Profile of AHRQ Telehealth Grantees GranteeCharacteristics Thesubsetof theAHRQgranteesand contractors who haveimplemented,orareinthe Scenario: You have a femalepatient who has recently been diagnosed with SLE. In the text box below, enter text describing the outcome that will be measured for in your study and click on the Submit button. PICO is a abbreviation that has elements of a good clinical question. Missed acute coronary syndrome during telephone triage at out-of-hours primary care: lessons from acase-control study. However, the overall safety of telehealth is less well studied. <>27]/P 23 0 R/Pg 196 0 R/S/Link>> 0000045497 00000 n Accessed April 26, 2020. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins. 2021-10-15T10:45:49-07:00 194 0 obj However, recent action by the Federal Government has greatly expanded Medicare telehealth coverage.6,7. independent and dependent variables, and statistical tests. Given the shift in paradigm from telehealth as an alternative mechanism of care delivery to telehealth as an integral part of the health system, it is imperative to take a . <><>5 6]/P 6 0 R/Pg 45 0 R/S/Link>> 14 0 obj By mid-March of 2020, without telehealth visits available . 193 0 obj endobj Does __________ (I) influence ________ (O) in patients who have _______ (P) over ______ (T)? 1 0 obj 33 0 obj 36 0 obj <> The elements include (P) which represents population, patient or problem, (I) which represents intervention or indicator, (C) which stands for comparison, (O) which represents outcome, and (T) which stands for time of study. 61 0 obj Telehealth. Analyze how telehealth affects patients' empowerment and patients' engagement in their own health. Neal Sikka, MD the For patients 65 years and older (P), how does the use of an influenza vaccine (I) compared to not received the vaccine (C) influence the risk of developing pneumonia (O) during flu season (T)? AHIP Blog. 39 0 obj T- Time period(ie. PICOT Research Question Generator Accessed April 26, 2020. I- refers to the intervention. PDF 1e PICOT Questions template - American Academy Of Ambulatory Care Nursing 3. <>21]/P 27 0 R/Pg 45 0 R/S/Link>> Published March 30, 2020. https://www.ahip.org/wp-content/uploads/IB_Telehealth-031219.pdf. Telehealth typically involves the delivery of long-distance or remote healthcare via electronic communication and information technologies. Use PICO to generate terms - these you'll use in your literature search for the current best . . 1 0 obj A Telehealth Blood Pressure Education Program on Hypertension Knowledge, Selfcare, and Behavior . Eight research . IMPAQ International 0000013059 00000 n Please Like or Share this website on Facebook! startxref Using a structured question frameworkcan help you clearly define the concepts or variables that make up the specific research question. With a robust telehealth infrastructure in place, patients may receive more timely diagnoses and treatment recommendations, more appropriate follow-up care, and a reduced likelihood of experiencing an adverse event as a result of delayed assessment and treatment. 21 0 obj (O) Outcome (s) of interest. What is the context for the question? The statistical test used to answer your PICOT question. Chief, Innovative Practice and Telehealth Section, Department of Emergency Medicine Scenario: Your patient, who owns a bakery, recently participated in their employer's wellness program. From COVID-19 pandemic to patient safety: a new "spring" for telemedicine or a boomerang effect? The study population comprises patients presenting to a hospital with dyspnea or desaturation as measured with pulse oximetry. Understanding how the design and implementation of online consultations affect primary care quality: systematic review of evidence with recommendations for designers, providers, and researchers. . <>3]/P 6 0 R/Pg 196 0 R/S/Link>> Us, Quick-Start Guide to Telehealth During a Crisis, COVID-19 Telehealth Resources - Building a Telehealth Program, Telehealth and Telemedicine Publications and Resources, https://www.fcc.gov/general/telehealth-telemedicine-and-telecare-whats-what, https://www.ahip.org/wp-content/uploads/IB_Telehealth-031219.pdf, https://www.healthaffairs.org/do/10.1377/hblog20200315.319008/full/, https://s3.amazonaws.com/media2.fairhealth.org/whitepaper/asset/A%20Multilayered%20Analysis%20of%20Telehealth%20-%20A%20FAIR%20Health%20White%20Paper.pdf, http://www.medpac.gov/docs/default-source/reports/mar18_medpac_ch16_sec.pdf?sfvrsn=0, https://www.cms.gov/newsroom/press-releases/president-trump-expands-telehealth-benefits-medicare-beneficiaries-during-covid-19-outbreak, https://www.cms.gov/newsroom/press-releases/trump-administration-makes-sweeping-regulatory-changes-help-us-healthcare-system-address-covid-19, https://www.cms.gov/files/document/covid-19-physicians-and-practitioners.pdf, https://www.ahip.org/health-insurance-providers-respond-to-coronavirus-covid-19, The