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Published on: April 6, 2019
A digital approach in the rapid response to COVID-19 - Experience of a paediatric institution
Daryl R Cheng1, Andrew Coote2, Mike South1
1Department of General Medicine, The Royal Children's Hospital Melbourne, Parkville, Australia; EMR Project Team, The Royal Children's Hospital Melbourne, Parkville, Australia; Department of Paediatrics, University of Melbourne, Australia; Murdoch Children's Research Institute, Parkville, Australia.
Insights
The Royal Children's Hospital Melbourne rapidly adopted digital health solutions, including electronic medical records and telehealth, to manage COVID-19 patient care. This digital transformation enhanced healthcare delivery and enabled remote work for clinicians.
Area of Science:
- Digital Health
- Health Informatics
- Healthcare Management
Background:
- The COVID-19 pandemic necessitated rapid changes in healthcare delivery across Australia.
- A tertiary pediatric institution, The Royal Children's Hospital Melbourne (RCH), implemented a comprehensive digital health strategy.
- This strategy centered on optimizing an integrated electronic medical record (EMR) system.
Purpose of the Study:
- To outline the key aspects of the COVID-19 digital health strategy implemented at RCH.
- To highlight the rapid transition to telehealth services.
- To describe the development of a remote virtual telehealth strategy for clinicians.
Main Methods:
- Implementation of a broad suite of informatics and technology solutions.
- Optimization of a fully integrated electronic medical record (EMR).
- Development and deployment of telehealth services, including a remote virtual model.
Main Results:
- Successful integration of digital health across all patient care areas and hospital operations.
- Rapid transition to telehealth, enabling remote consultations and clinical operations.
- Development of a popular "virtual telehealth" strategy facilitating clinician remote work.
Conclusions:
- COVID-19 accelerated the adoption and highlighted the utility of digital health in clinical care.
- The rapid implementation of digital health solutions was unprecedented in Australia and globally.
- Future digital health strategies should consider identified stakeholders and enablers for sustained governance and adoption post-pandemic.
Introduction:
COVID-19 has radically changed the delivery of healthcare in Australia. Central to a tertiary paediatric institution's (The Royal Children's Hospital Melbourne (RCH) response was a digital health approach comprising a broad suite of informatics and technology solutions including optimising a fully integrated electronic medical record (EMR).
Methods:
This comprehensive approach spanned all patient care areas and encompassed a broad range of hospital operations. They included patient triage, registration, COVID-19 screening clinic operations, electronic ordering, prescribing and documentation, telehealth, reporting and analytics and research.
Discussion:
This paper outlines key aspects of our COVID-19 digital health strategy, highlighting the rapid transition to telehealth and the development of a remote "virtual telehealth" strategy for clinicians which proved popular and allowed true "working from home".
Conclusion:
COVID-19 has inadvertently focussed the spotlight on the utility of digital health for clinical care. The speed and uptake of digital health within this pandemic has been remarkable and unprecedented in both an Australian and global setting. Whilst many of these changes have been beneficial, some may have been rushed or forced with minimal consideration of ongoing governance. Key stakeholders and enablers should be identified for post-pandemic consideration in future digital health implementation and adoption strategies.
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