“Four I” Framework for Telehealth Optimization in Congregate Care Communities

• DOI: 10.1089/tmj.2024.0218
• Publication Date: 2025-02-07T16:53:21Z
• Authors: Tabor Flickinger; Mary Mathew; David Gordon; Anthony Nappi; Amy Ryall; Michael Patterson; Katharine Wibberly; Samuel Collins; Aaron Pannone; Laurie Archbald-P...
• Keywords: Telehealth

Background: Telehealth can provide innovative models of care for people living in congregate communities (CCC), but lack consistent workflow is a barrier administrators and staff. We propose framework CCC to implement workflows age-inclusive telehealth. Methods: As part an infection control initiative with focus on telehealth optimization, Virginia Infection Mitigation, Prevention Control Through Technology developed relationships staff across the Commonwealth Virginia. Partners this community practice completed statewide survey that we conducted anticipated experienced barriers implementation. responses, virtual meetings organizational leadership, on-site facility visits, our team assessed strengths, needs, goals capability. Working administrative clinical teams, consultation report define short- long-term implementation steps. Results: collaborated nonprofit organization supporting neurodevelopmental disabilities rural Program All-Inclusive Care Elderly. optimization four tiers: Initiate, Integrate, Incentivize, Inspire. Each stage included overall goal corresponding interventions guide program Discussion: The "Four I" Framework be used outline readiness CCC. aim further develop iterative process collaborate additional organizations optimize programs.