Telehealth
Conditions
Keywords
Video Visits, Virtual Visits, Telehealth
Brief summary
The purpose of this study is to test a new process for having a virtual visit with a primary care doctor after discharge from the hospital, instead of an in-person visit.
Detailed description
The goal of this project is to fully develop the protocol for identifying patients who would benefit from a virtual visit and develop the protocol for implementing the virtual visit. The value of this project is that the results will provide ample preliminary data for a future randomized controlled trial to determine the effectiveness of the intervention. This project will have an intervention group only. The hypothesis is that the intervention can be implemented in a way that is feasible and acceptable to providers and patients.
Interventions
Post-discharge virtual visit
Sponsors
Study design
Eligibility
Inclusion criteria
* Medical inpatients, age \>=18, with an existing WCIMA attending as his or her PCP * Patients with disposition to home * Medically appropriate for a video visit (as determined by inpatient attending) * Patients or caregivers must be able to enroll in MyChart before discharge, must be capable of using the Weill Cornell Connect app to do a video visit at home using broadband access or the equivalent (must own a device compatible with the app, e.g. smartphone or tablet) * English speaking * Cognitively able to participate or Caregiver must be able to participate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of patients meeting inclusion criteria over the study period out of all patients being discharged over the same time period | 6 months post-intervention |
| Proportion of patients who consent to participate out of all those found to be eligible | 6 months post-intervention |
| Proportion of patients who successfully schedule video visits out of all of those who consent | 6 months post-intervention |
| Proportion of patients who successfully complete video visit out of all of those who scheduled | 6 months post-intervention |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Physician satisfaction with the video visit | Within one month post-intervention | Measured through multiple choice, yes/no, and free-response (only asked if specific responses are received) questions. |
| Number of in-person visits instead of or in addition to video visit | 6 months post-intervention | — |
| Patient satisfaction with the video visit | Within one month post-intervention | Based on a previously validated instrument (Parmanto et. al, Int J Telerehab 2016 Spring; 8(1): 3-10). Measured through 5-point likert scale,free response, multiple choice, and yes/no questions. |
Countries
United States