Rapid Deployment of Inpatient Telemedicine In Response to COVID-19 Across Three Health Systems

Author:

Vilendrer Stacie1,Patel Birju1,Chadwick Whitney2,Hwa Michael3,Asch Steven14,Pageler Natalie5,Ramdeo Rajiv6,Saliba-Gustafsson Erika A1,Strong Philip7,Sharp Christopher1

Affiliation:

1. Department of Medicine, Stanford Medicine, 291 Campus Drive, Stanford, CA, 94305, USA

2. Division of Hospital Medicine, Department of Pediatrics, Stanford University School of Medicine & Information Services Department, Stanford Children's Health

3. Department of Medicine, County of Santa Clara Health System, 751 S. Bascom Ave, San Jose, CA 95128, USA

4. VA Center for Innovation to Implementation, 795 Willow, Menlo Park, CA 94025, USA

5. Division of Critical Care Medicine, Department of Pediatrics, Stanford University School of Medicine & Information Services Department, Stanford Children's Health

6. Technology and Digital Solutions, Stanford Medicine, 300 Pasteur Drive, Palo Alto, CA, 94304, USA

7. Administration, County of Santa Clara Health System, 751 S. Bascom Ave, San Jose, CA 95128, USA

Abstract

Abstract Objective To reduce pathogen exposure, conserve personal protective equipment, and facilitate health care personnel work participation in the setting of the COVID-19 pandemic, three affiliated institutions rapidly and independently deployed inpatient telemedicine programs during March 2020. We describe key features and early learnings of these programs in the hospital setting. Methods Relevant clinical and operational leadership from an academic medical center, pediatric teaching hospital, and safety net county health system met to share learnings shortly after deploying inpatient telemedicine. A summative analysis of their learnings was re-circulated for approval. Results All three institutions faced pressure to urgently standup new telemedicine systems while still maintaining secure information exchange. Differences across patient demographics and technological capabilities led to variation in solution design, though key technical considerations were similar. Rapid deployment in each system relied on readily available consumer-grade technology, given the existing familiarity to patients and clinicians and minimal infrastructure investment. Preliminary data from the academic medical center over one month suggested positive adoption with 631 inpatient video calls lasting an average (standard deviation) of 16.5 minutes (19.6) based on inclusion criteria. Discussion The threat of an imminent surge of COVID-19 patients drove three institutions to rapidly develop inpatient telemedicine solutions. Concurrently, federal and state regulators temporarily relaxed restrictions that would have previously limited these efforts. Strategic direction from executive leadership, leveraging off-the-shelf hardware, vendor engagement, and clinical workflow integration facilitated rapid deployment. Conclusion The rapid deployment of inpatient telemedicine is feasible across diverse settings as a response to the COVID-19 pandemic.

Funder

Stanford-Intermountain Fellowship in Population Health and Delivery Science

Stanford Clinical Informatics Fellowship

Publisher

Oxford University Press (OUP)

Subject

Health Informatics

Reference34 articles.

1. Unique epidemiological and clinical features of the emerging 2019 novel coronavirus pneumonia (COVID-19) implicate special control measures;Wang;Journal of Medical Virology,2020

2. Covid-19: Doctors still at “considerable risk” from lack of PPE, BMA warns;Iacobucci;BMJ,2020

3. Covid-19: the crisis of personal protective equipment in the US;Kamerow;BMJ,2020

4. Critical Supply Shortages — The Need for Ventilators and Personal Protective Equipment during the Covid-19 Pandemic;Ranney;N Engl J Med.

5. Telemedicine: Potential applications in epidemic situations;Ohannessian;European Research in Telemedicine/La Recherche Européenne en Télémédecine,2015

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