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A Case Study of Telemedicine in Long Term Care

Naidu, Maharsi (2021) A Case Study of Telemedicine in Long Term Care. Master Essay, University of Pittsburgh.

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In March 2020, the COVID pandemic spurred a national state of emergency as infections rose exponentially. The pandemic forced clinicians to take extra precautions to control the infection. To support hospitals and health systems, the government changed federal reimbursement rates to make telemedicine more financially viable. The allowance for widespread remote patient visits has opened a door for a growing service in healthcare. The long-term care population has been significantly affected by this pandemic, accounting for a large portion of the mortalities. As we move forward, the US government will have to decide on the future of telemedicine service coverage. Thus, there is a need to study how hospitals have adapted to include telemedicine into their care models. To best inform the policymakers before they make this decision, it is imperative to learn what impact telemedicine services has had during this period. Based on the case study done that analyzed findings from multiple long-term care facilities, associated with UPMC and Genesis Healthcare, there is a role for telemedicine in long-term care as well as a lot of challenges to navigate within the space. These long-term care facilities saw success in increasing behavioral health care use, reducing hospital transfers, and the ability to leverage existing telehealth models. Some of challenges they saw had to do with technological education gaps in the older population, staffing issues, and the lack of capital infrastructure. The recommendations for policy revolve around determining best practices for telemedicine and stratifying reimbursement to maximize effective use. Past policy, there are changes that health systems can consider like more robust clinical training or collaborating to determine high efficacy treatments that would better patient care. Future research should examine health system cost complementarities, as well as internet accessibility and the related health outcomes.


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Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Naidu, Maharsimrn24@pitt.edumrn240000-0002-3346-8377
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairDrake, Colemancdrake@pitt.educdrakeUNSPECIFIED
Committee MemberBanerjee, Haimantihab102@pitt.eduhab102UNSPECIFIED
Committee MemberDegenholtz, Howarddegen@pitt.edudegenUNSPECIFIED
Date: 10 May 2021
Date Type: Completion
Submission Date: 12 April 2021
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Number of Pages: 36
Institution: University of Pittsburgh
Schools and Programs: Graduate School of Public Health > Health Policy & Management
Degree: MHA - Master of Health Administration
Thesis Type: Master Essay
Refereed: Yes
Uncontrolled Keywords: long term care, telemedicine, covid-19
Date Deposited: 10 May 2021 21:23
Last Modified: 10 May 2021 21:23

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