Implementing Smoking Cessation Telehealth Technologies Within the VHA: Lessons Learned.

Sara E Golden, Stephanie Unger, Christopher G Slatore
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Abstract

Background: Health care systems need to reach patients who are smokers and connect them to evidence-based resources that can help them quit. Telehealth, such as an interactive voice response (IVR) system, may be one solution, but there is no roadmap to develop or implement an IVR system within the US Department of Veterans Affairs (VA).

Observations: We describe the development and implemention of IVR at the VA Portland Health Care System in Oregon to proactively reach veterans who use tobacco and connect them with cessation resources. We coordinated with local departments to verify the necessary processes and strategies that are important. We recommend several questions to ask the IVR vendor and be prepared to answer before contract finalization. The Patient Engagement, Tracking, and Long-term Support (PETALS) initiative may be an excellent place to start for VA IVR-related questions and can be used for IVR initiation within the VA, but other vendors will be needed for nonresearch purposes. Finally, we describe the process timeline and steps to help potential users.

Conclusions: IVR systems, once they are developed and implemented, can be efficient, low-cost, resource-nonintensive solutions that can effectively connect patients with needed health care services. Developing an IVR system within the VA was challenging for our research team. We experienced a large learning curve during implementation and hope that our experience and lessons will help VA personnel in the future.

在VHA内实施戒烟远程健康技术:经验教训。
背景:医疗保健系统需要接触吸烟者,并将他们与能够帮助他们戒烟的循证资源联系起来。远程健康,例如交互式语音响应(IVR)系统,可以是一种解决方案,但美国退伍军人事务部(VA)内部没有制定或实施IVR系统的路线图。观察结果:我们描述了俄勒冈州退伍军人事务部波特兰医疗保健系统制定和实施IVR的情况,以主动接触使用烟草的退伍军人,并将他们与戒烟资源联系起来。我们与当地部门进行了协调,以验证必要的重要流程和策略。我们建议IVR供应商提出几个问题,并准备在合同敲定前回答。患者参与、跟踪和长期支持(PETALS)计划可能是VA IVR相关问题的一个很好的起点,可以用于VA内部的IVR启动,但非搜索目的需要其他供应商。最后,我们描述了帮助潜在用户的流程时间表和步骤。结论:IVR系统一旦开发和实施,就可以成为高效、低成本、无资源影响的解决方案,有效地将患者与所需的医疗保健服务联系起来。在VA内开发IVR系统对我们的研究团队来说是一项挑战。在实施过程中,我们经历了一个巨大的学习曲线,希望我们的经验和教训将在未来帮助退伍军人事务部人员。
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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