Using Telehealth for Hospice Reauthorization Visits: Results of a Quality Improvement Analysis.
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.Keywords
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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