Cargando…

Information Technology-Enhanced Telehealth Consultations Reduce Preoperative Evaluation Center Visits in a Bariatric Surgery Population

Background: Preoperative patient evaluation and optimization in a preoperative evaluation center (PEC) has been shown to improve operating room (OR) efficiency and patient care. However, performing preoperative evaluation on all patients scheduled for surgery or procedure would be time- and resource...

Descripción completa

Detalles Bibliográficos
Autores principales: Zafar, Jill E., Chan, Kathleen T., Ryder, Lori J., Duffy, Andrew J., Dai, Feng, Carr, Zyad J., Charchaflieh, Jean G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9914614/
https://www.ncbi.nlm.nih.gov/pubmed/36766884
http://dx.doi.org/10.3390/healthcare11030309
_version_ 1784885706906140672
author Zafar, Jill E.
Chan, Kathleen T.
Ryder, Lori J.
Duffy, Andrew J.
Dai, Feng
Carr, Zyad J.
Charchaflieh, Jean G.
author_facet Zafar, Jill E.
Chan, Kathleen T.
Ryder, Lori J.
Duffy, Andrew J.
Dai, Feng
Carr, Zyad J.
Charchaflieh, Jean G.
author_sort Zafar, Jill E.
collection PubMed
description Background: Preoperative patient evaluation and optimization in a preoperative evaluation center (PEC) has been shown to improve operating room (OR) efficiency and patient care. However, performing preoperative evaluation on all patients scheduled for surgery or procedure would be time- and resource-consuming. Therefore, appropriate patient selection for evaluation at PECs is one aspect of improving PEC efficiency. In this study, we evaluate the effect of an enhanced preoperative evaluation process (PEP), utilizing a nursing triage phone call and information technology (IT) optimizations, on PEC efficiency and the quality of care in bariatric surgery patients. We hypothesized that, compared to a traditional PEP, the enhanced PEP would improve PEC efficiency without a negative impact on quality. Methods: The study was a retrospective cohort analysis of 1550 patients from January 2014 to March 2017 at a large, tertiary care academic health system. The study was a before/after comparison that compared the enhanced PEP model to the traditional PEP model. The primary outcome was the efficiency of the PEC, which was measured by the reduction of in-person patient visits at the PEC. The secondary outcome was the quality of care, which was measured by delays, cancellations, and the need for additional testing on the day of surgery (DOS). Results: The enhanced PEP improved the primary outcome of efficiency, as evident by an 80% decrease in in-person patient visits to the PEC. There was no reduction in the secondary outcome of the quality of care as measured by delays, cancellations, or the need for additional testing on the DOS. The implementation of the enhanced PEP did not result in increased costs or resource utilization. Conclusions: The enhanced PEP in a multi-disciplinary preoperative process can improve the efficiency of PEC for bariatric surgery patients without any decrease in the quality of care. The enhanced PEP process can be implemented without an increase in resource utilization and can be particularly useful during the COVID-19 pandemic.
format Online
Article
Text
id pubmed-9914614
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-99146142023-02-11 Information Technology-Enhanced Telehealth Consultations Reduce Preoperative Evaluation Center Visits in a Bariatric Surgery Population Zafar, Jill E. Chan, Kathleen T. Ryder, Lori J. Duffy, Andrew J. Dai, Feng Carr, Zyad J. Charchaflieh, Jean G. Healthcare (Basel) Article Background: Preoperative patient evaluation and optimization in a preoperative evaluation center (PEC) has been shown to improve operating room (OR) efficiency and patient care. However, performing preoperative evaluation on all patients scheduled for surgery or procedure would be time- and resource-consuming. Therefore, appropriate patient selection for evaluation at PECs is one aspect of improving PEC efficiency. In this study, we evaluate the effect of an enhanced preoperative evaluation process (PEP), utilizing a nursing triage phone call and information technology (IT) optimizations, on PEC efficiency and the quality of care in bariatric surgery patients. We hypothesized that, compared to a traditional PEP, the enhanced PEP would improve PEC efficiency without a negative impact on quality. Methods: The study was a retrospective cohort analysis of 1550 patients from January 2014 to March 2017 at a large, tertiary care academic health system. The study was a before/after comparison that compared the enhanced PEP model to the traditional PEP model. The primary outcome was the efficiency of the PEC, which was measured by the reduction of in-person patient visits at the PEC. The secondary outcome was the quality of care, which was measured by delays, cancellations, and the need for additional testing on the day of surgery (DOS). Results: The enhanced PEP improved the primary outcome of efficiency, as evident by an 80% decrease in in-person patient visits to the PEC. There was no reduction in the secondary outcome of the quality of care as measured by delays, cancellations, or the need for additional testing on the DOS. The implementation of the enhanced PEP did not result in increased costs or resource utilization. Conclusions: The enhanced PEP in a multi-disciplinary preoperative process can improve the efficiency of PEC for bariatric surgery patients without any decrease in the quality of care. The enhanced PEP process can be implemented without an increase in resource utilization and can be particularly useful during the COVID-19 pandemic. MDPI 2023-01-19 /pmc/articles/PMC9914614/ /pubmed/36766884 http://dx.doi.org/10.3390/healthcare11030309 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Zafar, Jill E.
Chan, Kathleen T.
Ryder, Lori J.
Duffy, Andrew J.
Dai, Feng
Carr, Zyad J.
Charchaflieh, Jean G.
Information Technology-Enhanced Telehealth Consultations Reduce Preoperative Evaluation Center Visits in a Bariatric Surgery Population
title Information Technology-Enhanced Telehealth Consultations Reduce Preoperative Evaluation Center Visits in a Bariatric Surgery Population
title_full Information Technology-Enhanced Telehealth Consultations Reduce Preoperative Evaluation Center Visits in a Bariatric Surgery Population
title_fullStr Information Technology-Enhanced Telehealth Consultations Reduce Preoperative Evaluation Center Visits in a Bariatric Surgery Population
title_full_unstemmed Information Technology-Enhanced Telehealth Consultations Reduce Preoperative Evaluation Center Visits in a Bariatric Surgery Population
title_short Information Technology-Enhanced Telehealth Consultations Reduce Preoperative Evaluation Center Visits in a Bariatric Surgery Population
title_sort information technology-enhanced telehealth consultations reduce preoperative evaluation center visits in a bariatric surgery population
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9914614/
https://www.ncbi.nlm.nih.gov/pubmed/36766884
http://dx.doi.org/10.3390/healthcare11030309
work_keys_str_mv AT zafarjille informationtechnologyenhancedtelehealthconsultationsreducepreoperativeevaluationcentervisitsinabariatricsurgerypopulation
AT chankathleent informationtechnologyenhancedtelehealthconsultationsreducepreoperativeevaluationcentervisitsinabariatricsurgerypopulation
AT ryderlorij informationtechnologyenhancedtelehealthconsultationsreducepreoperativeevaluationcentervisitsinabariatricsurgerypopulation
AT duffyandrewj informationtechnologyenhancedtelehealthconsultationsreducepreoperativeevaluationcentervisitsinabariatricsurgerypopulation
AT daifeng informationtechnologyenhancedtelehealthconsultationsreducepreoperativeevaluationcentervisitsinabariatricsurgerypopulation
AT carrzyadj informationtechnologyenhancedtelehealthconsultationsreducepreoperativeevaluationcentervisitsinabariatricsurgerypopulation
AT charchafliehjeang informationtechnologyenhancedtelehealthconsultationsreducepreoperativeevaluationcentervisitsinabariatricsurgerypopulation