the telehealth system and provide up to date recommendations from the CDC to remain safe.


Increasing Utilization Of Telehealth In Outpatient Primary Care, Allison Samuel, MD, Candace Derenge, MD, Anahita Molayi, MD, Amanda Kahn, MD, Jason Ojeda, MD 2020 Thomas Jefferson University

Increasing Utilization Of Telehealth In Outpatient Primary Care, Allison Samuel, Md, Candace Derenge, Md, Anahita Molayi, Md, Amanda Kahn, Md, Jason Ojeda, Md

House Staff Quality Improvement and Patient Safety Conference (2020-)

Based on survey data, residents are interested in gaining exposure to Telehealth and attendings would like to increase their number of Telehealth appointments. Providers expressed uncertainty about insurance coverage as a major barrier to increasing Telehealth utilization.

SMART AIM: Increase the total number of Telehealth visits at JIMA by 25% and initiate Telehealth visits for residents by May 1st.


Utilizing Telehealth Technology To Reduce Social Isolation And Depression In Seniors, Bohan Farrell 2020 University of San Diego

Utilizing Telehealth Technology To Reduce Social Isolation And Depression In Seniors, Bohan Farrell

Doctor of Nursing Practice Final Manuscripts

Abstract

Background: Social isolation in the elderly has been identified as a risk factor for poor mental and physical health, as well as higher rates of mortality, depression, and cognitive decline. Loneliness is the unpleasant experience that occurs when a person’s network of social relationships is deficient in some important way, either quantitatively or qualitatively. Depression is a mental condition characterized by feelings of severe despondency and dejection, typically with feelings of inadequacy and guilt, and accompanied by lack of energy and disturbance of appetite and sleep. Physically, lonely people have more disorders, such as sleeping problems, stomach pain ...


Secure Messaging, Diabetes Self-Management, And The Importance Of Patient Autonomy: A Mixed Methods Study, Stephanie A. Robinson, Mark S. Zocchi, Dane Netherton, Arlene S. Ash, Carolyn M. Purington, Samantha L. Connolly, Varsha G. Vimalananda, Timothy P. Hogan, Stephanie L. Shimada 2020 Boston University

Secure Messaging, Diabetes Self-Management, And The Importance Of Patient Autonomy: A Mixed Methods Study, Stephanie A. Robinson, Mark S. Zocchi, Dane Netherton, Arlene S. Ash, Carolyn M. Purington, Samantha L. Connolly, Varsha G. Vimalananda, Timothy P. Hogan, Stephanie L. Shimada

Population and Quantitative Health Sciences Publications

BACKGROUND: Diabetes is a complex, chronic disease that requires patients' effective self-management between clinical visits; this in turn relies on patient self-efficacy. The support of patient autonomy from healthcare providers is associated with better self-management and greater diabetes self-efficacy. Effective provider-patient secure messaging (SM) through patient portals may improve disease self-management and self-efficacy. SM that supports patients' sense of autonomy may mediate this effect by providing patients ready access to their health information and better communication with their clinical teams.

OBJECTIVE: We examined the association between healthcare team-initiated SM and diabetes self-management and self-efficacy, and whether this association was mediated ...


Healthcare Workers' Perceptions Of Different Types Of Interpreters In The Gulf South, Meg Hayslip 2020 University of Mississippi

Healthcare Workers' Perceptions Of Different Types Of Interpreters In The Gulf South, Meg Hayslip

Honors Theses

Medical interpreters are important in the healthcare community. Many studies have focused on the consequences of not having an interpreter. A variety of problems can be caused by "language brokering" when no interpreter is available. These studies will be discussed in the literature review. Many states have requirements to become certified as an interpreter, and the selection criteria is what makes a person a “good” interpreter. Previous research, such as that by Chan et al., has shown how different styles of interpreting can affect the quality of health care. This study focuses on how healthcare personnel and their patients view ...


Secure Asynchronous Communication Between Smokers And Tobacco Treatment Specialists: Secondary Analysis Of A Web-Assisted Tobacco Intervention In The Quit-Primo And National Dental Pbrn Networks, Rajani S. Sadasivam, Ariana Kamberi, Kathryn Delaughter, Barrett Phillips, Jessica H. Williams, Sarah L. Cutrona, Midge N. Ray, Gregg H. Gilbert, Thomas K. Houston 2020 University of Massachusetts Medical School

Secure Asynchronous Communication Between Smokers And Tobacco Treatment Specialists: Secondary Analysis Of A Web-Assisted Tobacco Intervention In The Quit-Primo And National Dental Pbrn Networks, Rajani S. Sadasivam, Ariana Kamberi, Kathryn Delaughter, Barrett Phillips, Jessica H. Williams, Sarah L. Cutrona, Midge N. Ray, Gregg H. Gilbert, Thomas K. Houston

Open Access Articles

BACKGROUND: Within a web-assisted tobacco intervention, we provided a function for smokers to asynchronously communicate with a trained tobacco treatment specialist (TTS). Previous studies have not attempted to isolate the effect of asynchronous counseling on smoking cessation.

OBJECTIVE: This study aimed to conduct a semiquantitative analysis of TTS-smoker communication and evaluate its association with smoking cessation.

METHODS: We conducted a secondary analysis of data on secure asynchronous communication between trained TTSs and a cohort of smokers during a 6-month period. Smokers were able to select their preferred TTS and message them using a secure web-based form. To evaluate whether the ...


