Patricia Adam (United States of America)

University of Minnesota Medical School Department of Family Medicine and Community Health
I graduated from the University of Virginia School of Medicine and then completed my residency in family medicine and a two-year academic fellowship at the University of Missouri-Columbia program. Twenty five years ago, after volunteering for 3 months in Pohnpei, Micronesia with my family physician husband, I joined the family medicine department of the University of Minnesota. I thoroughly enjoyed my 10 years as Program Director of the University Residency (Smiley's Clinic) and then transitioned to Department Vice Chair of Clinical Affairs 3 years ago. My passion has been teaching and publishing on patient centered communication, team care and women's health. In my Vice Chair role, I have focused on improving resident-patient continuity and clinician joy of practice through implementing our Clinic as Curriculum Project. During the pandemic, I participated in Command Center work and was intimately involved in implementing and studying remote COVID-19 patient monitoring.

Author Of 1 Presentation

REMOTE PATIENT MONITORING FOR COVID-19: IMPACT ON HEALTHCARE UTILIZATION

Session Name
Date
09.07.2021, Friday
Session Time
06:00 PM - 07:30 PM
Room
Hall 5
Lecture Time
06:11 PM - 06:22 PM
Session Icon
Pre-Recorded with Live Q&A

Abstract

Abstract Body

Background and Purpose: In March 2020, MHealth Fairview System (12 hospitals and 60 clinics) deployed a remote patient monitoring (RPM) technology to increase access to care for patients with COVID-19 and reduce strain on in-person services. University of Minnesota Medical School faculty, residents and students served as the team monitoring patients and delivering care. We studied the effect of this RPM solution on health care utilization by patients with presumptive COVID-19.

Methods: We conducted a retrospective study comparing health care utilization by patients enrolled in the RPM program (n=4435) and those who declined enrollment (n=2742). Primary outcomes were ER visits, hospital and ICU admissions, and death. We used logistic regression to adjust for known risk factors of COVID-19 severity.

Results: Adjusted for COVID-19 risk factors, there was a significant decrease in the risk of death for the group enrolled in the RPM: aOR:0.50 (95%CI:0.30,0.83). There were no significant associations between enrollment and the other primary outcomes. Increasing number of interactions with the RPM was associated with fewer hospital admissions: aOR:0.92 (95%CI:0.88,0.95).


Conclusions: The COVID-19 pandemic strained health care systems and led to dramatic shifts in health care systems delivery in an attempt to alleviate this strain. The RPM was associated with reductions in hospitalization, ICU admissions and most notably in death. More research is needed to determine if these technologies provide added benefit to traditional health care systems.

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Presenter of 1 Presentation

REMOTE PATIENT MONITORING FOR COVID-19: IMPACT ON HEALTHCARE UTILIZATION

Session Name
Date
09.07.2021, Friday
Session Time
06:00 PM - 07:30 PM
Room
Hall 5
Lecture Time
06:11 PM - 06:22 PM
Session Icon
Pre-Recorded with Live Q&A

Abstract

Abstract Body

Background and Purpose: In March 2020, MHealth Fairview System (12 hospitals and 60 clinics) deployed a remote patient monitoring (RPM) technology to increase access to care for patients with COVID-19 and reduce strain on in-person services. University of Minnesota Medical School faculty, residents and students served as the team monitoring patients and delivering care. We studied the effect of this RPM solution on health care utilization by patients with presumptive COVID-19.

Methods: We conducted a retrospective study comparing health care utilization by patients enrolled in the RPM program (n=4435) and those who declined enrollment (n=2742). Primary outcomes were ER visits, hospital and ICU admissions, and death. We used logistic regression to adjust for known risk factors of COVID-19 severity.

Results: Adjusted for COVID-19 risk factors, there was a significant decrease in the risk of death for the group enrolled in the RPM: aOR:0.50 (95%CI:0.30,0.83). There were no significant associations between enrollment and the other primary outcomes. Increasing number of interactions with the RPM was associated with fewer hospital admissions: aOR:0.92 (95%CI:0.88,0.95).


Conclusions: The COVID-19 pandemic strained health care systems and led to dramatic shifts in health care systems delivery in an attempt to alleviate this strain. The RPM was associated with reductions in hospitalization, ICU admissions and most notably in death. More research is needed to determine if these technologies provide added benefit to traditional health care systems.

Hide