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Using Telehealth for Hospice Reauthorization Visits: Results of a Quality Improvement Analysis.
Moore, Susan L; Portz, Jennifer D; Santodomingo, Melodie; Elsbernd, Kira; McHale, Michael; Massone, John.
  • Moore SL; Colorado School of Public Health, Aurora, Colorado, USA; University of Colorado School of Medicine, Aurora, Colorado, USA. Electronic address: Susan.L.Moore@cuanschutz.edu.
  • Portz JD; University of Colorado School of Medicine, Aurora, Colorado, USA.
  • Santodomingo M; Colorado School of Public Health, Aurora, Colorado, USA.
  • Elsbernd K; Division of Infectious Diseases and Tropical Medicine, University Hospital, Ludwig Maximilians Universität Munich, Munich, Germany; Institute for Medical Information Processing, Biometry, and Epidemiology, IBE, Ludwig Maximilians Universität Munich, Munich, Germany.
  • McHale M; TRU Community Care, Lafayette, Colorado, USA.
  • Massone J; TRU Community Care, Lafayette, Colorado, USA.
J Pain Symptom Manage ; 60(3): e22-e27, 2020 09.
Article in English | MEDLINE | ID: covidwho-548369
ABSTRACT

BACKGROUND:

Increasing hospice need, a growing shortage of hospice providers, and concerns about in-person services because of coronavirus disease 2019 (COVID-19) require hospices to innovate care delivery.

MEASURES:

This project compared outcomes between hospice reauthorization visits conducted via telehealth and in person. After each visit, providers, patients, and caregivers completed telehealth acceptance surveys, and providers recorded reauthorization recommendations. INTERVENTION Providers conducted 88 concurrent in-person and telehealth visits between June and November 2019.

OUTCOMES:

No statistically significant differences in reauthorization recommendations were found between telehealth and in-person visits. Satisfaction with telehealth was high; 88% of patients/caregivers and 78% of providers found telehealth services as effective as in-person visits. CONCLUSIONS/LESSONS LEARNED Results indicate that telehealth can successfully support clinical decision making for hospice reauthorization. These findings show telehealth to be reliable and acceptable for certain types of hospice care even before COVID-19, which emphasizes its importance both during and after the current public health emergency.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Hospice Care / Telemedicine / Coronavirus Infections / Delivery of Health Care / Quality Improvement / Betacoronavirus Type of study: Observational study / Prognostic study / Qualitative research Limits: Humans Language: English Journal: J Pain Symptom Manage Journal subject: Neurology / Psychophysiology / Therapeutics Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Hospice Care / Telemedicine / Coronavirus Infections / Delivery of Health Care / Quality Improvement / Betacoronavirus Type of study: Observational study / Prognostic study / Qualitative research Limits: Humans Language: English Journal: J Pain Symptom Manage Journal subject: Neurology / Psychophysiology / Therapeutics Year: 2020 Document Type: Article