A Virtual Hybrid Care Hotel Model Supports the Recovery of Post-procedural Patients with Mild to Severe Systemic Diseases

Author:

Chadha Ryan M.1,Paulson Margaret R.2,Avila Francisco R.3ORCID,Torres-Guzman Ricardo A.3,Maita Karla C.3,Garcia John P.3ORCID,Forte Antonio J.34ORCID,Matcha Gautam V.5,Pagan Ricardo J.5,Maniaci Michael J.5ORCID

Affiliation:

1. Department of Anesthesiology, Mayo Clinic, Jacksonville, FL, USA

2. Division of Hospital Internal Medicine, Mayo Clinic Health Systems, Eau Claire, WI, USA

3. Division of Plastic Surgery, Mayo Clinic, Jacksonville, FL, USA

4. Department of Neurological Surgery, Mayo Clinic, Jacksonville, FL, USA

5. Division of Hospital Internal Medicine, Mayo Clinic, Jacksonville, FL, USA

Abstract

Background Patients with mild to severe chronic systemic disease undergoing low-risk procedures are often hospitalized for observation. The Care Hotel is a novel virtual medicine hybrid model of care that offers patients a comfortable, out of hospital environment where they can receive both in-person and virtual care after a surgery or procedure. This study aimed to analyze if virtual hybrid post-procedure care in a hotel could be both conducted on and accepted by patients, even those with moderate to severe chronic diseases. Methods This retrospective cohort study was conducted between July 23, 2020 and June 4, 2021 at Mayo Clinic in Florida, a 306-bed community academic hospital. We collected the sex, age, race, ethnicity, acceptance rate, ASA score, and primary procedure of patients using the Care Hotel. Results Out of 392 patients, 272 (69.4%) opted for care in the program. Median patient age was 61.5 years, 59.56% were males, and 86.40% were white. We found that 50.37% had an ASA score of 2 and 43.4% had an ASA score of 3. Ten different surgical specialties were able to utilize the Care Hotel for care in 47 different procedure types. Urology had the most patients (n=70, 25.7%). Post-electrophysiologic procedures were the most common procedures (n=39, 14.3%). Conclusion Our virtual hybrid Care Hotel program was widely accepted by patients and could care for a multitude of post-operative procedures. Additionally, this novel program can care for patients with both mild and severe systemic diseases.

Publisher

SAGE Publications

Subject

General Medicine

Reference20 articles.

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2. The American Society of Anesthesiologists: Committee on Ethics. ASA physical status classification system. Last Amended December 13, 2020. https://www.asahq.org/standards-and-guidelines/asa-physical-status-classification-system. Accessed December 02, 2021.

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