A Scalable Framework for Telehealth: The Mayo Clinic Center for Connected Care Response to the COVID-19 Pandemic.

Telemedicine reports Pub Date : 2021-02-24 eCollection Date: 2021-01-01 DOI:10.1089/tmr.2020.0032
Tufia C Haddad, Rebecca N Blegen, Julie E Prigge, Debra L Cox, Greg S Anthony, Michelle A Leak, Dwight D Channer, Page Y Underwood, Ryan D Williams, Rhapsody D Hofschulte, Laura A Christopherson, Jordan D Coffey, Sarvam P TerKonda, James A Yiannias, Brian A Costello, Christopher S Russi, Christopher E Colby, Steve R Ommen, Bart M Demaerschalk
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引用次数: 18

Abstract

Background: The Mayo Clinic Center for Connected Care has an established organizational framework for telehealth care delivery. It provides patients, consumers, care teams, and referring providers access to clinical knowledge through technologies and integrated practice models. Central to the framework are teams that support product management and operational functions. They work together across the asynchronous, synchronous video telemedicine, remote patient monitoring (RPM), and mobile core service lines. Methods: The organizational framework of the Center for Connected Care and Mayo Clinic telehealth response to the COVID-19 pandemic is described. Barriers to telehealth delivery that were addressed by the public health emergency are also reported. This report was deemed exempt from full review by the Mayo Clinic IRB. Results: After declaration of the COVID-19 pandemic, there was rapid growth in established telehealth offerings, including patient online services account creation, secure messaging, inpatient eConsults, express care online utilization, and video visits to home. Census for the RPM program for patients with chronic conditions remained stable; however, its framework was rapidly adapted to develop and implement a COVID-19 RPM service. In addition to this, other new telehealth and virtual care services were created to support the unique needs of patients with COVID-19 symptoms or disease and the health care workforce, including a digital COVID-19 self-assessment tool and video telemedicine solutions for ambulances, emergency departments, intensive care units, and designated medical-surgical units. Conclusion: Rapid growth, adoption, and sustainability of telehealth services through the COVID-19 pandemic were made possible by a scalable framework for telehealth and alignment of regulatory and reimbursement models.

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可扩展的远程医疗框架:梅奥诊所互联医疗应对COVID-19大流行中心。
背景:梅奥诊所互联医疗中心建立了远程医疗服务的组织框架。它通过技术和综合实践模型为患者、消费者、护理团队和转诊提供者提供临床知识。该框架的核心是支持产品管理和操作功能的团队。它们在异步、同步视频远程医疗、远程患者监控(RPM)和移动核心服务线路上协同工作。方法:描述互联医疗中心和梅奥诊所远程医疗应对COVID-19大流行的组织框架。还报告了公共卫生紧急情况解决的远程保健服务障碍。该报告被认为免于梅奥诊所IRB的全面审查。结果:在宣布2019冠状病毒病大流行后,现有的远程医疗服务迅速增长,包括患者在线服务账户创建、安全消息传递、住院econsult、快速护理在线利用和视频回访。慢性病患者的RPM计划普查保持稳定;然而,它的框架被迅速调整为开发和实施COVID-19 RPM服务。除此之外,还创建了其他新的远程医疗和虚拟医疗服务,以支持患有COVID-19症状或疾病的患者和卫生保健工作人员的独特需求,包括数字COVID-19自我评估工具和用于救护车、急诊科、重症监护病房和指定医疗外科病房的视频远程医疗解决方案。结论:通过可扩展的远程医疗框架以及监管和报销模式的协调,远程医疗服务在2019冠状病毒病大流行期间得以快速增长、采用和可持续发展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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