An economic and health outcome evaluation of telehealth in rural sepsis care: a comparative effectiveness study

Author:

Mohr Nicholas M123ORCID,Schuette Allison R14ORCID,Ullrich Fred5ORCID,Mack Luke J67,DeJong Katie6,Camargo Jr Carlos A8ORCID,Zachrison Kori S8,Boggs Krislyn M8,Skibbe Adam9,Bell Amanda6,Pals Mark6,Shane Dan M5,Carter Knute D4,Merchant Kimberly AS5,Ward Marcia M5

Affiliation:

1. Department of Emergency Medicine, University of Iowa College of Medicine, Iowa City, IA 52242, USA

2. Department of Anesthesia, Division of Critical Care, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA

3. Department of Epidemiology, University of Iowa College of Public Health, Iowa City, IA 52242, USA

4. Department of Biostatistics, University of Iowa College of Public Health, Iowa City, IA 52242, USA

5. Department of Health Management & Policy, University of Iowa College of Public Health, Iowa City, IA 52242, USA

6. Avera eCARE, Sioux Falls, SD 57104, USA

7. Department of Family Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, SD 57104, USA

8. Department of Emergency Medicine, Massachusetts General Hospital, Boston, MA 02114, USA

9. Department of Geographical & Sustainability Sciences, University of Iowa College of Liberal Arts & Sciences, Iowa City, IA 52242, USA

Abstract

Aim: Sepsis is a top contributor to in-hospital mortality and, healthcare expenditures and telehealth have been shown to improve short-term sepsis care in rural hospitals. This study will evaluate the effect of provider-to-provider video telehealth in rural emergency departments (EDs) on healthcare costs and long-term outcomes for sepsis patients. Materials & methods: We will use Medicare administrative claims to compare total healthcare expenditures, mortality, length-of-stay, readmissions, and category-specific costs between telehealth-subscribing and control hospitals. Results: The results of this work will demonstrate the extent to which telehealth use is associated with total healthcare expenditures for sepsis care. Conclusion: These findings will be important to inform future policy initiatives to improve sepsis care in rural EDs. Clinical Trial Registration: NCT05072145  ( ClinicalTrials.gov )

Funder

Health Resources and Services Administration

Agency for Healthcare Research and Quality

Publisher

Becaris Publishing Limited

Subject

Health Policy

Reference51 articles.

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2. Long-term cognitive impairment and functional disability among survivors of severe sepsis;Iwashyna TJ;JAMA,2010

3. Late mortality after sepsis: propensity matched cohort study;Prescott HC;BMJ,2016

4. Sepsis Among Medicare Beneficiaries: 1. The Burdens of Sepsis, 2012–2018;Buchman TG;Crit. Care Med.,2020

5. Mcdermott KW, Roemer M. Most Frequent Principal Diagnoses for Inpatient Stays in U.S. Hospitals, 2018: Statistical Brief #277. In: Healthcare Cost and Utilization Project (HCUP) Statistical Briefs. Agency for Healthcare Research and Quality (US), MD, USA (2006).

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