Central Health System Telehealth
During the COVID-19 pandemic, Central Healthcare System (CHS) integrated telehealth services within several facilities, including their health education center and several outpatient practices, and many patients took advantage of these services. With the decrease in pandemic-related hospitalizations and case numbers, functions within CHS started returning to normal, but administrators are considering continuing telehealth services and potentially expanding into other practices. During the pandemic, surveys were conducted with all patients and providers after telehealth visits, and focus groups were conducted with smaller groups of patients and providers across a range of sites. A CHS analyst analyzed the data from the surveys and focus groups and provided CHS healthcare leaders with the following condensed summaries. CHS administrators plan to synthesize and analyze this information along with data from scholarly literature to help inform their decision.
Central Health System Telehealth Survey Highlights:
Percent of Patient and Provider Ratings of “Agree” or “Strongly Agree” on Telehealth Survey Questions by Category
Overall patient and provider perceptions of telehealth were very positive. Ease-of-use ratings were lower among patients than providers, with the lowest ratings among patients ages 65 and older. Effectiveness ratings were largely favorable, but were lower among surgical patients and providers.
Central Health System Telehealth Focus Group Highlights:
Themes and Subthemes of Patient and Provider Perceptions of Telehealth
Patient and provider responses centered around acceptance of telehealth, convenience of telehealth, and barriers to telehealth. Overall, patients and providers cited a high acceptance of telehealth and felt visits were useful and of high quality. Providers found that visits were highly efficient, and patients noted that the lack of travel reduced their time away from work and other obligations. Providers and patients were concerned that some visits could not adequately capture the same information yielded from in-person physical exams. Inexperience with technology also negatively impacted some patient perceptions of telehealth.
How might a telehealth expansion benefit CHS patients or providers? How could an expansion be advantageous to the organization as a whole? Alternatively, what are some of the possible risks or drawbacks of a CHS telehealth expansion? CHS leaders recognize that a telehealth expansion is a major decision that would require a significant investment of time and resources, and they want to use evidence to drive decision-making around if and how they might expand these services.
In this two-part Final Project, you will apply your understanding of the Data-Driven Decision-Making Framework to CHS’s decision-making process. In the first part of your Final Project, you will focus on the Data, Information, and Knowledge phases of the framework that precede a decision as you integrate available data to inform a decision recommendation. The second part of the project will concentrate on the steps that follow a decision, including plans for implementation, impact evaluation, and communication with stakeholders.
Central Health System Telehealth
Part 1: Literature Review Matrix
- Use the Literature Review Matrix to organize the two telehealth articles that were provided, as well as three additional articles that will help support the decision.
Part 2: Draft a 7- to 8-page paper providing a synthesis of your information and your data-driven decision. Within your paper, include the following:
- Briefly describe the decision that was proposed within the scenario.,
- Organize the provided CHS data summaries and the five scholarly articles from your Literature Review Matrix to support a decision.,
- Analyze the literature and consider the evidence available to help inform the decision. Include an explanation of the significance of the findings.,
- Explain the additional types and sources of data that may be needed to support the decision.,
- Synthesize the data information and knowledge to support a decision.
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