Publications

Here are some abstracts of publications from healthcare delivery organizations who have been using SBR Health for their virtual visit programs.

Boston Children’s Hospital
Boston Children’s Hospital CEO weighs in on leading amid the pandemic: 6 notes
Telehealth services currently account for about 50 percent of care at Boston Children’s and are definitely here to stay, Ms. Fenwick said. Initially, the hospital’s 9,000 employees moved to work remotely, and 85 percent of ambulatory work was done via telehealth at the height of the pandemic. In the beginning, the telehealth services were less satisfactory to both patients and clinicians, but people adapted quickly, soon hitting nines and 10s on a zero-to-10 satisfaction scale. Currently, the quality department is working to determine where telehealth has improved care and what areas should still be conducted in person, Ms. Fenwick explained.

The Use of Telemedicine for the Postoperative Urological Care of Children: Results of a Pilot Program
There was 96% technical success when using the software. A total of 125 postoperative virtual visits were completed in 83 patients. Median age of the children was 3.4 years and 87% were boys. Clinicians found that the virtual visit was “very effective” in 86% of cases, delivering the same care that they would have provided during a visit in person. Families were estimated to have saved a mean $150 travel cost and a median of 113 minutes of travel time per visit. No adverse postoperative outcomes were observed.

Virtual Visits in Ophthalmology: Timely Advice for Implementation During the COVID-19 Public Health Crisis
Virtual visits (VVs) are necessitated due to the public health crisis and social distancing mandates due to COVID-19. However, these have been rare in ophthalmology. Over 3.5 years of conducting >350 ophthalmological VVs, our group has gained numerous insights into best practices. This communication shares these experiences with the medical community to support patient care during this difficult time and beyond. We highlight that mastering the technological platform of choice, optimizing lighting, camera positioning, and “eye contact,” being thoughtful and creative with the virtual eye examination, and ensuring good documenting and billing will make a successful and efficient VV. Moreover, we think these ideas will stimulate further VV creativity and expertise to be developed in ophthalmology and across medicine. This approach, holds promise for increasing its adoption after the crisis has passed.

Dartmouth-Hitchcock
Delivering High Value Inflammatory Bowel Disease Care Through Telemedicine Visits
Delivering High Value Inflammatory Bowel Disease Care Through Telemedicine Visits
Forty-eight patients were included in the analysis. Most patients travel more than 25 miles each way, take half a day off, and on average incur an additional out-of-pocket cost of $62 for an in-office visit. Most patients (98%) agreed that there was enough time spent with their physician, 91% agreed that they felt like the physician understood their disease state, and 78% reported that they clearly understood the follow-up plan after the visit. Analysis of quality outcome measures did not show any drop in the overall quality of care, after initiating the telemedicine program.

Outpatient Virtual Visits and the “Right” Amount of Telehealth Going Forward
Three hundred thirty-six providers completed the survey representing 51 specialties. The most common response regarding the proportion of outpatient visits that could be delivered by video going forward was 21–50% (n = 104) followed by 6–20% (n = 99) and >50% (n = 71).

Feasibility and acceptability of a rural, pragmatic, telemedicine‐delivered healthy lifestyle programme
Of 62 participants approached, we enrolled 37, of which 27 completed at least 75% of the 16‐week programme sessions (27% attrition). Mean age was 46.9 ± 11.6 years (88.9% female), with a mean body mass index of 41.3 ± 7.1 kg/m2 and mean waist circumference of 120.7 ± 16.8 cm. Mean patient participant satisfaction regarding the telemedicine approach was favourable (4.48 ± 0.58 on 1‐5 Likert scale—low to high) and 67.6/75 on standardized questionnaire. Mean weight loss at 16 weeks was 2.22 ± 3.18 kg representing a 2.1% change (P < .001), with a loss in waist circumference of 3.4% (P = .001). Fat mass and visceral fat were significantly lower at 16 weeks (2.9% and 12.5%; both P < .05), with marginal improvement in appendicular skeletal muscle mass (1.7%). In the 30‐second sit‐to‐stand test, a mean improvement of 2.46 stands (P = .005) was observed.

Mass General Brigham
Patient and Clinician Experiences With Telehealth for Patient Follow-up Care
Most patients (62.6%) and clinicians (59.0%) reported “no difference” between virtual and office visits on “the overall quality of the visit.” When rating “the personal connection felt during the visit,” 32.7% of patients and 45.9% of clinicians reported that the “office visit is better,” but more than half of the respondents (patients, 59.1%; clinicians, 50.8%) said that there was “no difference.”

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sophisticated Call Handling with Vidyo


Many electronic health record systems include a rudimentary capability for virtual visits, such as being able to send the patient a link to a Vidyo or Zoom meeting, but what if you need a way to connect a patient with multiple parties, either in parallel (group meeting) or series (hand-off)?

With SBR Health you can do both. A provider can bring in a family member, caregiver, or colleague or interpreter, hold a multi-party call and then hand off the call to one of the providers. Alternatively, the patient can be put in a virtual waiting room until the next staff member is ready for them, e.g. for a receptionist to send a patient to a provider or for a provider to send the call to someone who can schedule a follow-up. The patient just makes one connection while the system does all the work.

The video shows an example of how this works using Vidyo. You can also use it with Zoom.

 

Sophisticated Call Handling with Zoom


Many electronic health record systems include a rudimentary capability for virtual visits, such as being able to send the patient a link to a Vidyo or Zoom meeting, but what if you need a way to connect a patient with multiple parties, either in parallel (group meeting) or series (hand-off)?

With SBR Health you can do both. A provider can bring in a family member, caregiver, or colleague or interpreter, hold a multi-party call and then hand off the call to one of the providers. Alternatively, the patient can be put in a virtual waiting room until the next staff member is ready for them, e.g. for a receptionist to send a patient to a provider or for a provider to send the call to someone who can schedule a follow-up. The patient just makes one connection while the system does all the work.

The video shows an example of how this works using Zoom. You can also use it with Vidyo.

 

Telemedicine for inpatient COVID-19 treatment

When the COVID-19 pandemic created an enormous surge in hospitalizations, health delivery organizations turned to telemedicine to reduce the need for face-to-face interactions. One innovative application at Massachusetts General Hospital used the SBR Health system to reduce unnecessary exposure and conserve PPE for inpatient care. The system used iPads affixed to mobile IV poles that could be placed in a patient’s room and allowed the clinicians to initiate a virtual encounter without requiring any action by the patient. The system was deployed in less than a week by configuring the SBR Health system that was already in place for outpatient visits.

There is a write-up of the usage at one site in The American Journal of Emergency Medicine. At its peak, the system supported more than 1,000 iPads across the MGH/Brigham network.

There is also an article and accompanying video here: www.wired.com/story/ipads-crucial-health-tools-combating-covid-19.