Challenges And Opportunities Faced By Large Health Systems Implementing Telehealth
Challenges And Opportunities Faced By Large Health Systems Implementing Telehealth
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DOI：
10.1377/hlthaff.2018.05099
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发表时间：
2018-12-01
期刊：
影响因子：
9.7
通讯作者：
Hollander, Judd E.
中科院分区：
文献类型：
--
作者：
Ellimoottil, Chad;An, Lawrence;Hollander, Judd E.
美国大型医疗系统的高管们对开发或扩大远程医疗项目很感兴趣。尽管人们的兴趣在增加，但远程保健实施团队（或电子保健团队）往往面临着可能阻碍从试点成功过渡到全面实施的挑战。在此，我们分享四个面临并在很大程度上克服了这些挑战的大型卫生系统的经验教训。为了使电子保健团队成功地使高级领导人参与新的远程保健倡议，必须使建议与机构的战略目标保持一致，并利用患者的故事来强调远程保健的好处。为了管理患者和数十个临床部门对远程医疗服务的需求，电子医疗团队应该制定一个框架来决定什么是最重要的。为了让大型医疗人员采用远程医疗工作流程，电子医疗团队应该在每个员工级别培养远程医疗倡导者，并通过职业发展机会和奖励来激励他们。为了在远程医疗项目中招募异质患者，电子医疗团队应该使用多种教育方法来适应不同的学习风格。最后，卫生系统应该制定具体的远程医疗结果措施，并反复使用它们来激励改进。
Executives at large health systems across the United States have an interest in developing or expanding telehealth programs. While interest is increasing, telehealth implementation teams (or e-health teams) often face challenges that can hinder the successful transition from pilot to full-scale implementation. Here we share lessons learned by four large health systems that have faced and largely surmounted these challenges. For e-health teams to successfully engage senior leaders in new telehealth initiatives, it is essential to align proposals with the strategic goals of the institution and use patient stories to highlight the benefits of telehealth. To manage the demand for telehealth offerings from patients and dozens of clinical departments, e-health teams should develop a framework for deciding what's most important. To get large medical staffs to adopt telehealth workflows, e-health teams should nurture telehealth champions at each staff level and incentivize them with career development opportunities and rewards. To enroll a heterogeneous population of patients in telehealth programs, e-health teams should use multiple methods of education to accommodate different learning styles. And finally, health systems should develop telehealth-specific outcome measures and repeatedly use them to motivate improvement.