Telemedicine Follow-Up Appointments After NICU Discharge May Facilitate Easier Transition to Home.

Background: Infants who require a stay in the Neonatal Intensive Care Unit (NICU) may require significantly higher levels of care once they are ready for discharge. Although providers try to ensure a smooth transition to home, caregivers may not be fully prepared for home life and may need questions or concerns addressed before their follow-up appointments. Providing telemedicine (TM) visits shortly after NICU discharge may ease these issues and improve care.

Purpose: The primary aim of this quality improvement project was to obtain family feedback on potential benefits of post-NICU discharge TM visits conducted by a neonatal nurse practitioner. A secondary aim was to determine if a recent change in the nutrition discharge process was beneficial to caregivers.

Methods: All infants discharged from the NICU who had a TM appointment (N = 35) from April to December 2022 were eligible for the telephone interview. Semi-structured caregiver interviews were conducted with the team dietitian by telephone within 2 weeks of the TM FU.

Results: Of those who had TM appointments, 30 families participated in the interviews (85.7%), and 28 (93.3%) reported finding the visits beneficial.

Implications: Families found TM visits after NICU discharge to be beneficial. TM visits may serve as a safety net for families who at the time of NICU discharge do not yet realize the types of challenges that they will face once home.