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Rapid development of telehealth capabilities within pediatric patient portal infrastructure for COVID-19 care: barriers, solutions, results

The COVID-19 national emergency has led to surging care demand and the need for unprecedented telehealth expansion. Rapid telehealth expansion can be especially complex for pediatric patients. From the experience of a large academic medical center, this report describes a pathway for efficiently inc...

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Autores principales: Patel, Pious D, Cobb, Jared, Wright, Deidre, Turer, Robert W, Jordan, Tiffany, Humphrey, Amber, Kepner, Adrienne L, Smith, Gaye, Rosenbloom, S Trent
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7188108/
https://www.ncbi.nlm.nih.gov/pubmed/32302395
http://dx.doi.org/10.1093/jamia/ocaa065
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author Patel, Pious D
Cobb, Jared
Wright, Deidre
Turer, Robert W
Jordan, Tiffany
Humphrey, Amber
Kepner, Adrienne L
Smith, Gaye
Rosenbloom, S Trent
author_facet Patel, Pious D
Cobb, Jared
Wright, Deidre
Turer, Robert W
Jordan, Tiffany
Humphrey, Amber
Kepner, Adrienne L
Smith, Gaye
Rosenbloom, S Trent
author_sort Patel, Pious D
collection PubMed
description The COVID-19 national emergency has led to surging care demand and the need for unprecedented telehealth expansion. Rapid telehealth expansion can be especially complex for pediatric patients. From the experience of a large academic medical center, this report describes a pathway for efficiently increasing capacity of remote pediatric enrollment for telehealth while fulfilling privacy, security, and convenience concerns. The design and implementation of the process took 2 days. Five process requirements were identified: efficient enrollment, remote ability to establish parentage, minimal additional work for application processing, compliance with guidelines for adolescent autonomy, and compliance with institutional privacy and security policies. Weekly enrollment subsequently increased 10-fold for children (age 0–12 years) and 1.2-fold for adolescents (age 13–17 years). Weekly telehealth visits increased 200-fold for children and 90-fold for adolescents. The obstacles and solutions presented in this report can provide guidance to health systems for similar challenges during the COVID-19 response and future disasters.
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spelling pubmed-71881082020-04-29 Rapid development of telehealth capabilities within pediatric patient portal infrastructure for COVID-19 care: barriers, solutions, results Patel, Pious D Cobb, Jared Wright, Deidre Turer, Robert W Jordan, Tiffany Humphrey, Amber Kepner, Adrienne L Smith, Gaye Rosenbloom, S Trent J Am Med Inform Assoc Brief Communications The COVID-19 national emergency has led to surging care demand and the need for unprecedented telehealth expansion. Rapid telehealth expansion can be especially complex for pediatric patients. From the experience of a large academic medical center, this report describes a pathway for efficiently increasing capacity of remote pediatric enrollment for telehealth while fulfilling privacy, security, and convenience concerns. The design and implementation of the process took 2 days. Five process requirements were identified: efficient enrollment, remote ability to establish parentage, minimal additional work for application processing, compliance with guidelines for adolescent autonomy, and compliance with institutional privacy and security policies. Weekly enrollment subsequently increased 10-fold for children (age 0–12 years) and 1.2-fold for adolescents (age 13–17 years). Weekly telehealth visits increased 200-fold for children and 90-fold for adolescents. The obstacles and solutions presented in this report can provide guidance to health systems for similar challenges during the COVID-19 response and future disasters. Oxford University Press 2020-06-10 /pmc/articles/PMC7188108/ /pubmed/32302395 http://dx.doi.org/10.1093/jamia/ocaa065 Text en © The Author(s) 2020. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For permissions, please email: journals.permissions@oup.com https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model)
spellingShingle Brief Communications
Patel, Pious D
Cobb, Jared
Wright, Deidre
Turer, Robert W
Jordan, Tiffany
Humphrey, Amber
Kepner, Adrienne L
Smith, Gaye
Rosenbloom, S Trent
Rapid development of telehealth capabilities within pediatric patient portal infrastructure for COVID-19 care: barriers, solutions, results
title Rapid development of telehealth capabilities within pediatric patient portal infrastructure for COVID-19 care: barriers, solutions, results
title_full Rapid development of telehealth capabilities within pediatric patient portal infrastructure for COVID-19 care: barriers, solutions, results
title_fullStr Rapid development of telehealth capabilities within pediatric patient portal infrastructure for COVID-19 care: barriers, solutions, results
title_full_unstemmed Rapid development of telehealth capabilities within pediatric patient portal infrastructure for COVID-19 care: barriers, solutions, results
title_short Rapid development of telehealth capabilities within pediatric patient portal infrastructure for COVID-19 care: barriers, solutions, results
title_sort rapid development of telehealth capabilities within pediatric patient portal infrastructure for covid-19 care: barriers, solutions, results
topic Brief Communications
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7188108/
https://www.ncbi.nlm.nih.gov/pubmed/32302395
http://dx.doi.org/10.1093/jamia/ocaa065
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