Evaluating Neonatal Telehealth Programs Using the STEM Framework

John Chuo1, Ali Chandler2, Scott Lorch3

  • 1Children's Hospital of Philadelphia and University of Pennsylvania Perelman School of Medicine, 34th Civic Center Blvd, Philadelphia, PA 19104, United States.

Insights

Telehealth adoption in pediatrics surged during COVID-19, but consistent evaluation remains a challenge. A new framework is proposed to assess telehealth value for all stakeholders in perinatal care.

Area of Science:

  • Health Services Research
  • Pediatric Healthcare Innovation
  • Digital Health Evaluation

Background:

  • The COVID-19 pandemic accelerated telehealth adoption in pediatric care, highlighting the need for standardized evaluation methods.
  • Existing measurement frameworks for telehealth programs show considerable variation, particularly in neonatal and perinatal health.
  • Assessing telehealth value requires considering diverse stakeholder perspectives (patients, providers, healthcare systems, payers).

Purpose of the Study:

  • To propose a unified telehealth evaluation framework for perinatal health.
  • To establish a common mental model for determining telehealth value across stakeholder groups.
  • To guide the development and implementation of value-driven telehealth programs in perinatal care.

Main Methods:

  • Review and synthesis of existing telehealth evaluation principles and measurement frameworks.
  • Adaptation of established concepts for the specific context of perinatal healthcare.
  • Development of a proposed framework focusing on multi-stakeholder value assessment.

Main Results:

  • Identification of key principles for evaluating telehealth in perinatal settings.
  • Proposal of a structured approach to measure benefits and costs for all stakeholders.
  • Emphasis on aligning stakeholder value perceptions for optimal telehealth implementation.

Conclusions:

  • A comprehensive evaluation framework is crucial for maximizing the benefits of telehealth in perinatal care.
  • Standardized assessment will drive the effective development and implementation of telehealth solutions.
  • The proposed framework aims to create mutually beneficial outcomes for all parties involved in perinatal telehealth.

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