Cargando…

A Scalable Framework for Telehealth: The Mayo Clinic Center for Connected Care Response to the COVID-19 Pandemic

Background: The Mayo Clinic Center for Connected Care has an established organizational framework for telehealth care delivery. It provides patients, consumers, care teams, and referring providers access to clinical knowledge through technologies and integrated practice models. Central to the framew...

Descripción completa

Detalles Bibliográficos
Autores principales: Haddad, Tufia C., Blegen, Rebecca N., Prigge, Julie E., Cox, Debra L., Anthony, Greg S., Leak, Michelle A., Channer, Dwight D., Underwood, Page Y., Williams, Ryan D., Hofschulte, Rhapsody D., Christopherson, Laura A., Coffey, Jordan D., TerKonda, Sarvam P., Yiannias, James A., Costello, Brian A., Russi, Christopher S., Colby, Christopher E., Ommen, Steve R., Demaerschalk, Bart M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mary Ann Liebert, Inc., publishers 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8989082/
https://www.ncbi.nlm.nih.gov/pubmed/35720756
http://dx.doi.org/10.1089/tmr.2020.0032
_version_ 1784683087689416704
author Haddad, Tufia C.
Blegen, Rebecca N.
Prigge, Julie E.
Cox, Debra L.
Anthony, Greg S.
Leak, Michelle A.
Channer, Dwight D.
Underwood, Page Y.
Williams, Ryan D.
Hofschulte, Rhapsody D.
Christopherson, Laura A.
Coffey, Jordan D.
TerKonda, Sarvam P.
Yiannias, James A.
Costello, Brian A.
Russi, Christopher S.
Colby, Christopher E.
Ommen, Steve R.
Demaerschalk, Bart M.
author_facet Haddad, Tufia C.
Blegen, Rebecca N.
Prigge, Julie E.
Cox, Debra L.
Anthony, Greg S.
Leak, Michelle A.
Channer, Dwight D.
Underwood, Page Y.
Williams, Ryan D.
Hofschulte, Rhapsody D.
Christopherson, Laura A.
Coffey, Jordan D.
TerKonda, Sarvam P.
Yiannias, James A.
Costello, Brian A.
Russi, Christopher S.
Colby, Christopher E.
Ommen, Steve R.
Demaerschalk, Bart M.
author_sort Haddad, Tufia C.
collection PubMed
description Background: The Mayo Clinic Center for Connected Care has an established organizational framework for telehealth care delivery. It provides patients, consumers, care teams, and referring providers access to clinical knowledge through technologies and integrated practice models. Central to the framework are teams that support product management and operational functions. They work together across the asynchronous, synchronous video telemedicine, remote patient monitoring (RPM), and mobile core service lines. Methods: The organizational framework of the Center for Connected Care and Mayo Clinic telehealth response to the COVID-19 pandemic is described. Barriers to telehealth delivery that were addressed by the public health emergency are also reported. This report was deemed exempt from full review by the Mayo Clinic IRB. Results: After declaration of the COVID-19 pandemic, there was rapid growth in established telehealth offerings, including patient online services account creation, secure messaging, inpatient eConsults, express care online utilization, and video visits to home. Census for the RPM program for patients with chronic conditions remained stable; however, its framework was rapidly adapted to develop and implement a COVID-19 RPM service. In addition to this, other new telehealth and virtual care services were created to support the unique needs of patients with COVID-19 symptoms or disease and the health care workforce, including a digital COVID-19 self-assessment tool and video telemedicine solutions for ambulances, emergency departments, intensive care units, and designated medical–surgical units. Conclusion: Rapid growth, adoption, and sustainability of telehealth services through the COVID-19 pandemic were made possible by a scalable framework for telehealth and alignment of regulatory and reimbursement models.
