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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...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2020
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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. |
format | Online Article Text |
id | pubmed-7188108 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
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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