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Digital triage: Novel strategies for population health management in response to the COVID-19 pandemic.
Lai, Lucinda; Wittbold, Kelley A; Dadabhoy, Farah Z; Sato, Rintaro; Landman, Adam B; Schwamm, Lee H; He, Shuhan; Patel, Rajesh; Wei, Nancy; Zuccotti, Gianna; Lennes, Inga T; Medina, Danika; Sequist, Thomas D; Bomba, Garrett; Keschner, Yonatan G; Zhang, Haipeng Mark.
  • Lai L; Department of Emergency Medicine, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, USA; Harvard Affiliated Emergency Medicine Residency Program, 5 Emerson Place, Suite 101, Boston, MA, USA. Electronic address: Lucinda.Lai@mgh.harvard.edu.
  • Wittbold KA; Department of Emergency Medicine, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, USA; Harvard Medical School, 25 Shattuck Street, Boston, MA, USA. Electronic address: kwittbold@partners.org.
  • Dadabhoy FZ; Department of Emergency Medicine, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, USA; Harvard Affiliated Emergency Medicine Residency Program, 5 Emerson Place, Suite 101, Boston, MA, USA. Electronic address: Farah.Dadabhoy@mgh.harvard.edu.
  • Sato R; Brigham Digital Innovation Hub, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, USA. Electronic address: RSato@bwh.harvard.edu.
  • Landman AB; Brigham Digital Innovation Hub, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, USA; Harvard Medical School, 25 Shattuck Street, Boston, MA, USA. Electronic address: ALandman@bwh.harvard.edu.
  • Schwamm LH; Partners HealthCare Digital Health Initiative, 399 Revolution Drive, Somerville, MA, USA; Harvard Medical School, 25 Shattuck Street, Boston, MA, USA. Electronic address: LSchwamm@mgh.harvard.edu.
  • He S; Department of Emergency Medicine, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, USA. Electronic address: She8@partners.org.
  • Patel R; Brigham and Women's Hospital, 75 Francis Street, Boston, MA, USA. Electronic address: RPatel41@bwh.harvard.edu.
  • Wei N; Department of Medicine, Massachusetts General Hospital, Boston, MA, USA; Harvard Medical School, 25 Shattuck Street, Boston, MA, USA. Electronic address: NCWei@partners.org.
  • Zuccotti G; Brigham and Women's Hospital, 75 Francis Street, Boston, MA, USA; Partners HealthCare Digital Health Initiative, 399 Revolution Drive, Somerville, MA, USA; Harvard Medical School, 25 Shattuck Street, Boston, MA, USA. Electronic address: GZuccotti@partners.org.
  • Lennes IT; Department of Medicine, Massachusetts General Hospital, Boston, MA, USA; Harvard Medical School, 25 Shattuck Street, Boston, MA, USA. Electronic address: ilennes@partners.org.
  • Medina D; Brigham and Women's Hospital, 75 Francis Street, Boston, MA, USA. Electronic address: DSMedina@bwh.harvard.edu.
  • Sequist TD; Department of Medicine, Massachusetts General Hospital, Boston, MA, USA; Harvard Medical School, 25 Shattuck Street, Boston, MA, USA. Electronic address: TSequist@partners.org.
  • Bomba G; Partners Community Physician Organization, Boston, MA, USA. Electronic address: GBomba@pmaonline.com.
  • Keschner YG; Department of Emergency Medicine, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, USA; Harvard Affiliated Emergency Medicine Residency Program, 5 Emerson Place, Suite 101, Boston, MA, USA. Electronic address: Yonaton.Keschner@mgh.harvard.edu.
  • Zhang HM; Brigham Digital Innovation Hub, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, USA; Dana-Farber Cancer Institute, Department of Psychosocial Oncology and Palliative Care, 450 Brookline Avenue, Boston, MA, USA; Harvard Medical School, 25 Shattuck Street, Boston, MA, USA. Electronic addr
Healthc (Amst) ; 8(4): 100493, 2020 Dec.
Article in English | MEDLINE | ID: covidwho-893783
ABSTRACT
The COVID-19 pandemic has created unique challenges for the U.S. healthcare system due to the staggering mismatch between healthcare system capacity and patient demand. The healthcare industry has been a relatively slow adopter of digital innovation due to the conventional belief that humans need to be at the center of healthcare delivery tasks. However, in the setting of the COVID-19 pandemic, artificial intelligence (AI) may be used to carry out specific tasks such as pre-hospital triage and enable clinicians to deliver care at scale. Recognizing that the majority of COVID-19 cases are mild and do not require hospitalization, Partners HealthCare (now Mass General Brigham) implemented a digitally-automated pre-hospital triage solution to direct patients to the appropriate care setting before they showed up at the emergency department and clinics, which would otherwise consume resources, expose other patients and staff to potential viral transmission, and further exacerbate supply-and-demand mismatching. Although the use of AI has been well-established in other industries to optimize supply and demand matching, the introduction of AI to perform tasks remotely that were traditionally performed in-person by clinical staff represents a significant milestone in healthcare operations strategy.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Artificial Intelligence / Triage / Delivery of Health Care, Integrated / COVID-19 Type of study: Prognostic study Limits: Humans Country/Region as subject: North America Language: English Journal: Healthc (Amst) Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Artificial Intelligence / Triage / Delivery of Health Care, Integrated / COVID-19 Type of study: Prognostic study Limits: Humans Country/Region as subject: North America Language: English Journal: Healthc (Amst) Year: 2020 Document Type: Article