format Online
Article
Text
id pubmed-8989082
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Mary Ann Liebert, Inc., publishers
record_format MEDLINE/PubMed
spelling pubmed-89890822022-06-17 A Scalable Framework for Telehealth: The Mayo Clinic Center for Connected Care Response to the COVID-19 Pandemic Haddad, Tufia C. Blegen, Rebecca N. Prigge, Julie E. Cox, Debra L. Anthony, Greg S. Leak, Michelle A. Channer, Dwight D. Underwood, Page Y. Williams, Ryan D. Hofschulte, Rhapsody D. Christopherson, Laura A. Coffey, Jordan D. TerKonda, Sarvam P. Yiannias, James A. Costello, Brian A. Russi, Christopher S. Colby, Christopher E. Ommen, Steve R. Demaerschalk, Bart M. Telemed Rep Article Background: The Mayo Clinic Center for Connected Care has an established organizational framework for telehealth care delivery. It provides patients, consumers, care teams, and referring providers access to clinical knowledge through technologies and integrated practice models. Central to the framework are teams that support product management and operational functions. They work together across the asynchronous, synchronous video telemedicine, remote patient monitoring (RPM), and mobile core service lines. Methods: The organizational framework of the Center for Connected Care and Mayo Clinic telehealth response to the COVID-19 pandemic is described. Barriers to telehealth delivery that were addressed by the public health emergency are also reported. This report was deemed exempt from full review by the Mayo Clinic IRB. Results: After declaration of the COVID-19 pandemic, there was rapid growth in established telehealth offerings, including patient online services account creation, secure messaging, inpatient eConsults, express care online utilization, and video visits to home. Census for the RPM program for patients with chronic conditions remained stable; however, its framework was rapidly adapted to develop and implement a COVID-19 RPM service. In addition to this, other new telehealth and virtual care services were created to support the unique needs of patients with COVID-19 symptoms or disease and the health care workforce, including a digital COVID-19 self-assessment tool and video telemedicine solutions for ambulances, emergency departments, intensive care units, and designated medical–surgical units. Conclusion: Rapid growth, adoption, and sustainability of telehealth services through the COVID-19 pandemic were made possible by a scalable framework for telehealth and alignment of regulatory and reimbursement models. Mary Ann Liebert, Inc., publishers 2021-02-24 /pmc/articles/PMC8989082/ /pubmed/35720756 http://dx.doi.org/10.1089/tmr.2020.0032 Text en © Tufia C. Haddad et al., 2021; Published by Mary Ann Liebert, Inc. https://creativecommons.org/licenses/by/4.0/This Open Access article is distributed under the terms of the Creative Commons License (http://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Article
Haddad, Tufia C.
Blegen, Rebecca N.
Prigge, Julie E.
Cox, Debra L.
Anthony, Greg S.
Leak, Michelle A.
Channer, Dwight D.
Underwood, Page Y.
Williams, Ryan D.
Hofschulte, Rhapsody D.
Christopherson, Laura A.
Coffey, Jordan D.
TerKonda, Sarvam P.
Yiannias, James A.
Costello, Brian A.
Russi, Christopher S.
Colby, Christopher E.
Ommen, Steve R.
Demaerschalk, Bart M.
A Scalable Framework for Telehealth: The Mayo Clinic Center for Connected Care Response to the COVID-19 Pandemic
title A Scalable Framework for Telehealth: The Mayo Clinic Center for Connected Care Response to the COVID-19 Pandemic
title_full A Scalable Framework for Telehealth: The Mayo Clinic Center for Connected Care Response to the COVID-19 Pandemic
title_fullStr A Scalable Framework for Telehealth: The Mayo Clinic Center for Connected Care Response to the COVID-19 Pandemic
title_full_unstemmed A Scalable Framework for Telehealth: The Mayo Clinic Center for Connected Care Response to the COVID-19 Pandemic
title_short A Scalable Framework for Telehealth: The Mayo Clinic Center for Connected Care Response to the COVID-19 Pandemic
title_sort scalable framework for telehealth: the mayo clinic center for connected care response to the covid-19 pandemic
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8989082/
https://www.ncbi.nlm.nih.gov/pubmed/35720756
http://dx.doi.org/10.1089/tmr.2020.0032
