Digital Care Technology Enables COVID-19 Care at Scale

KEEPING PATIENTS AND EMPLOYEES SAFE

When the first COVID-19 case was confirmed at a large healthcare system, leaders quickly identified the need for a robust telehealth-based response and defined six key imperatives:

• Screen, test, and treat a new disease during a global pandemic.
• 在家对症状轻微的患者进行监测和管理，减少潜在的传播。
• Keep the workforce safe and active.
• Expand availability of ‘routine’ care and preventative wellness.
• Be a trusted source of information for the community.
• Recruit recovered patients to donate convalescent plasma.

他们还观察到由COVID-19驱动的关键临床需求，包括对COVID-19患者的远程监测和护理，提供虚拟护理，沟通疾病控制和预防中心和国家的变化指导，以及支持新的恢复期血浆捐献计划。

BROADENING USE OF PATIENT ENGAGEMENT PLATFORM

The rapid expansion of Twistle® by Health Catalyst®, a patient engagement platform already deployed at the organization for other use cases, facilitated the scale and standardization of COVID-19 messaging and care across the health system’s entire network. The secure, text-based messaging outreach allows patients to participate even if they don’t have access to the internet, a computer, or WiFi, helping the organization overcome health equity challenges and provide care in new ways. The health system uses a variety of communication protocols to facilitate the provision of care for patients and staff, including:

• Screening after potential COVID-19 exposure.
• Communicating return-to-work clearance.
• Symptomatic self-monitoring at home.
• Monitoring and bidirectional messaging of patients with COVID-19.

对于在家康复的COVID-19患者，作为EHR命令集的一部分，启动了Twistle通路。该组织首先使用每天两次的评估表格来收集和报告患者的症状，并通过远程生理监测来收集温度和氧饱和度。这些信息被集成回电子病历中，以形成全面的记录。随着对COVID疾病的了解越来越多，评估减少到每天一次。当数据显示患者病情恶化时，护理团队会受到提醒，将注意力集中在需要干预的患者上，同时安全支持护理协调员管理更大病例量的能力。

RESULTS

Using the Twistle patient engagement platform, the health system expanded care capacity to meet increasing demand, continue providing necessary primary and preventative care, and keep its workforce safe. Results include:

• More than 38,000 patients were supported through COVID-19 screening, testing, treatment, and monitoring.
• 64.1 percent of patients said Twistle reduced the need to contact a provider by phone.
• 95.7 percent of patients adopted the technology, and patients read or responded to 76.5 percent of all messages.

“有了Twistle，我们可以快速集中支持COVID-19筛查、检测和监测大量人群，包括我们的护理团队和患者。这对我们有效应对快速变化的新形势至关重要。”

Chief Medical Information Officer

ADDITIONAL READING

• Drive Better Outcomes with Four Data-Informed Patient Engagement Tactics
• Unleashing Patient’s Power in Improving Health and Care
• How Telehealth Improves Revenue, Cost, and Quality
• How to Scale Telehealth Solutions to Increase Patient Access During COVID-19
• Virtual Visits and Analytics Enable Continued Delivery of Ambulatory Services During COVID-19 Pandemic