Development of an Interdisciplinary Telehealth Care Model in a Pediatric Cystic Fibrosis Center

Background: People with cystic fibrosis (PCF) have unique physical and emotional needs, which are best met through interdisciplinary care (IDC). In the midst of the pandemic, our center aimed to begin a telehealth care model with an objective to increase successful care visits from baseline of 0?95%...

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Glavni autori: Catherine Enochs, Amy G. Filbrun, Courtney Iwanicki, Haley Moraniec, Julie Lehrmann, Jourdan Stiffler, Sharyn Dagher, Chris Tapley, Hanna Phan, Rebekah Raines, Samya Z. Nasr
Format: Članak
Jezik:English
Izdano: Mary Ann Liebert 2021-10-01
Serija:Telemedicine Reports
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Online pristup:https://www.liebertpub.com/doi/full/10.1089/TMR.2021.0021
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author Catherine Enochs
Amy G. Filbrun
Courtney Iwanicki
Haley Moraniec
Julie Lehrmann
Jourdan Stiffler
Sharyn Dagher
Chris Tapley
Hanna Phan
Rebekah Raines
Samya Z. Nasr
author_facet Catherine Enochs
Amy G. Filbrun
Courtney Iwanicki
Haley Moraniec
Julie Lehrmann
Jourdan Stiffler
Sharyn Dagher
Chris Tapley
Hanna Phan
Rebekah Raines
Samya Z. Nasr
author_sort Catherine Enochs
collection DOAJ
description Background: People with cystic fibrosis (PCF) have unique physical and emotional needs, which are best met through interdisciplinary care (IDC). In the midst of the pandemic, our center aimed to begin a telehealth care model with an objective to increase successful care visits from baseline of 0?95% by June 26, 2020, including meeting cystic fibrosis (CF) care standards of IDC visits that are coproduced through agenda setting with PCF. Methods: Shifting IDC for pediatric CF patients to telehealth was part of a quality improvement initiative. Our team used asynchronous virtual visits (VVs), with the IDC team members' VVs done on different days than the physician's. Multiple plan?do?study?act cycles were completed to address evolving telehealth needs, including IDC team member flow logistics, communication with PCF, and surveying PCF for the patient perspective. Rates of IDC and agenda setting were measured from March 16, 2020 to June 26, 2020. Results: IDC VVs were at 86% in March 2020 with fluctuations until mid-May when we reached 100% and achieved sustainability. Agenda setting was reached at 100% and maintained. With continued effort, an additional 46.3% of PCF registered for the patient portal, totaling 90.6% with access. Our survey revealed 100% of PCF were able to see IDC team members that they needed to, with 87% ?extremely satisfied? and 13% ?somewhat satisfied? with their telehealth experience. Conclusions: Successful telehealth in pediatric CF IDC can be achieved through continuous communication, optimal utilization of available technologies, and may help foster unique opportunities to help improve health outcomes.
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spelling doaj.art-f00e667b46f34c30bfa7bd4d10f136892024-01-26T05:20:33ZengMary Ann LiebertTelemedicine Reports2692-43662021-10-012122423210.1089/TMR.2021.0021Development of an Interdisciplinary Telehealth Care Model in a Pediatric Cystic Fibrosis CenterCatherine EnochsAmy G. FilbrunCourtney IwanickiHaley MoraniecJulie LehrmannJourdan StifflerSharyn DagherChris TapleyHanna PhanRebekah RainesSamya Z. NasrBackground: People with cystic fibrosis (PCF) have unique physical and emotional needs, which are best met through interdisciplinary care (IDC). In the midst of the pandemic, our center aimed to begin a telehealth care model with an objective to increase successful care visits from baseline of 0?95% by June 26, 2020, including meeting cystic fibrosis (CF) care standards of IDC visits that are coproduced through agenda setting with PCF. Methods: Shifting IDC for pediatric CF patients to telehealth was part of a quality improvement initiative. Our team used asynchronous virtual visits (VVs), with the IDC team members' VVs done on different days than the physician's. Multiple plan?do?study?act cycles were completed to address evolving telehealth needs, including IDC team member flow logistics, communication with PCF, and surveying PCF for the patient perspective. Rates of IDC and agenda setting were measured from March 16, 2020 to June 26, 2020. Results: IDC VVs were at 86% in March 2020 with fluctuations until mid-May when we reached 100% and achieved sustainability. Agenda setting was reached at 100% and maintained. With continued effort, an additional 46.3% of PCF registered for the patient portal, totaling 90.6% with access. Our survey revealed 100% of PCF were able to see IDC team members that they needed to, with 87% ?extremely satisfied? and 13% ?somewhat satisfied? with their telehealth experience. Conclusions: Successful telehealth in pediatric CF IDC can be achieved through continuous communication, optimal utilization of available technologies, and may help foster unique opportunities to help improve health outcomes.https://www.liebertpub.com/doi/full/10.1089/TMR.2021.0021telehealthtelemedicinecystic fibrosisinterprofessionalinterdisciplinary
spellingShingle Catherine Enochs
Amy G. Filbrun
Courtney Iwanicki
Haley Moraniec
Julie Lehrmann
Jourdan Stiffler
Sharyn Dagher
Chris Tapley
Hanna Phan
Rebekah Raines
Samya Z. Nasr
Development of an Interdisciplinary Telehealth Care Model in a Pediatric Cystic Fibrosis Center
Telemedicine Reports
telehealth
telemedicine
cystic fibrosis
interprofessional
interdisciplinary
title Development of an Interdisciplinary Telehealth Care Model in a Pediatric Cystic Fibrosis Center
title_full Development of an Interdisciplinary Telehealth Care Model in a Pediatric Cystic Fibrosis Center
title_fullStr Development of an Interdisciplinary Telehealth Care Model in a Pediatric Cystic Fibrosis Center
title_full_unstemmed Development of an Interdisciplinary Telehealth Care Model in a Pediatric Cystic Fibrosis Center
title_short Development of an Interdisciplinary Telehealth Care Model in a Pediatric Cystic Fibrosis Center
title_sort development of an interdisciplinary telehealth care model in a pediatric cystic fibrosis center
topic telehealth
telemedicine
cystic fibrosis
interprofessional
interdisciplinary
url https://www.liebertpub.com/doi/full/10.1089/TMR.2021.0021
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