work_keys_str_mv AT haddadtufiac ascalableframeworkfortelehealththemayocliniccenterforconnectedcareresponsetothecovid19pandemic
AT blegenrebeccan ascalableframeworkfortelehealththemayocliniccenterforconnectedcareresponsetothecovid19pandemic
AT priggejuliee ascalableframeworkfortelehealththemayocliniccenterforconnectedcareresponsetothecovid19pandemic
AT coxdebral ascalableframeworkfortelehealththemayocliniccenterforconnectedcareresponsetothecovid19pandemic
AT anthonygregs ascalableframeworkfortelehealththemayocliniccenterforconnectedcareresponsetothecovid19pandemic
AT leakmichellea ascalableframeworkfortelehealththemayocliniccenterforconnectedcareresponsetothecovid19pandemic
AT channerdwightd ascalableframeworkfortelehealththemayocliniccenterforconnectedcareresponsetothecovid19pandemic
AT underwoodpagey ascalableframeworkfortelehealththemayocliniccenterforconnectedcareresponsetothecovid19pandemic
AT williamsryand ascalableframeworkfortelehealththemayocliniccenterforconnectedcareresponsetothecovid19pandemic
AT hofschulterhapsodyd ascalableframeworkfortelehealththemayocliniccenterforconnectedcareresponsetothecovid19pandemic
AT christophersonlauraa ascalableframeworkfortelehealththemayocliniccenterforconnectedcareresponsetothecovid19pandemic
AT coffeyjordand ascalableframeworkfortelehealththemayocliniccenterforconnectedcareresponsetothecovid19pandemic
AT terkondasarvamp ascalableframeworkfortelehealththemayocliniccenterforconnectedcareresponsetothecovid19pandemic
AT yianniasjamesa ascalableframeworkfortelehealththemayocliniccenterforconnectedcareresponsetothecovid19pandemic
AT costellobriana ascalableframeworkfortelehealththemayocliniccenterforconnectedcareresponsetothecovid19pandemic
AT russichristophers ascalableframeworkfortelehealththemayocliniccenterforconnectedcareresponsetothecovid19pandemic
AT colbychristophere ascalableframeworkfortelehealththemayocliniccenterforconnectedcareresponsetothecovid19pandemic
AT ommenstever ascalableframeworkfortelehealththemayocliniccenterforconnectedcareresponsetothecovid19pandemic
AT demaerschalkbartm ascalableframeworkfortelehealththemayocliniccenterforconnectedcareresponsetothecovid19pandemic
AT haddadtufiac scalableframeworkfortelehealththemayocliniccenterforconnectedcareresponsetothecovid19pandemic
AT blegenrebeccan scalableframeworkfortelehealththemayocliniccenterforconnectedcareresponsetothecovid19pandemic
AT priggejuliee scalableframeworkfortelehealththemayocliniccenterforconnectedcareresponsetothecovid19pandemic
AT coxdebral scalableframeworkfortelehealththemayocliniccenterforconnectedcareresponsetothecovid19pandemic
AT anthonygregs scalableframeworkfortelehealththemayocliniccenterforconnectedcareresponsetothecovid19pandemic
AT leakmichellea scalableframeworkfortelehealththemayocliniccenterforconnectedcareresponsetothecovid19pandemic
AT channerdwightd scalableframeworkfortelehealththemayocliniccenterforconnectedcareresponsetothecovid19pandemic
AT underwoodpagey scalableframeworkfortelehealththemayocliniccenterforconnectedcareresponsetothecovid19pandemic
AT williamsryand scalableframeworkfortelehealththemayocliniccenterforconnectedcareresponsetothecovid19pandemic
AT hofschulterhapsodyd scalableframeworkfortelehealththemayocliniccenterforconnectedcareresponsetothecovid19pandemic
AT christophersonlauraa scalableframeworkfortelehealththemayocliniccenterforconnectedcareresponsetothecovid19pandemic
AT coffeyjordand scalableframeworkfortelehealththemayocliniccenterforconnectedcareresponsetothecovid19pandemic
AT terkondasarvamp scalableframeworkfortelehealththemayocliniccenterforconnectedcareresponsetothecovid19pandemic
AT yianniasjamesa scalableframeworkfortelehealththemayocliniccenterforconnectedcareresponsetothecovid19pandemic
AT costellobriana scalableframeworkfortelehealththemayocliniccenterforconnectedcareresponsetothecovid19pandemic
AT russichristophers scalableframeworkfortelehealththemayocliniccenterforconnectedcareresponsetothecovid19pandemic
AT colbychristophere scalableframeworkfortelehealththemayocliniccenterforconnectedcareresponsetothecovid19pandemic
AT ommenstever scalableframeworkfortelehealththemayocliniccenterforconnectedcareresponsetothecovid19pandemic
AT demaerschalkbartm scalableframeworkfortelehealththemayocliniccenterforconnectedcareresponsetothecovid19pandemic