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Telemedicine Research and Quality Assessment

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Telemedicine in Orthopedic Surgery and Sports Medicine

Abstract

Telemedicine is just one type of care delivery. The orthopedic care remains the same as with in-person care; it is just delivered virtually. Research in telemedicine, regardless of specialty, should be assessed based upon the care rendered for the specific orthopedic condition in accordance with the National Quality Forum (NQF) telemedicine framework, which has four domains – access, cost/financial effectiveness, experience, and effectiveness. The impact of any surgical intervention can be assessed exactly as it would be for other types of surgical care. As an example, goals of rehabilitation following hip surgery do not change, based upon the care delivery mechanism. In this chapter, we review the NQF framework and provide some examples as to how it can be applied within orthopedic surgery.

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References

  1. Committee on Quality of Health Care in America – Institute of Medicine. Crossing the quality chasm a new health system for the 21st century. Washington, DC: National Academy Press; 2001. http://www.iom.edu/Reports/2001/Crossing-the-Quality-Chasm-A-New-Health-System-for-the-21st-Century.aspx. Accessed 9 Jan 2014.

  2. Hickam D, Totten A, Berg A, Rader K, Goodman S, Newhouse R. The PCORI methodology report PCORI Methodology Committee. 2013 November.

    Google Scholar 

  3. Hollander JE, Davis TM, Doarn C, Goldwater JC, Klasko S, Lowery C, Papanagnou D, Rasmussen P, Sites FD, Stone D, Carr BG. Recommendations from the first National Academic Consortium of telehealth. Popul Health Manag. 2018;21(4):271–7.

    Article  Google Scholar 

  4. Hollander J, Ranney M, Carr B. No patient left behind: patient-centered healthcare reform. Healthcare Transform. 2016;1(2):114–9. https://doi.org/10.1089/heat.2016.29016.hrc.

    Article  Google Scholar 

  5. Gardner MR, Jenkins SM, O’Neil DA, Wood DL, Spurrier BR, Pruthi S. Perceptions of video-based appointments from the patient’s home: a patient survey. Telemed J E Health. 2015;21(4):281–5. https://doi.org/10.1089/tmj.2014.0037.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Ertel AE, Kaiser T, Shah SA. Using telehealth to enable patient-centered care for liver transplantation. JAMA Surg. 2015;150(7):674–5. https://doi.org/10.1002/lt.24112.3.

    Article  PubMed  Google Scholar 

  7. Zulman DM, Jenchura EC, Cohen DM, Lewis ET, Houston TK, Asch SM. How can eHealth technology address challenges related to multimorbidity? Perspectives from patients with multiple chronic conditions. J Gen Intern Med. 2015;30(8):1063–70. https://doi.org/10.1007/s11606-015-3222-9.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Barnett TE, Chumbler N, Vogel B, Beyth RJ, Qin H, Kobb R. The effectiveness of a care coordination home telehealth program for veterans with diabetes mellitus: a 2-year follow-up. Am J Manag Care. 2006;12(8):467–74.

    PubMed  Google Scholar 

  9. Aponte-Tinao LA, Farfalli GL, Albergo JI, Plazzotta F, Sommer J, Luna D, de Quirós FGB. Face to face appointment vs. telemedicine in first time appointment orthopedic oncology patients: a cost analysis. Stud Health Technol Inform. 2019;264:512–5. https://doi.org/10.3233/SHTI190275.

    Article  PubMed  Google Scholar 

  10. Prada C, Izquierdo N, Traipe R, Figueroa C. Results of a new telemedicine strategy in traumatology and orthopedics. Telemed J E Health. 2019; https://doi.org/10.1089/tmj.2019.0090. [Epub ahead of print]

  11. Buvik A, Bergmo TS, Bugge E, Smaabrekke A, Wilsgaard T, Olsen JA. Cost-effectiveness of telemedicine in remote orthopedic consultations: randomized controlled trial. J Med Internet Res. 2019;21(2):e11330. https://doi.org/10.2196/11330.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Fenelon C, Murphy EP, Galbraith JG, O’Sullivan ME. Telesurveillance: exploring the use of mobile phone imaging in the follow-up of orthopedic patients with Hand Trauma. Telemed J E Health. 2019;25(12):1244–9. https://doi.org/10.1089/tmj.2018.0210. Epub 2019 Feb 8

    Article  PubMed  Google Scholar 

  13. Ortiz-Piña M, Salas-Fariña Z, Mora-Traverso M, Martín-Martín L, Galiano-Castillo N, García-Montes I, Cantarero-Villanueva I, Fernández-Lao C, Arroyo-Morales M, Mesa-Ruíz A, Castellote-Caballero Y, Salazar-Graván S, Kronborg L, Martín-Matillas M, Ariza-Vega P. A home-based tele-rehabilitation protocol for patients with hip fracture called @ctivehip. Res Nurs Health. 2019;42(1):29–38. https://doi.org/10.1002/nur.21922. Epub 2018 Nov 16

    Article  PubMed  Google Scholar 

  14. Buvik A, Bugge E, Knutsen G, Småbrekke A, Wilsgaard T. Patient reported outcomes with remote orthopaedic consultations by telemedicine: a randomised controlled trial. J Telemed Telecare. 2019;25(8):451–9. https://doi.org/10.1177/1357633X18783921. Epub 2018 Jul 4

