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Applying Telemedicine to Multidisciplinary Pediatric Inflammatory Bowel Disease Care
Hilary K Michel1,2, Ross M Maltz1,2,3, Brendan Boyle1,2
1Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, USA.
Insights
This study details transitioning multidisciplinary pediatric inflammatory bowel disease (IBD) care to telemedicine. It highlights leveraging technology and quality improvement methods to maintain comprehensive, whole-person care during the pandemic.
Area of Science:
- Pediatric Gastroenterology
- Health Services Research
- Telemedicine
Background:
- Multidisciplinary care is crucial for comprehensive, whole-person care in pediatric and adolescent inflammatory bowel disease (IBD).
- Traditionally, IBD care relied on in-person visits, posing challenges during the COVID-19 pandemic.
- The pandemic necessitated rapid adoption of telemedicine to ensure continuity of care.
Purpose of the Study:
- To describe the process of converting multidisciplinary pediatric and adolescent IBD visits to a telemedicine model.
- To highlight the use of technology, multidisciplinary teams, and quality improvement (QI) methods in this transition.
- To contextualize this experience within the existing literature on telemedicine in IBD care, particularly for pediatric populations.
Main Methods:
- Implementation of a telemedicine model for multidisciplinary pediatric and adolescent IBD care.
- Leveraging existing technology infrastructure and multidisciplinary team collaboration.
- Application of quality improvement (QI) methodologies to optimize the telemedicine delivery model.
Main Results:
- Successful conversion of in-person multidisciplinary IBD visits to a functional telemedicine platform.
- Demonstrated feasibility of maintaining comprehensive, whole-person care through virtual means.
- Experience provides a framework for other centers adapting to telemedicine in pediatric IBD.
Conclusions:
- Telemedicine is a viable and effective modality for delivering multidisciplinary care to pediatric and adolescent IBD patients.
- The integration of technology, multidisciplinary teams, and QI is key to successful telemedicine implementation.
- This approach ensures continuity of care and supports the comprehensive needs of young IBD patients.
Abstract:
Multidisciplinary care is essential to the delivery of comprehensive, whole-person care for children and adolescents with inflammatory bowel disease (IBD). Team members may include medical, psychosocial, and ancillary providers as well as patient and family advocates. There is significant variability in how this care is delivered from center to center, though prior to the COVID-19 pandemic, most care occurred during in-person visits. At the onset of the pandemic, medical systems world-wide were challenged to continue delivering high quality, comprehensive care, requiring many centers to turn to telemedicine technology. The aim of this manuscript is to describe the process by which we converted our multidisciplinary pediatric and adolescent IBD visits to a telemedicine model by leveraging technology, a multidisciplinary team, and quality improvement (QI) methods. Finally, we put our experience into context by summarizing the literature on telemedicine in IBD care, with a focus on pediatrics and multidisciplinary care.
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