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HSS@Home, Physical Therapist-Led Telehealth Care Navigation for Arthroplasty Patients: A Retrospective Case Series

BACKGROUND: As the rate of total joint arthroplasties performed in the USA continues to increase, so does the push for more value-based care. Bundled payments have encouraged organizations to be creative in limiting care overuse. Telehealth is one option for caring for arthroplasty patients post-sur...

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Autores principales: Fisher, Charles, Biehl, Elizabeth, Titmuss, Matthew P., Schwartz, Rachelle, Gantha, Chandra Sekhar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6778161/
https://www.ncbi.nlm.nih.gov/pubmed/31624477
http://dx.doi.org/10.1007/s11420-019-09714-x
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author Fisher, Charles
Biehl, Elizabeth
Titmuss, Matthew P.
Schwartz, Rachelle
Gantha, Chandra Sekhar
author_facet Fisher, Charles
Biehl, Elizabeth
Titmuss, Matthew P.
Schwartz, Rachelle
Gantha, Chandra Sekhar
author_sort Fisher, Charles
collection PubMed
description BACKGROUND: As the rate of total joint arthroplasties performed in the USA continues to increase, so does the push for more value-based care. Bundled payments have encouraged organizations to be creative in limiting care overuse. Telehealth is one option for caring for arthroplasty patients post-surgery while limiting costs and improving communication with the surgical team. QUESTIONS/PURPOSES: We sought to determine the effects of the implementation of HSS@Home, a telehealth rehabilitation program that uses patients’ existing technology, in patients after they had undergone total knee or total hip arthroplasty. METHODS: In this retrospective case series, of 32 patients referred, 19 patients (nine men and ten women; average age, 69 years) were enrolled in HSS@Home after undergoing a pre- and post-operative screening process. Telehealth video visits were conducted, wherein a physical therapy navigator assisted patients in following exercise and mobility programs, addressing patients’ concerns while transitioning to outpatient therapy. Patients were seen within 24 h of hospital discharge, 3 times a week for 3 weeks, for an average of 11 sessions. Episodes of care were recorded in the patient’s electronic medical record. RESULTS: There were no readmissions among the 19 patients. Nurse practitioners were consulted for all patients, predominantly for non-emergent reasons. Feedback from patients and physicians was positive, and no overutilization of care was found. CONCLUSION: HSS@Home was a promising alternative to live, in-home physical therapy that was effective in monitoring this series of patients after hip or knee arthroplasty. This preliminary data sets the stage for further research into the use of telehealth technology to provide rehabilitative care to arthroplasty patients. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s11420-019-09714-x) contains supplementary material, which is available to authorized users.
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spelling pubmed-67781612019-10-17 HSS@Home, Physical Therapist-Led Telehealth Care Navigation for Arthroplasty Patients: A Retrospective Case Series Fisher, Charles Biehl, Elizabeth Titmuss, Matthew P. Schwartz, Rachelle Gantha, Chandra Sekhar HSS J Rehabilitation and Musculoskeletal Health / Original Article BACKGROUND: As the rate of total joint arthroplasties performed in the USA continues to increase, so does the push for more value-based care. Bundled payments have encouraged organizations to be creative in limiting care overuse. Telehealth is one option for caring for arthroplasty patients post-surgery while limiting costs and improving communication with the surgical team. QUESTIONS/PURPOSES: We sought to determine the effects of the implementation of HSS@Home, a telehealth rehabilitation program that uses patients’ existing technology, in patients after they had undergone total knee or total hip arthroplasty. METHODS: In this retrospective case series, of 32 patients referred, 19 patients (nine men and ten women; average age, 69 years) were enrolled in HSS@Home after undergoing a pre- and post-operative screening process. Telehealth video visits were conducted, wherein a physical therapy navigator assisted patients in following exercise and mobility programs, addressing patients’ concerns while transitioning to outpatient therapy. Patients were seen within 24 h of hospital discharge, 3 times a week for 3 weeks, for an average of 11 sessions. Episodes of care were recorded in the patient’s electronic medical record. RESULTS: There were no readmissions among the 19 patients. Nurse practitioners were consulted for all patients, predominantly for non-emergent reasons. Feedback from patients and physicians was positive, and no overutilization of care was found. CONCLUSION: HSS@Home was a promising alternative to live, in-home physical therapy that was effective in monitoring this series of patients after hip or knee arthroplasty. This preliminary data sets the stage for further research into the use of telehealth technology to provide rehabilitative care to arthroplasty patients. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s11420-019-09714-x) contains supplementary material, which is available to authorized users. Springer US 2019-08-22 2019-10 /pmc/articles/PMC6778161/ /pubmed/31624477 http://dx.doi.org/10.1007/s11420-019-09714-x Text en © The Author(s) 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Rehabilitation and Musculoskeletal Health / Original Article
Fisher, Charles
Biehl, Elizabeth
Titmuss, Matthew P.
Schwartz, Rachelle
Gantha, Chandra Sekhar
HSS@Home, Physical Therapist-Led Telehealth Care Navigation for Arthroplasty Patients: A Retrospective Case Series
title HSS@Home, Physical Therapist-Led Telehealth Care Navigation for Arthroplasty Patients: A Retrospective Case Series
title_full HSS@Home, Physical Therapist-Led Telehealth Care Navigation for Arthroplasty Patients: A Retrospective Case Series
title_fullStr HSS@Home, Physical Therapist-Led Telehealth Care Navigation for Arthroplasty Patients: A Retrospective Case Series
title_full_unstemmed HSS@Home, Physical Therapist-Led Telehealth Care Navigation for Arthroplasty Patients: A Retrospective Case Series
title_short HSS@Home, Physical Therapist-Led Telehealth Care Navigation for Arthroplasty Patients: A Retrospective Case Series
title_sort hss@home, physical therapist-led telehealth care navigation for arthroplasty patients: a retrospective case series
topic Rehabilitation and Musculoskeletal Health / Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6778161/
https://www.ncbi.nlm.nih.gov/pubmed/31624477
http://dx.doi.org/10.1007/s11420-019-09714-x
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