A Feasibility Study of Urgent Implementation of Cystic Fibrosis Multidisciplinary Telemedicine Clinic in the Face of COVID-19 Pandemic: Single-Center Experience
A Feasibility Study of Urgent Implementation of Cystic Fibrosis Multidisciplinary Telemedicine Clinic in the Face of COVID-19 Pandemic: Single-Center Experience
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DOI：
10.1089/tmj.2020.0091
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发表时间：
2020-04-30
影响因子：
4.7
通讯作者：
Albon, Dana
中科院分区：
文献类型：
--
作者：
Compton, Martina;Soper, Morgan;Albon, Dana
引言：2019冠状病毒（COVID-19）大流行已成为一个重大的世界卫生问题。美国所有州都建议他们的囊性纤维化（CF）人群进行社会隔离。医疗保险和大多数私人保险公司等主要医疗保健支付者已同意报销医疗保健提供者的远程医疗和电话访问费用。弗吉尼亚大学（UVA）的CF成人团队通过使用WebEx（R）从面对面诊所过渡到多学科远程医疗诊所（Cisco Systems，圣何塞，CA），一个符合1996年健康保险流通和责任法案（HIPAA）的平台。（1）有资格参加多学科远程医疗诊所的患者，（2）因紧急需要而紧急前往诊所就诊的患者，以及（3）可以稍后重新安排的稳定患者。不合格的患者的远程医疗诊所，由于缺乏获得技术进行了后续通过telephoned.Results：共63例患者被安排在UVA诊所超过4周，10个诊所天。在这些患者中，20名（32%）重新安排了预约。此外，2名患者（3%）在诊所看到的急性需求和38（60%）看到的多学科团队通过远程medication.Conclusions：在COVID-19大流行的背景下，实施远程医疗诊所的过程，服务于多学科护理团队的需求是至关重要的，以保持CF护理模式。通过系统的设计和测试过程，创建了一个可行的和可持续的程序，可用于其他多学科程序，以适应其环境。
Introduction: The coronavirus 2019 (COVID-19) pandemic has become a major world health problem. All U.S. states have advised their cystic fibrosis (CF) populations to socially isolate. Major health care payors such as Medicare and most private insurance companies have agreed to reimburse health care providers for telemedicine and telephone visits.Methods: The CF adult team at the University of Virginia (UVA) transitioned from face-to-face clinics to multidisciplinary telemedicine clinics by using WebEx(R) (Cisco Systems, San Jose, CA), a Health Insurance Portability and Accountability Act of 1996 (HIPAA) compliant platform.Interventions: Patients were contacted before scheduled visits and triaged into: (1) patients eligible for the multidisciplinary telemedicine clinic, (2) patients to be seen in clinic urgently due to acute needs, and (3) stable patients who can be rescheduled at a later time. Ineligible patients for the telemedicine clinic due to lack of access to technology were followed up via telephone.Results: A total of 63 patients were scheduled to be seen in the UVA clinic over 4 weeks, 10 clinic days. Of these patients, 20 (32%) rescheduled their appointment. In addition, 2 patients (3%) were seen in clinic for acute needs and 38 (60%) were seen by the multidisciplinary team through telemedicine.Conclusions: In the context of the COVID-19 pandemic, implementing a telemedicine clinic process that serves the needs of a multidisciplinary care team is paramount to preserving the CF care model. Through a systematic design and test process, a feasible and sustainable program was created that can be utilized by other multidisciplinary programs to adapt to their context.