Efficiently caring for frail older adults will become an increasingly important part of health care reform;telemonitoring within homes may be answer to improve outcomes. This study sought assess differences in hospitalizations and emergency department (ED) visits among using telemonitoring vs usual care. A randomized controlled trial was performed than 60 years at high risk rehospitalization. Participants were (with daily input) or patient-driven Telemonitoring accomplished by...

Patient portal registration and the use of secure messaging are increasing. However, little is known about how work responding to initiating patient messages distributed among care team members these may affect after hours.

Older adults with multiple chronic illnesses are at risk for worsening functional and medical status hospitalization. Home telemonitoring may help slow this decline. This protocol of a randomized controlled trial was designed to determine the impact home on The specific aim study reads as follows: effectiveness compared usual care in reducing combined outcomes hospitalization emergency department visits an at-risk population 60 years age or older. Two-hundred patients highest 10% Mayo Clinic...

Introduction:Telemonitoring is being increasingly used for chronic disease monitoring. Understanding elderly patients' feelings and perspectives toward telemonitoring important to minimize any barriers implementation in this population. Methods:Twenty Tele-Era Trial participants completed qualitative interviews assessing opinions about their experience. Participants also rated on burden, communication with clinicians, impact medical condition knowledge, confidence using the monitor....

Electronic consultation is an emerging mode of specialty care delivery that allows primary providers and their patients to obtain specialist expertise without in-person visit. While studies individual programs have demonstrated benefits related timely access care, electronic not achieved widespread use in the United States. The lack common evaluation metrics across health systems concerns generalizability existing efforts may be hampering further growth. We sought identify gaps knowledge...

Hospital readmission within 30 days of discharge occurs in almost 20% US Medicare patients and may be a marker poor quality inpatient care, ineffective hospital to home transitions, or disease severity. Within patient centered medical home, care transition interventions only practical from cost staffing perspectives if targeted at with the greatest risk readmission. Various scoring algorithms attempt predict for 30-day readmission, but head-to-head comparison performance is lacking. Compare...

Background: Urinary symptoms and urinary tract infections (UTIs) are common complaints for which women seek health care. Evolving modalities of care delivery have shifted management these from in-person face-to-face (F2F) visits, to nurse phone protocol management, recently online assessment via eVisit. While research has vetted the use eVisit outcomes not been thoroughly studied. Purpose: To compare antibiotic prescribing, follow-up rates, clinical between F2F visits at a retail clinic,...

Introduction: Online self-scheduling of medical appointments is increasingly common. An automated waitlist can be used for patients who desire an earlier appointment time if one becomes available after they are scheduled. Our study examines outcomes and self-rescheduling process. Methods: We studied process in which with existing elected to placed on offer. When software found dates the same visit type, were then notified through could self-reschedule. reviewed sent new offers when slots...

Introduction: Online self-triage/symptom checkers are a relatively new e-Health modality. We aimed to evaluate the degree which patient's chosen symptom during use of an online self-triage tool was congruent with that by nurse performing phone triage. Methods: Patient encounters from September 1, 2022, 30, 2023, were reviewed for patients who completed both and subsequent nursing triage within 24 hours. The symptoms patient their encounter reviewed. in these two then compared congruency. A...

<h3>Objective:</h3> The objective of this study was to compare the performance US Preventive Services Task Force (USPSTF) recommended WHO Fracture Risk Assessment Tool (FRAX) threshold score 9.3% (calculated without femoral neck bone density) with Simple Calculated Osteoporosis Estimate (SCORE), Self-Assessment (OST), and Instrument (ORAI) identify osteoporosis in younger women. <h3>Methods:</h3> We conducted a retrospective review women ages 50 64 years who underwent dual-energy...

Self-triage is becoming more widespread, but little known about the people who are using online self-triage tools and their outcomes. For researchers, there significant barriers to capturing subsequent healthcare Our integrated system was able capture utilization of individuals used with self-scheduling provider visits.We retrospectively examined diagnoses after patients had for ear or hearing symptoms. Outcomes counts office visits, telemedicine interactions, emergency department...