    Article  PubMed  Google Scholar 

  15. Davidovitch RI, Anoushiravani AA, Feng JE, Chen KK, Karia R, Schwarzkopf R, Iorio R. Home Health services are not required for select total hip arthroplasty candidates: assessment and supplementation with an electronic recovery application. J Arthroplast. 2018;33(7S):S49–55. https://doi.org/10.1016/j.arth.2018.02.048. Epub 2018 Feb 21

    Article  Google Scholar 

  16. Chughtai M, Newman JM, Sultan AA, Khlopas A, Navarro SM, Bhave A, Mont MA. The role of virtual rehabilitation in total knee and hip arthroplasty. Surg Technol Int. 2018;32:299–305.

    PubMed  Google Scholar 

  17. Gilbert AW, Jaggi A, May CR. What is the patient acceptability of real time 1:1 videoconferencing in an orthopaedics setting? A systematic review. Physiotherapy. 2018;104(2):178–86. https://doi.org/10.1016/j.physio.2017.11.217. Epub 2017 Dec 12. Review.

    Article  PubMed  Google Scholar 

  18. Mullen-Fortino M, Rising KL, Duckworth J, Gwynn V, Sites FD, Hollander JE. Presurgical assessment using telemedicine technology: impact on efficiency, effectiveness and patient experience of care. Telemed J E Health. 2018; https://doi.org/10.1089/tmj.2017.0133. [Epub ahead of print]

  19. NQF: creating a framework to support measure development for telehealth. Qualityforum.org. Available at: https://www.qualityforum.org/Publications/2017/08/Creating_a_Framework_to_Support_Measure_Development_for_Telehealth.aspx. Published 2017. Accessed 4 Sept 2018.

  20. Rising KL, Ricco JC, Printz AD, Woo SH, Hollander JE. Virtual rounds: observational study of a new service connecting family members remotely to inpatient rounds. Gen Int Med Clin Innov. 2016;1(3):50–3.

    Article  Google Scholar 

  21. Huigol, YS, Joshi AU, Carr BG, Hollander JE. Giving urban health care access issues the attention they deserve in telemedicine reimbursement policies. Health Affairs Blog. October 12, 2017. Available at: https://www.healthaffairs.org/do/10.1377/hblog20171022.713615/full/. Accessed 4 Sept 2018.

  22. Agarwal AK, Gaieski DF, Perman SM, Leary M, Delfin G, Abella BS, Carr BG. Telemedicine REsuscitation and Arrest Trial (TREAT): a feasibility study of real-time provider-to-provider telemedicine for the care of critically ill patients. Heliyon. 2016;2(4):e00099.

    Article  Google Scholar 

  23. Powell RE, Henstenburg JM, Cooper G, Hollander JE, Rising KL. Patient perceptions of telehealth primary care video visits. Ann Fam Med. 2017;15(3):225–9.

    Article  Google Scholar 

  24. Powell RE, Stone D, Hollander JE. Patient and health system experience with implementation of an enterprise wide telehealth scheduled video visit program: mixed methods study. JMIR Med Inform. 2018, 6(1):e10.p1–7.

    Google Scholar 

  25. Papanagnou D, Sicks S, Hollander JE. Training the next generation of care providers: focus on telehealth. Healthcare Transform. 2015;1(1):52–63.

    Article  Google Scholar 

  26. Papanagnou D, Stone D, Chandra S, Watts P, Chang AM, Hollander JE. Integrating telehealth emergency department follow up visits into residency training. Cureus. 2018;10(4):e2433.

    PubMed  PubMed Central  Google Scholar 

  27. Rising KL, Ward MM, Goldwater JC, Bhagianadh D, Hollander JE. Framework to advance oncology related telehealth. JCO Clin Cancer Inform. 2018; Available at: http://ascopubs.org/doi/pdfdirect/10.1200/CCI.17.00156

  28. Glassman DT, Puri AK, Weingarten S, Hollander JE, Stepchin A, Trabulsi E, Gomella LG. A single institution’s initial experience with telemedicine. Urology Pract. 2018;5(5):367–71.

    Article  Google Scholar 

  29. Nandra K, Koenig G, DelMastro A, Mishler E, Hollander JE, Yeo CJ. Telehealth provides a comprehensive approach to the surgical patient. Am J Surg. 2018; In press. doi: https://doi.org/10.1016/j.amjsurg.2018.09.020. . [Epub ahead of print].

  30. Rimer RA, Christopher V, Falck A, et al. Telemedicine in otolaryngology outpatient setting – single center head and neck surgery experience. Laryngoscope. 2018;128(9):2072–5.

    Article  Google Scholar 

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Hollander, J.E., Goldwater, J. (2021). Telemedicine Research and Quality Assessment. In: Atanda Jr., A., Lovejoy III, J.F. (eds) Telemedicine in Orthopedic Surgery and Sports Medicine. Springer, Cham. https://doi.org/10.1007/978-3-030-53879-8_15

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  • DOI: https://doi.org/10.1007/978-3-030-53879-8_15

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