Telehealth service provision has accelerated during the Coronavirus disease 2019 (COVID-19) pandemic. As pandemic continues, clinical practices have discovered ways to resume operations. Opportunities exist understand patient preferences for telehealth services and tailor offerings different demographic groups.We conducted a survey of patients receiving through our outpatient practice types healthcare which report telehealth.We received 551 responses (response rate = 20.8%; 551/2650). More...

Myocarditis following coronavirus disease 2019 (COVID-19) mRNA vaccines (Pfizer-BioNTech and Moderna) has been increasingly reported. Incidence rates in the general population are lacking, with pericarditis rather than myocarditis diagnostic codes being used to estimate background rates. This comparison is critical for balancing risk of vaccination no vaccination.A retrospective case series was performed using Mayo Clinic COVID-19 Vaccine Registry. We measured incidence rate ratio (IRR)...

Background Digital determinants of health (DDoH), including access to technological tools and digital literacy, function independently as barriers health. Assessment for DDoH is not routine within most care systems, although addressing could help mitigate differential outcomes the divide. Objective This study aims assess role individual-level factors on patient enrollment in use portal. Methods We developed a multimodal, cross-sectional survey deployed it 11,424 individuals based their...

The protective efficacy of prior coronavirus disease 2019 (COVID-19) with or without vaccination remains unknown. This study sought to understand if 2 more messenger RNA (mRNA) vaccine doses provide additional protection in patients infection, infection alone provides comparable protection.We conducted a retrospective cohort the risk COVID-19 from 16 December 2020 through 15 March 2022, among vaccinated and unvaccinated all ages infection. A Simon-Makuch hazard plot illustrated incidence...

Medicare hospital Value-based purchasing (VBP) program that links payments to quality of care will become effective from 2013. It is unclear whether specific characteristics are associated with a hospital's VBP score, and consequently incentive payments.The objective the study was assess association (i) mean (ii) percentiles score distribution. The secondary quantify associations components: clinical process (CPC) patient satisfaction score.Observational analysis used data three sources:...

Safe management of warfarin in the inpatient setting can be challenging. At Mayo Clinic hospitals Rochester, Minnesota, we set out to improve safety among surgical and non-surgical inpatients.A multidisciplinary team designed a pharmacist-managed protocol (PMWP) which designated dosing pharmacists with guidance from computerised algorithms. Ordering this was ultimately as an 'opt out' practice. The primary improvement measure frequency international normalised ratio (INR) greater than 5;...

To reliably assess quality, a standardized electronic approach is needed to identify bleeding events. The study aims were the following: (1) clinically validate an health record-based algorithm for and (2) interrater results determine validity reliability. Data analyzed before after implementation of pharmacist-managed warfarin protocol. Bleeding was based on ≥2 3 criteria: diagnosis indicating bleeding, lab value decrease suggesting (3) blood product use. All suspected bleeds (234) sample...

Uncertainty exists regarding the effectiveness of COVID-19 vaccine to prevent postacute sequelae (PASC) following a breakthrough infection. While most studies based on symptom surveys found an association between preinfection vaccination status and PASC symptoms, medically attended are less common have reported conflicting findings. In this retrospective cohort patients with initial SARS-CoV-2 infection who were continually empaneled for primary care in large US health system, electronic...

Background: Remote patient monitoring (RPM) is an emerging focus in health care, and specialized programs may reduce medical costs, supplement in-office visits, improve satisfaction. In this study, we describe the development, feasibility, early outcomes of RPM program for patients with decompensated cirrhosis. Methods: Forty-six were offered enrollment at time hospital discharge cirrhosis (CiRPM), which 41 completed least 30 days monitoring. Participants mailed remote equipment a tablet to...

Study Objectives: Health care complexity includes dimensions of patient comorbidity and the level services needed to meet demands.Home sleep apnea tests (HSAT) are increasingly used test medically uncomplicated patients suspected having moderate severe obstructive (OSA).Patients with significant comorbidities or other disorders not candidates for HSAT require attended in-center polysomnography.We hypothesized that this trend would result in complex being studied centers.Methods: Our study...