Telemedicine And Telehepatology During The Covid-19 Pandemic., Oren K Fix, Marina Serper 2020 Organ Transplant Department, Swedish Medical Center, Seattle, Washington

Telemedicine And Telehepatology During The Covid-19 Pandemic., Oren K Fix, Marina Serper

Articles, Abstracts, and Reports

No abstract provided.


Comparison Of A Collective Intelligence Tailored Messaging System On Smoking Cessation Between African American And White People Who Smoke: Quasi-Experimental Design, Jamie Faro, Catherine S. Nagawa, Jeroan J. Allison, Stephenie C. Lemon, Kathleen M. Mazor, Thomas K. Houston, Rajani S. Sadasivam 2020 University of Massachusetts Boston

Comparison Of A Collective Intelligence Tailored Messaging System On Smoking Cessation Between African American And White People Who Smoke: Quasi-Experimental Design, Jamie Faro, Catherine S. Nagawa, Jeroan J. Allison, Stephenie C. Lemon, Kathleen M. Mazor, Thomas K. Houston, Rajani S. Sadasivam

Open Access Articles

BACKGROUND: The Patient Experience Recommender System for Persuasive Communication Tailoring (PERSPeCT) is a machine learning recommender system with a database of messages to motivate smoking cessation. PERSPeCT uses the collective intelligence of users (ie, preferences and feedback) and demographic and smoking profiles to select motivating messages. PERSPeCT may be more beneficial for tailoring content to minority groups influenced by complex, personally relevant factors.

OBJECTIVE: The objective of this study was to describe and evaluate the use of PERSPeCT in African American people who smoke compared with white people who smoke.

METHODS: Using a quasi-experimental design, we compared African American people ...


Multimodal Photoplethysmography-Based Approaches For Improved Detection Of Hypertension, Kaylie Welykholowa, Richard Fletcher, Mohamed Elgendi 2020 University of British Columbia

Multimodal Photoplethysmography-Based Approaches For Improved Detection Of Hypertension, Kaylie Welykholowa, Richard Fletcher, Mohamed Elgendi

Open Access Articles

Elevated blood pressure (BP) is a major cause of death, yet hypertension commonly goes undetected. Owing to its nature, it is typically asymptomatic until later in its progression when the vessel or organ structure has already been compromised. Therefore, noninvasive and continuous BP measurement methods are needed to ensure appropriate diagnosis and early management before hypertension leads to irreversible complications. Photoplethysmography (PPG) is a noninvasive technology with waveform morphologies similar to that of arterial BP waveforms, therefore attracting interest regarding its usability in BP estimation. In recent years, wearable devices incorporating PPG sensors have been proposed to improve the early ...


Rural Caregivers: Identification Of Informational Needs Through Telemedicine Questions, Shoshana H. Bardach, Allison Gibson, Kelly Parsons, April Stauffer, Gregory A. Jicha 2020 University of Kentucky

Rural Caregivers: Identification Of Informational Needs Through Telemedicine Questions, Shoshana H. Bardach, Allison Gibson, Kelly Parsons, April Stauffer, Gregory A. Jicha

Sanders-Brown Center on Aging Faculty Publications

OBJECTIVES: The prevalence of Alzheimer's disease and associated disorders is increasing. Rural residents in the United States have less access to memory care specialists and educational and community resources than in other areas of the country. Over a decade ago, we initiated an interdisciplinary rural caregiving telemedicine program to reach Kentucky residents in areas of the state where resources for supporting individuals with dementia are limited. Telemedicine programs involve a short informational presentation followed by a question and answer session; programs are offered 4 times a year. The purpose of this study was to explore questions asked over 1 ...


Telemedicine And Malpractice: Creating Uniformity At The National Level, Tyler D. Wolf 2020 William & Mary Law School

Telemedicine And Malpractice: Creating Uniformity At The National Level, Tyler D. Wolf

William & Mary Law Review

Picture this: an elderly gentleman living alone, isolated in a rural, midwestern locale. One day, this elderly gentleman awakes to find a distinct rash forming on his chest. The nearest doctor capable of performing an examination is located over a hundred miles away, and this man has not driven more than ten miles in twenty years. Shambling into his living room, the elderly man logs onto his computer and begins typing. Within twenty minutes he is videoconferencing with a doctor who examines the rash remotely and makes a diagnosis.

Through advances in telemedicine, the scenario described above is becoming an ...


Feasibility Of Post-Operative Mobile Health Monitoring Among Colorectal Surgery Patients, Tanya Kuper 2020 The University of Western Ontario

Feasibility Of Post-Operative Mobile Health Monitoring Among Colorectal Surgery Patients, Tanya Kuper

Electronic Thesis and Dissertation Repository

Post-operative readmission following colorectal surgery is a common and costly occurrence. Remote health monitoring via mobile applications has the potential to reduce post-operative readmissions by early identification of complications. This intervention depends on patient acceptance and compliance with available technology. The feasibility of home monitoring using automated daily surveys and wound photo uploads, delivered via a mobile health application, was tested in the immediate post-operative period after colorectal surgery. Patient compliance, the association between generated alerts and readmissions, and patient satisfaction were measured. Patient satisfaction was high; 80.5% of patients reported that they felt safer going home knowing that ...


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