Impact of a digital health intervention on asthma resource utilization

Abstract Digital health interventions have been associated with reduced rescue inhaler use and improved controller medication adherence. This quality improvement project assessed the benefit of these interventions on asthma-related healthcare utilizations, including hospitalizations, emergency depar...

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Main Authors: Rajan Merchant, Stanley J. Szefler, Bruce G. Bender, Michael Tuffli, Meredith A. Barrett, Rahul Gondalia, Leanne Kaye, David Van Sickle, David A. Stempel
Format: Article
Language:English
Published: Elsevier 2018-12-01
Series:World Allergy Organization Journal
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40413-018-0209-0
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author Rajan Merchant
Stanley J. Szefler
Bruce G. Bender
Michael Tuffli
Meredith A. Barrett
Rahul Gondalia
Leanne Kaye
David Van Sickle
David A. Stempel
author_facet Rajan Merchant
Stanley J. Szefler
Bruce G. Bender
Michael Tuffli
Meredith A. Barrett
Rahul Gondalia
Leanne Kaye
David Van Sickle
David A. Stempel
author_sort Rajan Merchant
collection DOAJ
description Abstract Digital health interventions have been associated with reduced rescue inhaler use and improved controller medication adherence. This quality improvement project assessed the benefit of these interventions on asthma-related healthcare utilizations, including hospitalizations, emergency department (ED) utilization and outpatient visits. The intervention consisted of electronic medication monitors (EMMs) that tracked rescue and controller inhaler medication use, and a digital health platform that presented medication use information and asthma control status to patients and providers. In 224 study patients, the number of asthma-related ED visits and combined ED and hospitalization events 365 days pre- to 365 days post-enrollment to the intervention significantly decreased from 11.6 to 5.4 visits (p < 0.05) and 13.4 to 5.8 events (p < 0.05) per 100 patient-years, respectively. This digital health intervention was successfully incorporated into routine clinical practice and was associated with lower rates of asthma-related hospitalizations and ED visits.
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spelling doaj.art-a4187ef1ce454943b8d6bebe2eefe5a82022-12-22T00:46:50ZengElsevierWorld Allergy Organization Journal1939-45512018-12-011111410.1186/s40413-018-0209-0Impact of a digital health intervention on asthma resource utilizationRajan Merchant0Stanley J. Szefler1Bruce G. Bender2Michael Tuffli3Meredith A. Barrett4Rahul Gondalia5Leanne Kaye6David Van Sickle7David A. Stempel8Dignity Health, Woodland Clinic Medical GroupBreathing Institute, University of Colorado School of Medicine and Children’s Hospital ColoradoDivision of Pediatric Behavioral Health, Department of Pediatrics, National Jewish HealthPropeller HealthPropeller HealthPropeller HealthPropeller HealthPropeller HealthPropeller HealthAbstract Digital health interventions have been associated with reduced rescue inhaler use and improved controller medication adherence. This quality improvement project assessed the benefit of these interventions on asthma-related healthcare utilizations, including hospitalizations, emergency department (ED) utilization and outpatient visits. The intervention consisted of electronic medication monitors (EMMs) that tracked rescue and controller inhaler medication use, and a digital health platform that presented medication use information and asthma control status to patients and providers. In 224 study patients, the number of asthma-related ED visits and combined ED and hospitalization events 365 days pre- to 365 days post-enrollment to the intervention significantly decreased from 11.6 to 5.4 visits (p < 0.05) and 13.4 to 5.8 events (p < 0.05) per 100 patient-years, respectively. This digital health intervention was successfully incorporated into routine clinical practice and was associated with lower rates of asthma-related hospitalizations and ED visits.http://link.springer.com/article/10.1186/s40413-018-0209-0TelemedicineDelivery of health carePulmonary medicineAsthmaDigital health
spellingShingle Rajan Merchant
Stanley J. Szefler
Bruce G. Bender
Michael Tuffli
Meredith A. Barrett
Rahul Gondalia
Leanne Kaye
David Van Sickle
David A. Stempel
Impact of a digital health intervention on asthma resource utilization
World Allergy Organization Journal
Telemedicine
Delivery of health care
Pulmonary medicine
Asthma
Digital health
title Impact of a digital health intervention on asthma resource utilization
title_full Impact of a digital health intervention on asthma resource utilization
title_fullStr Impact of a digital health intervention on asthma resource utilization
title_full_unstemmed Impact of a digital health intervention on asthma resource utilization
title_short Impact of a digital health intervention on asthma resource utilization
title_sort impact of a digital health intervention on asthma resource utilization
topic Telemedicine
Delivery of health care
Pulmonary medicine
Asthma
Digital health
url http://link.springer.com/article/10.1186/s40413-018-0209-0
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