Study Highlights Impact of Mayo Clinic’s COVID-19 Remote Patient Monitoring Program

Mayo Clinic Investigators Study Highlights Development and Implementation of Mayo Clinic’s Large-Scale COVID-19 Remote Patient Monitoring Program, which has served more than 7,000 patients in 41 states .

The study assessed the impact of the program, including:

  • Feasibility.
  • Security.
  • Patient engagement with technology.
  • Alert and escalation rate managed by virtual care teams.
  • Use of acute care resources.
  • Clinical outcomes of patients.

The results of the study are published in NPJ Digital medicine.

Our study examined how our established remote patient monitoring program with centralized nursing care that supports chronic disease management could be effectively adapted to serve large numbers of patients with acute illness such as COVID-19. . “

Tufia Haddad, MD, Medical Director, COVID-19 Remote Patient Monitoring Program, Mayo Clinic’s Center for Digital Health

Dr Haddad is a Mayo Clinic medical oncologist.

According to Dr Haddad, as the COVID-19 pandemic ended routine operations in the United States in March 2020, hospitals have rushed to develop new ways to support outpatients with COVID-19 who were at risk for serious illness. The Mayo Clinic expanded its telemedicine services, including remote monitoring of patients at the time.

“At Mayo, we determined the feasibility and safety of a COVID-19 remote patient monitoring program by carefully examining patient engagement with the technology, including alert and escalation rates, role of virtual care teams in patient monitoring, acute care resources and clinical outcomes for patients, ”says Dr. Haddad. “Our goal with the Remote Patient Monitoring Program was to help prevent serious illness in high-risk patients with COVID-19, reduce the burden on hospitals and emergency departments, and preserve the personal protective equipment for frontline healthcare workers. “

As the Mayo Clinic rolled out its COVID-19 remote patient monitoring program, planners were unsure whether patients would engage with remote monitoring technology and a virtual care team while treating symptoms of the disease. virus.

“We give a lot of credit to our patients who have participated in the program for their willingness to help us study how effective this care could be in supporting them and other patients in the future,” said Dr Haddad. . “By sharing our program implementation, feasibility and safety results, we aim to provide evidence to maintain some of the regulatory and medical licensing guidelines that have been relaxed,” said Dr Haddad .

She says these changes have enabled the delivery of care across state borders in response to a public health emergency.

“We further believe that the results of this study support the extension in 2021 of the Centers for Medicare & Medicaid (CMS) final rule to reimburse eligible remote patient monitoring program services for the management of acute conditions.” said Dr Haddad. “These were major barriers to the adoption of telehealth and virtual care before the pandemic, and the results of this study may help inform other health policy changes needed to support adoption of this. technology beyond the COVID-19 pandemic. “

Dr Haddad says the study also demonstrates the effectiveness of integrating interventions that promote patient access and engagement and reduce digital health disparities.

“Our study included the development of protocols to assess the technical readiness of patients after enrollment, including the provision of instructions in multiple languages, the delivery of remote patient monitoring equipment directly to the home or office. patient recovery location, and the use of a technology platform with built-in cellular connectivity. to support patients without internet access. ” She says staff were also monitoring patient engagement and using asynchronous and synchronous communications, such as secure messages and phone calls to check in with patients and offer non-clinical assistance. These interventions contributed to an overall patient engagement rate of 78.9%, demonstrating that patients will engage with technology and a centralized remote care team.

“Even among the sickest and most at risk patients, virtual home care provides a safe, efficient and convenient way for patients and care teams to stay connected and coordinate on appropriate care decisions,” explains Dr Haddad.

Source:

Journal reference:

Coffey, JD, et al. (2021) Establishment of a multisite and interdisciplinary patient monitoring program for outpatient care of patients with COVID-19. NPJ Digital medicine. doi.org/10.1038/s41746-021-00490-9.


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