Home to Stay: An Integrated Monitoring System Using a Mobile App to Support Patients at Home Following Colorectal Surgery
Background: Patients undergoing colorectal surgery are vulnerable during their transition from hospital to home and require increased support following discharge from hospital. Study objectives were to perform an initial assessment of patient uptake, outcomes, and satisfaction with an integrated dis...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2020-12-01
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| Series: | Journal of Patient Experience |
| Online Access: | https://doi.org/10.1177/2374373520904194 |
| _version_ | 1818194923258642432 |
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| author | Christine J S Keng MD, MSc Alifiya Goriawala BHSc Saira Rashid BHSc Rachel Goldstein BHSc Selina Schmocker MSc Alexandra Easson MD, MSc Erin Kennedy MD, PhD |
| author_facet | Christine J S Keng MD, MSc Alifiya Goriawala BHSc Saira Rashid BHSc Rachel Goldstein BHSc Selina Schmocker MSc Alexandra Easson MD, MSc Erin Kennedy MD, PhD |
| author_sort | Christine J S Keng MD, MSc |
| collection | DOAJ |
| description | Background: Patients undergoing colorectal surgery are vulnerable during their transition from hospital to home and require increased support following discharge from hospital. Study objectives were to perform an initial assessment of patient uptake, outcomes, and satisfaction with an integrated discharge monitoring system called Home to Stay. Methods: The intervention was an integrated discharge monitoring system that uses a mobile app platform. Patients downloaded the app prior to discharge from hospital and received a Daily Health Check day #1 to #14, #21, and #30. Patient responses’ were accessed by the health-care team via secure web site, and extreme responses were “flagged” to indicate that a follow-up telephone call was necessary. Primary outcomes were patient uptake, Quality of Recovery scores and satisfaction with the program. Secondary outcomes were 30-day emergency room (ER) visits and readmissions. Results: One hundred and thirty-two patients were invited to participate and 106 accepted. Of these, 93 used the app at least once. The mean overall score on the Quality of Recovery Scale increased significantly from day 1 to day 14. Patient satisfaction with the app was high, with 92% of patients reporting overall satisfaction as good or excellent. The 30-day readmission rate was 6% and was lower than the 30-day readmission rate of 18% reported for the 4 months prior to the start of the study. Conclusions: The Home to Stay Program to support patients at home after colorectal surgery is feasible with high patient uptake and satisfaction. This program has the potential to reduce 30-day readmissions, however further studies are required. |
| first_indexed | 2024-12-12T01:10:00Z |
| format | Article |
| id | doaj.art-4a558e613f0042cc9eec65aeb8907bab |
| institution | Directory Open Access Journal |
| issn | 2374-3735 2374-3743 |
| language | English |
| last_indexed | 2024-12-12T01:10:00Z |
| publishDate | 2020-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Patient Experience |
| spelling | doaj.art-4a558e613f0042cc9eec65aeb8907bab2022-12-22T00:43:30ZengSAGE PublishingJournal of Patient Experience2374-37352374-37432020-12-01710.1177/2374373520904194Home to Stay: An Integrated Monitoring System Using a Mobile App to Support Patients at Home Following Colorectal SurgeryChristine J S Keng MD, MSc0Alifiya Goriawala BHSc1Saira Rashid BHSc2Rachel Goldstein BHSc3Selina Schmocker MSc4Alexandra Easson MD, MSc5Erin Kennedy MD, PhD6 Institute of Health Policy, Management and Evaluation, , Toronto, Ontario, Canada Department of Surgery, Mount Sinai Hospital, , Toronto, Ontario, Canada Department of Surgery, Mount Sinai Hospital, , Toronto, Ontario, Canada Department of Surgery, Mount Sinai Hospital, , Toronto, Ontario, Canada Department of Surgery, Mount Sinai Hospital, , Toronto, Ontario, Canada Institute of Health Policy, Management and Evaluation, , Toronto, Ontario, Canada Institute of Health Policy, Management and Evaluation, , Toronto, Ontario, CanadaBackground: Patients undergoing colorectal surgery are vulnerable during their transition from hospital to home and require increased support following discharge from hospital. Study objectives were to perform an initial assessment of patient uptake, outcomes, and satisfaction with an integrated discharge monitoring system called Home to Stay. Methods: The intervention was an integrated discharge monitoring system that uses a mobile app platform. Patients downloaded the app prior to discharge from hospital and received a Daily Health Check day #1 to #14, #21, and #30. Patient responses’ were accessed by the health-care team via secure web site, and extreme responses were “flagged” to indicate that a follow-up telephone call was necessary. Primary outcomes were patient uptake, Quality of Recovery scores and satisfaction with the program. Secondary outcomes were 30-day emergency room (ER) visits and readmissions. Results: One hundred and thirty-two patients were invited to participate and 106 accepted. Of these, 93 used the app at least once. The mean overall score on the Quality of Recovery Scale increased significantly from day 1 to day 14. Patient satisfaction with the app was high, with 92% of patients reporting overall satisfaction as good or excellent. The 30-day readmission rate was 6% and was lower than the 30-day readmission rate of 18% reported for the 4 months prior to the start of the study. Conclusions: The Home to Stay Program to support patients at home after colorectal surgery is feasible with high patient uptake and satisfaction. This program has the potential to reduce 30-day readmissions, however further studies are required.https://doi.org/10.1177/2374373520904194 |
| spellingShingle | Christine J S Keng MD, MSc Alifiya Goriawala BHSc Saira Rashid BHSc Rachel Goldstein BHSc Selina Schmocker MSc Alexandra Easson MD, MSc Erin Kennedy MD, PhD Home to Stay: An Integrated Monitoring System Using a Mobile App to Support Patients at Home Following Colorectal Surgery Journal of Patient Experience |
| title | Home to Stay: An Integrated Monitoring System Using a Mobile App to Support Patients at Home Following Colorectal Surgery |
| title_full | Home to Stay: An Integrated Monitoring System Using a Mobile App to Support Patients at Home Following Colorectal Surgery |
| title_fullStr | Home to Stay: An Integrated Monitoring System Using a Mobile App to Support Patients at Home Following Colorectal Surgery |
| title_full_unstemmed | Home to Stay: An Integrated Monitoring System Using a Mobile App to Support Patients at Home Following Colorectal Surgery |
| title_short | Home to Stay: An Integrated Monitoring System Using a Mobile App to Support Patients at Home Following Colorectal Surgery |
| title_sort | home to stay an integrated monitoring system using a mobile app to support patients at home following colorectal surgery |
| url | https://doi.org/10.1177/2374373520904194 |
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