Rapid Deployment of Inpatient Telemedicine in Response to COVID-19 Across Three Health Systems
A JAMIA Journal Club webinar – part of AMIA’s COVID-19 Resource Center
Article lead author Stacie Vilendrer discuss this month's JAMIA Journal Club selection:
Vilendrer S, Patel B, Chadwick W, et al. Rapid Deployment of Inpatient Telemedicine In Response to COVID-19 Across Three Health Systems. J Am Med Inform Assoc. 2020;27(7):1102-1109. doi:10.1093/jamia/ocaa077
Stacie Vilendrer, MD, MBA
Instructor, Department of Medicine
Stanford School of Medicine
Dr. Stacie Vilendrer is a board-certified family physician and a health services researcher at Stanford School of Medicine. Prior to joining the faculty, Dr. Vilendrer completed her MD/MBA at Stanford, her residency in family medicine at UCSF-affiliate Santa Rosa Family Medicine, and most recently, the Stanford-Intermountain Fellowship in Population Health & Delivery Science. Since the emergence of COVID-19, she has led or contributed to multiple research projects investigating best practices for the implementation of telemedicine in ambulatory and inpatient settings.
Dr. Vilendrer will be joined by co-authors Christopher Sharp, MD, Clinical Professor of Medicine, Chief Medical Information Officer, Stanford University, as well as by Birju Patel, MD, MPH, Clinical Informatics Fellow at Stanford University.
Christopher Sharp, MD
Clinical Professor of Medicine
Chief Medical Information Officer
Stanford University Medical Center
Birju Patel, MD, MPH
Clinical Informatics Fellow
Stanford Health Care
- 35-minute discussion between the authors and the JAMIA Student Editorial Board moderators including salient features of the published study and its potential impact on practice.
- 25-minute discussion of questions submitted by listeners via the webinar tools and moderated by JAMIA Student Editorial Board members
Maryam Zolnoori, PhD, Postdoctoral Research Fellow, Department of Digital Health Sciences and Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN
Mustafa I. Hussain, MS, PhD Candidate, Informatics, University of California, Irvine
Statement of Purpose
As healthcare systems grapple with the ongoing COVID-19 pandemic, many are exploring the adoption of telemedicine in novel settings to protect patients and health workers from viral transmission and reduce the use of personal protective equipment (PPE). While the use of telemedicine has not been historically widespread, the recent relaxation of federal privacy restrictions and increased reimbursement for telemedicine has temporarily lifted key barriers to broader use. Telemedicine in the inpatient setting has been recognized as a potentially useful infection control tool, though evaluative literature is lacking.
In order to inform health systems’ ongoing improvement in quickly standing up telemedicine practices, we led an inquiry into the efforts of three affiliated health systems, including an academic medical center, a pediatric hospital, and a county-owned health system, each of which took diverse paths to rapidly deploy inpatient telemedicine at the outset of the COVID crisis in March 2020. Given the need for a rapidly deployed solution in the setting of an anticipated COVID-19 surge, each opted to implement telemedicine via consumer-grade technology, including hardware (i.e. tablets) and software (i.e. web conferencing system). Existing familiarity with these technologies amongst clinicians and patients facilitated rapid adoption, yet ongoing challenges remain to optimize clinical workflow and system design. Working through an informatics lens, we aimed to better understand how these systems were deployed, including considerations across diverse populations.
The target audience for this activity is professionals and students interested in health informatics.
The general learning objective for all of the JAMIA Journal Club webinars is that participants will
- Use a critical appraisal process to assess article validity and to gauge article findings' relevance to practice
After this live activity, the participant should be better able to:
- Weigh patient and system considerations involved in deploying a telemedicine solution, including the interaction between system design, clinical workflows and the patient experience
- Identify variation of needs within diverse populations and explore how telemedicine solutions might be tailored to address those needs
The American Medical Informatics Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Credit Designation Statement
The American Medical Informatics Association designates this live activity for a maximum of 1 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The live webinar only offers CME credit. The recording on our website will be openly available for learners, but will not offer CME credit.
No commercial support was received for this activity.
Disclosures for this Activity
JAMIA Journal Club presenter Stacie Vilendrer discloses that she has received grant/research support from the Stanford-Intermountain Fellowship in Population Health & Delivery Science; Stanford Health Care; and Intermountain Health; and that she has served as a medical advisor to AirX Health Home Monitoring, and Spect, Inc, both of which were non-financial relationships.
The following presenters, planners, and staff who are in a position to control the content of this activity disclose that they and their life partners have no relevant financial relationships with commercial interests:
JAMIA Journal Club Presenters: Birju Patel, Christopher Sharp
JAMIA Journal Club planners: Michael Chiang, Mustafa I. Hussain, Maryam Zolnoori
AMIA staff: Susanne Arnold, Pesha Rubinstein
For questions about webinar access, email Susanne@amia.org.
Instructions for Claiming CME Credit
Use the link in the chat area to claim credit; in a few days you will receive an email with your CME certificate.
If you require a certificate of participation, contact Pesha@amia.org