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Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 J+Pain+Symptom+Manage 2020 ; 60 (3): e22-e27 Nephropedia Template TP
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Using Telehealth for Hospice Reauthorization Visits: Results of a Quality Improvement Analysis #MMPMID32525082
Moore SL; Portz JD; Santodomingo M; Elsbernd K; McHale M; Massone J
J Pain Symptom Manage 2020[Sep]; 60 (3): e22-e27 PMID32525082show ga
BACKGROUND: Increasing hospice need, a growing shortage of hospice providers, and concerns about in-person services because of coronavirus disease 2019 (COVID-19) require hospices to innovate care delivery. MEASURES: This project compared outcomes between hospice reauthorization visits conducted via telehealth and in person. After each visit, providers, patients, and caregivers completed telehealth acceptance surveys, and providers recorded reauthorization recommendations. INTERVENTION: Providers conducted 88 concurrent in-person and telehealth visits between June and November 2019. OUTCOMES: No statistically significant differences in reauthorization recommendations were found between telehealth and in-person visits. Satisfaction with telehealth was high; 88% of patients/caregivers and 78% of providers found telehealth services as effective as in-person visits. CONCLUSIONS/LESSONS LEARNED: Results indicate that telehealth can successfully support clinical decision making for hospice reauthorization. These findings show telehealth to be reliable and acceptable for certain types of hospice care even before COVID-19, which emphasizes its importance both during and after the current public health emergency.
|*Betacoronavirus[MESH]
|COVID-19[MESH]
|Coronavirus Infections/*epidemiology[MESH]
|Delivery of Health Care/*organization & administration[MESH]