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Enhanced Monitoring System to Better Monitor High-Risk COVID-19 Patients

Telemedicine (TM) is a useful tool to extend medical care during a pandemic. TM was extensively utilized in Singapore during the COVID-19 pandemic as part of the Nation’s COVID-19 healthcare strategy. Patients were risk stratified to prioritize limited healthcare resources and the Telemedicine Alloc...

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Autores principales: Koh, Thong Chuan Eugene, Goh, Jia Yi, Yau, Wen Kien Joachim, Kok, Ta Wei Kevin, Lee, Martin Yong Kwong, Goh, Kelvin C. Y., Sng, Meng Wah, Chong, Si Jack
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9840157/
https://www.ncbi.nlm.nih.gov/pubmed/36640221
http://dx.doi.org/10.1007/s10916-023-01909-4
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author Koh, Thong Chuan Eugene
Goh, Jia Yi
Yau, Wen Kien Joachim
Kok, Ta Wei Kevin
Lee, Martin Yong Kwong
Goh, Kelvin C. Y.
Sng, Meng Wah
Chong, Si Jack
author_facet Koh, Thong Chuan Eugene
Goh, Jia Yi
Yau, Wen Kien Joachim
Kok, Ta Wei Kevin
Lee, Martin Yong Kwong
Goh, Kelvin C. Y.
Sng, Meng Wah
Chong, Si Jack
author_sort Koh, Thong Chuan Eugene
collection PubMed
description Telemedicine (TM) is a useful tool to extend medical care during a pandemic. TM was extensively utilized in Singapore during the COVID-19 pandemic as part of the Nation’s COVID-19 healthcare strategy. Patients were risk stratified to prioritize limited healthcare resources and the Telemedicine Allocation Reconciliation System (TMARS) was adapted to monitor and manage limited TM resources. High-Risk patients (Protocol 1) had an escalation rate of 4.87%, compared to the non-High-Risk patients’ 0.002% and TM doctors spent an average of six hours to complete one tele-consultation. In order to optimize the efficiency of the TM system, an enhanced monitoring system was implemented in March 2022. The intent was to focus monitoring efforts on the High-Risk patients. High-Risk patients reporting sick for the first time were prioritized to receive tele-consultations through this system. With the aid of a data-driven dashboard, the Operations Control and Monitoring team (OCM) was able to closely monitor the performance of the various TM providers (TMPs), sent them timely reminders and re-assigned patients to other TMPs when the requisite turnaround time was not met. Implementing the enhanced monitoring system resulted in a significant reduction in the average time taken to provide tele-consultations. After 3 months of implementation, the percentages of consultations completed within two hours were raised from 75.7% (February 2022) to 96.8% (May 2022), greatly increasing productivity and efficiency.
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spelling pubmed-98401572023-01-17 Enhanced Monitoring System to Better Monitor High-Risk COVID-19 Patients Koh, Thong Chuan Eugene Goh, Jia Yi Yau, Wen Kien Joachim Kok, Ta Wei Kevin Lee, Martin Yong Kwong Goh, Kelvin C. Y. Sng, Meng Wah Chong, Si Jack J Med Syst Correspondence Telemedicine (TM) is a useful tool to extend medical care during a pandemic. TM was extensively utilized in Singapore during the COVID-19 pandemic as part of the Nation’s COVID-19 healthcare strategy. Patients were risk stratified to prioritize limited healthcare resources and the Telemedicine Allocation Reconciliation System (TMARS) was adapted to monitor and manage limited TM resources. High-Risk patients (Protocol 1) had an escalation rate of 4.87%, compared to the non-High-Risk patients’ 0.002% and TM doctors spent an average of six hours to complete one tele-consultation. In order to optimize the efficiency of the TM system, an enhanced monitoring system was implemented in March 2022. The intent was to focus monitoring efforts on the High-Risk patients. High-Risk patients reporting sick for the first time were prioritized to receive tele-consultations through this system. With the aid of a data-driven dashboard, the Operations Control and Monitoring team (OCM) was able to closely monitor the performance of the various TM providers (TMPs), sent them timely reminders and re-assigned patients to other TMPs when the requisite turnaround time was not met. Implementing the enhanced monitoring system resulted in a significant reduction in the average time taken to provide tele-consultations. After 3 months of implementation, the percentages of consultations completed within two hours were raised from 75.7% (February 2022) to 96.8% (May 2022), greatly increasing productivity and efficiency. Springer US 2023-01-14 2023 /pmc/articles/PMC9840157/ /pubmed/36640221 http://dx.doi.org/10.1007/s10916-023-01909-4 Text en © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2023 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Correspondence
Koh, Thong Chuan Eugene
Goh, Jia Yi
Yau, Wen Kien Joachim
Kok, Ta Wei Kevin
Lee, Martin Yong Kwong
Goh, Kelvin C. Y.
Sng, Meng Wah
Chong, Si Jack
Enhanced Monitoring System to Better Monitor High-Risk COVID-19 Patients
title Enhanced Monitoring System to Better Monitor High-Risk COVID-19 Patients
title_full Enhanced Monitoring System to Better Monitor High-Risk COVID-19 Patients
title_fullStr Enhanced Monitoring System to Better Monitor High-Risk COVID-19 Patients
title_full_unstemmed Enhanced Monitoring System to Better Monitor High-Risk COVID-19 Patients
title_short Enhanced Monitoring System to Better Monitor High-Risk COVID-19 Patients
title_sort enhanced monitoring system to better monitor high-risk covid-19 patients
topic Correspondence
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9840157/
https://www.ncbi.nlm.nih.gov/pubmed/36640221
http://dx.doi.org/10.1007/s10916-023-01909-4
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