To design and evaluate, through a human-centered approach, multispeciality clinic for patients with central sensitization syndromes that combined virtual previsit consultations, traditional face-to-face appointments, technology-enabled educational programming.Patients suspected fibromyalgia chronic abdominal pain were seen in multispecialty practice, the performance of was evaluated against contemporary cohort. Quantitative qualitative evaluation measures included team estimates time spent...

<sec> <title>BACKGROUND</title> Digital determinants of health (DDoH), including access to technological tools and digital literacy, function independently as barriers health. Assessment for DDoH is not routine within most care systems, although addressing could help mitigate differential outcomes the divide. </sec> <title>OBJECTIVE</title> This study aims assess role individual-level factors on patient enrollment in use portal. <title>METHODS</title> We developed a multimodal,...

Individuals with Limited English Proficiency (LEP), including Spanish-preferred patients, face healthcare challenges due to language barriers. Despite the potential of digital health technologies improve access and outcomes, there is a "digital divide" underutilization among vulnerable populations, Spanish-speaking LEP individuals, highlighting need for increased understanding equitable solutions.

<sec> <title>BACKGROUND</title> Background: Increasing reliance on digital health resources can create disparities among older patients. Understanding health-related, mobility and socioeconomic factors associated with the use of eHealth technologies is important for addressing inequitable access to healthcare. </sec> <title>OBJECTIVE</title> We sought assess literacy patients aged ≥ 65 years identify their ability access, understand, resources. <title>METHODS</title> conducted a...

We surveyed patients who visited multiple outpatient specialty practices to understand what summary content was most helpful with the goal of optimizing meaningful clinical visit content.We constructed a survey instrument measure delivery, use, and contents summaries. at least 2 different medical specialties preferences.Most in our sample valued information they received, retained it as healthcare documentation (84%) and/or quick reference supporting self-care (70%). Patients commonly...

Introduction: Patients with hypertension (HTN) may remain undiagnosed as the diagnosis requires systolic blood pressure (SBP) ≥ 140 mmHg or diastolic (DBP) 90 on 2 different occasions. Hypothesis: We sought to evaluate outcomes of patients without diagnosed who have elevated BP meeting current thresholds for consecutive episodes. Methods: Together retrospective billing and clinical data, electronic records all outpatient visits in 2009 were used identify 24,277 (2CHBP) SBP 140mmHg DBP...

This case study describes the use of multiple administrative data sources within a large, integrated health care delivery system to understand opioid prescribing patterns across practice settings. We describe information needed and target interventions, process for identifying relevant institutional that could be linked provide on settings prescriptions, lessons learned in developing, testing, implementing an algorithm link useful manner.

Background: Concerns for side-effects makes the identification of treatment targets hypertension in very elderly challenging. We sought to utilize natural language processing (NLP) evaluate prevalence prespecified a cohort (≥80 years) patients. Methods and Results: conducted two-year, cross-sectional study involving 5169 patients with without seen by primary or specialist providers. Hypertension had have prior ICD-9 code electronic medical records problem list ≥2 office visits 2008 2009....

Background: The diagnosis of hypertension requires systolic blood pressure (SBP) ≥ 140 mmHg or diastolic (DBP) 90 on at least 2 different occasions. Therefore, there is the possibility patients with elevated BP remaining undiagnosed if not seen by same provider. Purpose: To utilize electronic medical records (EMR) to identify previously diagnosed that have meeting criteria for a using threshold SBP 140mmHg DBP (high BP) more Methods: This was cross sectional design utilizing retrospective...

Background: Blood pressure (BP) measurement is a national core quality measure for hypertension care and control rates remain major performance measure. It remains unclear whether improving directly results in better management. Purpose: To utilize electronic medical records to explore the relationship between of blood among 4 eligible primary providers groups - Primary Care Internal Medicine (PCIM), Family medicine (FM), General (GIM), Preventive (PREV) 2 specialist Cardiology (CARD),...

Digital and mobile (mHealth) solutions are online or application-based services intended to support individuals with health needs. Despite evidence supporting the use of mHealth for patients chronic pain, increasing desire these types by both providers, adoption remains limited. Implementation mapping can serve as a practical method facilitate implementation within healthcare settings.Implementation was used develop strategies based on contextual determinants organized Consolidated Framework...