Patients can obtain medical advice and treatment from a healthcare provider asynchronously through an electronic visit (eVisit) within secure online portal.We conducted retrospective record review of Mayo Clinic Rochester primary care empaneled patients who had eVisit for minor acute illness were reviewed 30-day outcomes follow-up.Of the 1,009 eVisits analyzed, total 340 (34%) follow-up 30 days, with rate 154 (20%) when those advised to excluded. Factors significantly associated any type...

Introduction E-consultations are asynchronous, text-based consultations. The specialist e-consultant answers clinical questions in a similar way to standard consultation but the and sent electronically. has access some or all of medical record does not have contact with patient. Although e-consultations meant substitute for face-to-face (F2F) consultations, significant proportion converted F2F Methods We examined e-consultation content from sample that had subsequent visits same specialty as...

The objective of this research paper is to compare antibiotic treatment, follow-up rates, and types encounters among eVisits, phone calls, in-person for pediatric conjunctivitis.A retrospective chart review patients evaluated conjunctivitis between May 1, 2016 2017, was performed. A total 101 202 retail clinic visits, nurse calls were manually reviewed outcomes. Exclusion criteria included previous encounter in the past 14 days, treatment with an oral at initial encounter, or patient outside...

Background: Acute sinusitis is the most common diagnosis in online health care delivery and associated with antibiotic prescriptions outpatient setting. Few studies have evaluated effectiveness of managing through e-visit terms prescribing follow-up rates. Introduction: The purpose this study was to investigate whether e-visits for management acute equivalent clinical outcomes patients when compared face-to-face (F2F) visits nurse-administered phone protocols Materials Methods: A...

To develop a natural language processing artificial intelligence model trained on text from patient portal messages to predict 30-day suicide-related events (SRE). Patient sent by patients between January 1, 2013, and October 31, 2017 were screened for an associated SRE within 30 days. For both with randomized control set, we automatically extracted several features: (1) frequencies of keywords; (2) message metadata; (3) sentiment. A total 840 included in our final analysis, including 420...

Introduction: Proxies can communicate with health care teams through patient portals either by using proxy login credentials or a patient's credentials. The frequency of proxies is unknown. Methods: A random selection 3,000 portal messages sent in adult patients' own account was reviewed for indicators (referring to the third person) that someone other than account. Results: Of accounts, 221 (7.4%) appeared be proxy, 2,512 (83.8%) have been and 266 (8.9%) it unclear who message. There no...

Online symptom checkers are a way to address patient concerns and potentially offload burdened healthcare system. However, safety outcomes of self-triage unknown, so we reviewed triage recommendations our institution's depression checker.

Background Self-scheduling of medical visits is becoming available at many institutions. We aimed to examine the self-scheduled visit counts and rate growth in a multispecialty practice. Methods For 85 weeks extending from January 1, 2022 through August 24, 2023, we examined for over 1500 types. compared completed all scheduled same collected most frequently types each week change time. also determined proportion that type was self-scheduled. Results There were 20,769 699 during course study...

Background Self-scheduling of medical visits is becoming more common but the complexity applying multiple requirements for self-scheduling has hampered implementation. Mayo Clinic implemented in 2019 and been increasing its portfolio self-schedulable since then. Our aim was to show measures quantifying associated with visit scheduling describe how opportunities challenges apply self-scheduling. Methods We examined scheduled from January 1, 2022, through August 24, 2023. For seven categories,...

<h3>Purpose:</h3> The chronic disease model suggests continuity of care and team-based can improve outcomes for multimorbidity patients reduce hospitalizations. Continuity following admission has had mixed effects on readmission rates; however, its effect before not been well studied. Increased outpatient organization is hypothesized to the odds readmission. <h3>Methods:</h3> In a cohort 14,662 primary from Patient-Centered Medical Home (PCMH) practice, in 12 months was assessed using 3...