The rapid increase in telemedicine visits during COVID-19

Prior to the COVID-19 pandemic, facilitated telemedicine encounters were available at outreach locations; however, our tertiary children’s hospital had not invested widely in direct to patient telemedicine. Our daily pediatric subspecialty visits dropped from an average of 2066 visits a day prior to...

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Autores principales:	Chelsea Johnson, Kathryn Taff, Brian Lee, Amanda Montalbano
Formato:	article
Lenguaje:	EN
Publicado:	The Beryl Institute 2020
Materias:	virtual visit pediatrics quality improvement person-centered covid-19 patient experience Medicine (General) R5-920 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/19afac102f5f4c8e8284996ac8502fc0
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spelling	oai:doaj.org-article:19afac102f5f4c8e8284996ac8502fc02021-11-15T04:31:20ZThe rapid increase in telemedicine visits during COVID-192372-0247https://doaj.org/article/19afac102f5f4c8e8284996ac8502fc02020-08-01T00:00:00Zhttps://pxjournal.org/journal/vol7/iss2/15https://doaj.org/toc/2372-0247Prior to the COVID-19 pandemic, facilitated telemedicine encounters were available at outreach locations; however, our tertiary children’s hospital had not invested widely in direct to patient telemedicine. Our daily pediatric subspecialty visits dropped from an average of 2066 visits a day prior to COVID-19 in our community to 1000 patients a day during the study period. Over the four-week period from April 15 to May 12, 2020, patient and family experience ratings of percentage of positive responses (9 or 10) on the provider rating 0-10 scale between telemedicine and in-person visits were compared for our pediatric subspecialty clinics using a Pearson’s Chi Squared test, p-value <0.05 determined significance. Several process measures were compared using the same method. Total visits conducted via telemedicine and survey response rates were calculated with frequencies and percentages. Of the 14,428 subspecialty visits attended, 10,135 (70.2%) were telemedicine. Developmental and Behavioral Medicine saw the highest proportion of patients (99.5%) via telemedicine while Cystic Fibrosis, Dentistry, and Neurosurgery saw no telemedicine patients. Telemedicine visits yielded a 6.5% higher survey response rate than in-person visits. Overall rating of 9 or 10 for telemedicine visits was 87.9%, compared to 83.9% for in-person visits (p-value = 0.07). All process measures scored higher in telemedicine visits. This may reflect telemedicine visits’ ability to improve the efficiency of care delivery: removing the need to travel, park, navigate the building, register for the visit, obtain vital signs and wait for the provider. <strong>Experience Framework</strong> This article is associated with the Innovation & Technology lens of The Beryl Institute Experience Framework. (<a href="http://bit.ly/ExperienceFramework">http://bit.ly/ExperienceFramework</a>) <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Innovation%20%26%20Technology%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-InnovationTechnology">Access other resources</a> related to this lens</li> </ul>Chelsea JohnsonKathryn TaffBrian LeeAmanda MontalbanoThe Beryl Institutearticlevirtual visitpediatricsquality improvementperson-centeredcovid-19patient experienceMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	virtual visit pediatrics quality improvement person-centered covid-19 patient experience Medicine (General) R5-920 Public aspects of medicine RA1-1270
spellingShingle	virtual visit pediatrics quality improvement person-centered covid-19 patient experience Medicine (General) R5-920 Public aspects of medicine RA1-1270 Chelsea Johnson Kathryn Taff Brian Lee Amanda Montalbano The rapid increase in telemedicine visits during COVID-19
description	Prior to the COVID-19 pandemic, facilitated telemedicine encounters were available at outreach locations; however, our tertiary children’s hospital had not invested widely in direct to patient telemedicine. Our daily pediatric subspecialty visits dropped from an average of 2066 visits a day prior to COVID-19 in our community to 1000 patients a day during the study period. Over the four-week period from April 15 to May 12, 2020, patient and family experience ratings of percentage of positive responses (9 or 10) on the provider rating 0-10 scale between telemedicine and in-person visits were compared for our pediatric subspecialty clinics using a Pearson’s Chi Squared test, p-value <0.05 determined significance. Several process measures were compared using the same method. Total visits conducted via telemedicine and survey response rates were calculated with frequencies and percentages. Of the 14,428 subspecialty visits attended, 10,135 (70.2%) were telemedicine. Developmental and Behavioral Medicine saw the highest proportion of patients (99.5%) via telemedicine while Cystic Fibrosis, Dentistry, and Neurosurgery saw no telemedicine patients. Telemedicine visits yielded a 6.5% higher survey response rate than in-person visits. Overall rating of 9 or 10 for telemedicine visits was 87.9%, compared to 83.9% for in-person visits (p-value = 0.07). All process measures scored higher in telemedicine visits. This may reflect telemedicine visits’ ability to improve the efficiency of care delivery: removing the need to travel, park, navigate the building, register for the visit, obtain vital signs and wait for the provider. <strong>Experience Framework</strong> This article is associated with the Innovation & Technology lens of The Beryl Institute Experience Framework. (<a href="http://bit.ly/ExperienceFramework">http://bit.ly/ExperienceFramework</a>) <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Innovation%20%26%20Technology%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-InnovationTechnology">Access other resources</a> related to this lens</li> </ul>
format	article
author	Chelsea Johnson Kathryn Taff Brian Lee Amanda Montalbano
author_facet	Chelsea Johnson Kathryn Taff Brian Lee Amanda Montalbano
author_sort	Chelsea Johnson
title	The rapid increase in telemedicine visits during COVID-19
title_short	The rapid increase in telemedicine visits during COVID-19
title_full	The rapid increase in telemedicine visits during COVID-19
title_fullStr	The rapid increase in telemedicine visits during COVID-19
title_full_unstemmed	The rapid increase in telemedicine visits during COVID-19
title_sort	rapid increase in telemedicine visits during covid-19
publisher	The Beryl Institute
publishDate	2020
url	https://doaj.org/article/19afac102f5f4c8e8284996ac8502fc0
work_keys_str_mv	AT chelseajohnson therapidincreaseintelemedicinevisitsduringcovid19 AT kathryntaff therapidincreaseintelemedicinevisitsduringcovid19 AT brianlee therapidincreaseintelemedicinevisitsduringcovid19 AT amandamontalbano therapidincreaseintelemedicinevisitsduringcovid19 AT chelseajohnson rapidincreaseintelemedicinevisitsduringcovid19 AT kathryntaff rapidincreaseintelemedicinevisitsduringcovid19 AT brianlee rapidincreaseintelemedicinevisitsduringcovid19 AT amandamontalbano rapidincreaseintelemedicinevisitsduringcovid19
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The rapid increase in telemedicine visits during COVID-19

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