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Quality Frameworks for Virtual Care: Expert Panel Recommendations
Bart M Demaerschalk1, Judd E Hollander2, Elizabeth Krupinski3
1Department of Neurology, Mayo Clinic College of Medicine and Science and Center for Digital Health, Mayo Clinic, Phoenix, AZ.
Mayo Clinic Proceedings. Innovations, Quality & Outcomes
|January 9, 2023
Summary
Virtual care quality frameworks are evolving to meet the demands of modern healthcare delivery. Key elements include patient experience, health equity, and technical performance, adapting traditional models for hybrid care.
Area of Science:
- Healthcare Management
- Digital Health
- Quality Improvement
Background:
- The rapid advancement of virtual care necessitates the evolution of quality frameworks.
- Massachusetts General Hospital (MGH) and Mass General Brigham (MGB) are leaders in virtual care innovation.
- Annual symposia convene experts to discuss virtual care's impact and development.
Purpose of the Study:
- To explore the evolution and application of virtual care quality frameworks.
- To identify guiding principles for measuring virtual care effectiveness.
- To compare virtual care quality metrics with traditional in-person frameworks.
Main Methods:
- Analysis of discussions and outcomes from the MGH/MGB Virtual Care Symposium.
- Identification of common themes and best practices in virtual care quality measurement.
- Review of challenges and successful applications of virtual care quality frameworks.
Main Results:
- Common quality framework elements include patient/provider experience, health equity, technical performance, financial stewardship, and clinical outcomes.
- Virtual care quality measurement requires adaptation of traditional frameworks, with potential new methods for asynchronous care.
- Synchronous virtual visits can largely integrate into existing quality frameworks with minor adjustments.
Conclusions:
- Virtual care quality frameworks must adapt to the evolving healthcare landscape.
- Integrating virtual care into quality measurement is crucial for modern healthcare delivery.
- Future quality frameworks will likely encompass hybrid models of in-person and virtual care.
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