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{
    "pk": 17884,
    "title": "Large-scale Implementation of a COVID-19 Remote Patient Monitoring Program",
    "subtitle": null,
    "abstract": "Introduction:\n We implemented a large-scale remote patient monitoring (RPM) program for patients diagnosed with coronavirus 2019 (COVID-19) at a not-for-profit regional healthcare system. In this retrospective observational study, patients from nine emergency department (ED) sites were provided a pulse oximeter and enrolled onto a monitoring platform upon discharge.\nMethods: \nThe RPM team captured oxygen saturation (SpO2), heart rate, temperature, and symptom progression data over a 16-day monitoring period, and the team engaged patients via video call, phone call, and chat within the platform. Abnormal vital signs were flagged by the RPM team, with escalation to in-person care and return to ED as appropriate. Our primary outcome was to describe study characteristics: patients enrolled in the COVID-19 RPM program; engagement metrics; and physiologic and symptomatic data trends. Our secondary outcomes were return-to-ED rate and subsequent readmission rate.\nResults: \nBetween December 2020–August 2021, a total of 3,457 patients were referred, and 1,779 successfully transmitted at least one point of data. Patients on COVID-19 RPM were associated with a lower 30-day return-to-ED rate (6.2%) than those not on RPM (14.9%), with capture of higher acuity patients (47.7% of RPM 30-day returnees were subsequently hospitalized vs 34.8% of non-RPM returnees).\nConclusion: \nOur program, one of the largest studies to date that captures both physiologic and symptomatic data, may inform others who look to implement a program of similar scope. We also share lessons learned regarding barriers and disparities in enrollment and discuss implications for RPM in other acute disease states.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Telehealth"
        },
        {
            "word": "Remote Patient Monitoring"
        },
        {
            "word": "COVID-19"
        }
    ],
    "section": "Endemic Infections",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/3jr921jg",
    "frozenauthors": [
        {
            "first_name": "Lulu",
            "middle_name": "",
            "last_name": "Wang",
            "name_suffix": "",
            "institution": "MedStar Washington Hospital Center, Department of Emergency Medicine, Washington, DC; MedStar Telehealth Innovation Center, MedStar Institute for Innovation, Washington, DC",
            "department": "None"
        },
        {
            "first_name": "Marisa",
            "middle_name": "",
            "last_name": "Arky",
            "name_suffix": "",
            "institution": "MedStar Telehealth Innovation Center, MedStar Institute for Innovation, Washington, DC",
            "department": "None"
        },
        {
            "first_name": "Alyssa",
            "middle_name": "",
            "last_name": "Ierardo",
            "name_suffix": "",
            "institution": "Georgetown University Hospital and Washington Hospital Center Emergency Medicine Residency, Washington, DC",
            "department": "None"
        },
        {
            "first_name": "Anna",
            "middle_name": "",
            "last_name": "Scanlin",
            "name_suffix": "",
            "institution": "Georgetown University Hospital and Washington Hospital Center Emergency Medicine Residency, Washington, DC",
            "department": "None"
        },
        {
            "first_name": "Melissa",
            "middle_name": "",
            "last_name": "Templeton",
            "name_suffix": "",
            "institution": "Georgetown University Hospital and Washington Hospital Center Emergency Medicine Residency, Washington, DC",
            "department": "None"
        },
        {
            "first_name": "Ethan",
            "middle_name": "",
            "last_name": "Booker",
            "name_suffix": "",
            "institution": "MedStar Washington Hospital Center, Department of Emergency Medicine, Washington, DC; MedStar Telehealth Innovation Center, MedStar Institute for Innovation, Washington, DC",
            "department": "None"
        }
    ],
    "date_submitted": "2023-02-14T03:02:07Z",
    "date_accepted": "2023-02-14T03:02:07Z",
    "date_published": "2023-10-27T17:47:28+01:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/17884/galley/9130/download/"
        }
    ]
}