Enhanced Monitoring System to Better Monitor High-Risk COVID-19 Patients

被引：2

作者：

Koh, Thong Chuan Eugene ^{[1
]}

Goh, Jia Yi ^{[1
]}

Yau, Wen Kien Joachim ^{[2
]}

Kok, Ta Wei Kevin ^{[1
]}

Lee, Martin Yong Kwong ^{[1
]}

Goh, Kelvin C. Y. ^{[1
]}

Sng, Meng Wah ^{[1
]}

Chong, Si Jack ^{[1
]}

机构：

[1] Minist Hlth, Crisis Strategy Operat Grp, 1 Maritime Sq,11-18 HarbourFront Ctr, Singapore 099253, Singapore

[2] Singapore Armed Forces HQ Med Corps, Singapore, Singapore

来源：

JOURNAL OF MEDICAL SYSTEMS | 2023年 / 47卷 / 01期

关键词：

Telemedicine; Productivity; Monitoring; High-Risk patients; COVID-19;

D O I：

10.1007/s10916-023-01909-4

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Telemedicine (TM) is a useful tool to extend medical care during a pandemic. TM was extensively utilized in Singapore during the COVID-19 pandemic as part of the Nation's COVID-19 healthcare strategy. Patients were risk stratified to prioritize limited healthcare resources and the Telemedicine Allocation Reconciliation System (TMARS) was adapted to monitor and manage limited TM resources. High-Risk patients (Protocol 1) had an escalation rate of 4.87%, compared to the non-High-Risk patients' 0.002% and TM doctors spent an average of six hours to complete one tele-consultation. In order to optimize the efficiency of the TM system, an enhanced monitoring system was implemented in March 2022. The intent was to focus monitoring efforts on the High-Risk patients. High-Risk patients reporting sick for the first time were prioritized to receive tele-consultations through this system. With the aid of a data-driven dashboard, the Operations Control and Monitoring team (OCM) was able to closely monitor the performance of the various TM providers (TMPs), sent them timely reminders and re-assigned patients to other TMPs when the requisite turnaround time was not met. Implementing the enhanced monitoring system resulted in a significant reduction in the average time taken to provide tele-consultations. After 3 months of implementation, the percentages of consultations completed within two hours were raised from 75.7% (February 2022) to 96.8% (May 2022), greatly increasing productivity and efficiency.

引用

页数：3