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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.
Abstract:
The COVID-19 pandemic has caused an explosive adoption of telehealth in pediatrics . However, there remains substantial variation in evaluation methods and measures of these programs despite introduction of measurement frameworks in the last five years. In addition, for neonatal health care, assessing a telehealth program must measure its benefits and costs for four stakeholder groups - patients, providers, healthcare system, and payers. Because of differences in their role within the health system, each group's calculation of telehealth's value may align or not with one another, depending on how it is being used. Therefore, a common mental model for determining value is critical in order to use telehealth in ways that produce win-win situations for most if not all four stakeholder groups. In this chapter, we present important principles and concepts from previously published frameworks to propose an approach to telehealth evaluation that can be used for perinatal health. Such a framework will then drive future development and implementation of telehealth programs to provide value for all relevant stakeholders in a perinatal health care system.
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