Implementation of a multisite, interdisciplinary remote patient monitoring program for ambulatory management of patients with COVID-19

被引：39

作者：

Coffey, Jordan D. ^{[1
]}

Christopherson, Laura A. ^{[1
]}

Glasgow, Amy E. ^{[2
]}

Pearson, Kristina K. ^{[1
,3
]}

Brown, Julie K. ^{[1
,3
]}

Gathje, Shelby R. ^{[4
]}

Sangaralingham, Lindsey R. ^{[2
]}

Carmona Porquera, Eva M. ^{[5
]}

Virk, Abinash ^{[6
]}

Orenstein, Robert ^{[7
]}

Speicher, Leigh L. ^{[8
]}

Bierle, Dennis M. ^{[9
]}

Ganesh, Ravindra ^{[9
]}

Cox, Debra L. ^{[1
,3
]}

Blegen, R. Nicole ^{[1
]}

Haddad, Tufia C. ^{[1
,10
]}

机构：

[1] Mayo Clin, Ctr Digital Hlth, Rochester, MN 55902 USA

[2] Mayo Clin, Kern Ctr Sci Hlth Care Delivery, Rochester, MN USA

[3] Mayo Clin, Dept Nursing, Rochester, MN USA

[4] Mayo Clin, Dept Management Engn & Consulting, Rochester, MN USA

[5] Mayo Clin, Div Pulm & Crit Care Med, Rochester, MN USA

[6] Mayo Clin, Div Infect Dis, Rochester, MN USA

[7] Mayo Clin, Div Infect Dis, Phoenix, AZ USA

[8] Mayo Clin, Div Gen Internal Med, Jacksonville, FL USA

[9] Mayo Clin, Div Gen Internal Med, Rochester, MN USA

[10] Mayo Clin, Dept Oncol, Rochester, MN USA

来源：

NPJ DIGITAL MEDICINE | 2021年 / 4卷 / 01期

关键词：

CARE;

D O I：

10.1038/s41746-021-00490-9

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Established technology, operational infrastructure, and nursing resources were leveraged to develop a remote patient monitoring (RPM) program for ambulatory management of patients with COVID-19. The program included two care-delivery models with different monitoring capabilities supporting variable levels of patient risk for severe illness. The primary objective of this study was to determine the feasibility and safety of a multisite RPM program for management of acute COVID-19 illness. We report an evaluation of 7074 patients served by the program across 41 US states. Among all patients, the RPM technology engagement rate was 78.9%. Rates of emergency department visit and hospitalization within 30 days of enrollment were 11.4% and 9.4%, respectively, and the 30-day mortality rate was 0.4%. A multisite RPM program for management of acute COVID-19 illness is feasible, safe, and associated with a low mortality rate. Further research and expansion of RPM programs for ambulatory management of other acute illnesses are warranted.

引用

页数：11

共 25 条

[1] Rapid implementation of a COVID-19 remote patient monitoring program [J].

Annis, Tucker ;

Pleasants, Susan ;

Hultman, Gretchen ;

Lindemann, Elizabeth ;

Thompson, Joshua A. ;

Billecke, Stephanie ;

Badlani, Sameer ;

Melton, Genevieve B. .

JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2020, 27 (08) :1326-1330

[2] The Enduring Culture of Mayo Clinic [J].

Berry, Leonard L. ;

Seltman, Kent D. .

MAYO CLINIC PROCEEDINGS, 2014, 89 (02) :144-147

[3] The Impact Of The COVID-19 Pandemic On Hospital Admissions In The United States [J].

Birkmeyer, John D. ;

Barnato, Amber ;

Birkmeyer, Nancy ;

Bessler, Robert ;

Skinner, Jonathan .

HEALTH AFFAIRS, 2020, 39 (11) :2010-2017

[4]

Center for Connected Health Policy, 2020, 2020 TEL COV POL TIM

[5] Remote Patient Monitoring: A Systematic Review [J].

Criscuoli de Farias, Frederico Arriaga ;

Dagostini, Carolina Matte ;

Bicca, Yan de Assuncao ;

Falavigna, Vincenzo Fin ;

Falavigna, Asdrubal .

TELEMEDICINE AND E-HEALTH, 2020, 26 (05) :576-583

[6]

Department of Health and Human Services, 2020, MED MED PROGR POL RE

[7]

Dickson KL, 2010, NURS ECON, V28, P37

[8]

Federation of State Medical Boards, 2020, US STAT TERR MOD LIC

[9]

Ganesh R, 2020, MAYO CLIN P INNOV QU, V5, P118

[10] Remote Patient Monitoring Program for Hospital Discharged COVID-19 Patients [J].

Gordon, William J. ;

Henderson, Daniel ;

DeSharone, Avital ;

Fisher, Herrick N. ;

Judge, Jessica ;

Levine, David M. ;

MacLean, Laura ;

Sousa, Diane ;

Su, Mack Y. ;

Boxer, Robert .

APPLIED CLINICAL INFORMATICS, 2020, 11 (05) :792-801

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