Rapid development of telehealth capabilities within pediatric patient portal infrastructure for COVID-19 care: Barriers, solutions, results

Pious D. Patel, Jared Cobb, Deidre Wright, Robert W. Turer, Tiffany Jordan, Amber Humphrey, Adrienne L. Kepner, Gaye Smith, S. Trent Rosenbloom

Research output: Contribution to journalArticlepeer-review

46 Scopus citations

Abstract

The COVID-19 national emergency has led to surging care demand and the need for unprecedented telehealth expansion. Rapid telehealth expansion can be especially complex for pediatric patients. From the experience of a large academic medical center, this report describes a pathway for efficiently increasing capacity of remote pediatric enrollment for telehealth while fulfilling privacy, security, and convenience concerns. The design and implementation of the process took 2 days. Five process requirements were identified: efficient enrollment, remote ability to establish parentage, minimal additional work for application processing, compliance with guidelines for adolescent autonomy, and compliance with institutional privacy and security policies. Weekly enrollment subsequently increased 10-fold for children (age 0-12 years) and 1.2-fold for adolescents (age 13-17 years). Weekly telehealth visits increased 200-fold for children and 90-fold for adolescents. The obstacles and solutions presented in this report can provide guidance to health systems for similar challenges during the COVID-19 response and future disasters.

Original languageEnglish (US)
Pages (from-to)1116-1120
Number of pages5
JournalJournal of the American Medical Informatics Association
Volume27
Issue number7
DOIs
StatePublished - Jul 1 2020
Externally publishedYes

Keywords

  • COVID-19
  • SARS-CoV-2
  • consumer health informatics
  • patient portals
  • policy
  • telehealth

ASJC Scopus subject areas

  • Health Informatics

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