Care Trajectories For Patients Utilizing Electronic Visits For COVID-like Symptoms in a Large Healthcare Delivery System: May 2020-December 2021.

Details

• Alternative Title:
  Journal of Telemedicine and Telecare, 2024, v. 30, no. 10: Care Trajectories For Patients Utilizing Electronic Visits For COVID-like Symptoms in a Large Healthcare Delivery System: May 2020-December 2021.
• Journal Article:
  Journal of Telemedicine and Telecare
• Personal Author:
  Groom, Holly C ; Crawford, Phil ; Azziz-Baumgartner, Eduardo ; Henninger, Michelle L ; Smith, Ning ; Salas, Bianca ; Donald, Judy ; Naleway, Allison L
• Description:
  There is limited information about how on-line screening tools developed by integrated systems facilitated management of COVID-like illness patients.
  
  Using the Kaiser Permanente Northwest (KPNW) Electronic Health Record, we identified adult plan members who accessed online COVID-19 screening e-visits and enumerated their subsequent medical encounters, tests for SARS-CoV-2, and test outcomes.
  
  Between May 2020 and December 2021, members completed 55,139 e-visits, with disproportionate representation among females (65% vs. 53% in the overall membership) and members aged <45 years (61% vs. 39%). Thirty percent of patients (16,953) were managed entirely through e-visits and 70% received subsequent in-person care. The percent of SARS-CoV-2 positive individuals was highest among the 1055 individuals triaged to inpatient care (17.9%), compared to 9.5% among those escalated to additional ambulatory care.
  
  The e-visit on-line screening tool helped KPNW assist thousands of patients with COVID-19 symptoms, avoid unnecessary in-person patient encounters, and preserved KPNW infection control and pandemic surge capacity.
• Content Notes:
  Author manuscript
• Subjects:
  • Humans
  • COVID-19
  • Female
  • Male
  • Adult
  • Middle Aged
  • Telemedicine
  • SARS-CoV-2
  • Aged
  • Electronic Health Records
  More +
• Keywords:
  • Telemedicine
  • e-health
  • COVID-19
  • screening
  • Electronic Health Record
  • digital health
  • e-Consults
• Source:
  Journal of Telemedicine and Telecare, 2024, v. 30, no. 10
• DOI:
  https://doi.org/10.1177/1357633X231162874
• ISSN:
  1357-633X ; 1758-1109
• Pubmed ID:
  36945878
• Pubmed Central ID:
  PMC11753189
• Document Type:
  Text
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Genre:
  Journal Article
• Pages in Document:
  1598-1606 (17 pdf pages)
• Volume:
  30
• Issue:
  10
• Download URL:
  https://stacks.cdc.gov/view/cdc/262110/cdc_262110_DS1.pdf
• File Type:
  [PDF - 604.12 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:5746fed53d607707bf89146737d0d681058a40f7e10aca27e06cf7f27a51757f1735e1c39d3823e5e5ca33c7381083ef8ad3e0274b539f34de6adc54bd3deb14