Role of Telehealth in the COVID-19 Crisis, In Conversation With Joel Willis, DO, PA, MA, MPhiL and Neal Sikka, MD. Background Questions. What are the unique barriers or challenges related to blood sugar management in adolescents with TII diabetes? PDF Running head: EBP TELEHEALTH - Roshini Mathew, RN, BSN, MSN, ACNP-GP Federal Communications Commission. Accessed April 26, 2020. <>23]/P 22 0 R/Pg 196 0 R/S/Link>> Use and impact of virtual primary care on quality and safety: The public's perspectives during the COVID-19 pandemic. Evidence Based Practice Question (PICO Question) Do weekly telehealth visits in adults over the age of 65 improve loneliness and depression as measured by UCLA loneliness, PHQ-2, and PHQ-9 scales over a 3-month period? 24 0 obj 0000047593 00000 n Welcome to the PICOT Research Question Generator! ]4&D3(S{+=mz]~$%""zW0U214.a~v[8';e%>~?p9;y(0F"#OeDCTQ4Q&;n\Y}=8YQGyxxCcq18eFNM)QE5liq"PZ;_FlJfO5Y2CvQr]J-u5Rm=MhgxlC\xK]w1%Pi(QMhSdiXH0v:a1t ~qQo 0KQcSI8|'ghRGT/'$EIl (I) Intervention, treatment, or issue of interest. The abrupt expansion of ambulatory telemedicine: implications for patient safety. Your dependent variable. 0000015148 00000 n 2020-05-04T07:16:06-07:00 Patient Satisfaction with Telehealth Services Compared to In-Office Visits: A Systematic Literature Review Question: In POPULATION, does INTERVENTION as compared to COMPARISON/CONTROL GROUP result in OUTCOME? Published March 2018. Over the past decade, private insurers have greatly expanded telehealth coverage, recognizing its ability to provide affordable expanded access and care for patients. 25 0 obj In order to most appropriately choose an information resource and craft a search strategy, it is necessary to consider whatkindof question you are asking: aspecific, narrow "foreground" question, or a broader background question that will help give context to your research? The PICOT process begins with a case scenario, and the question is phrased to elicit an answer. (Where?). A PICOT question should be specific to make it researchable. Appropriate for: broader (scoping) questions. PICO(T): Definitions and Examples - University of Virginia Washington, DC, Eleanor Fitall, MPH Telehealth Use in Rural Healthcare - Rural Health Information Hub 6. Adapted from the PICOT Questions Template; Ellen Fineout-Overholt, 2006. In addressing these barriers and associated issues, it is also clear that safeguards are required to protect patients and ensure that the standard defining quality care provisions are upheld. endobj It may include clinical care services, education for both patients and providers, and public health or healthcare administrative services.1 Telehealth can be used as a tool to monitor, diagnose, treat, and counsel patients in circumstances where in-person care is not feasible, or when telehealth is more convenient or economical. endobj a how ([how] did the [what] affect the [who] - an outcome, an effect). Medication safety incidents associated with the remote delivery of primary care: a rapid review. <>stream We're comparing an alternative therapy (turmeric tea) with a more standard drug therapy (Plaquenil). 1350 Jefferson Park Avenue P.O. endobj Health care provided via technology should be . Secondary Research Articles ; How would you assess the patient and familys response to this telehealth tool? This model helps us create searchable clinical questions before we start looking at the literature. endobj Research Associate, IMPAQ Health Many people find that it helps them clarify their question, which in turn makes it easier to find an answer. Improving Telediagnosis: A Call to Action. Such virtual triage processes can protect other patients by directing potentially infected individuals to the most appropriate location to seek care or testing and keep them out of primary care waiting rooms. uuid:97e72aef-ae4d-11b2-0a00-b003c8aafe7f of the PICOT Research Question Generator, which will take you between 15-20 minutes to complete (opens xb```b``dd`@ Vv) \P7|&30pdx s w\Y#zj\=]}e*2z~h1k Example: For adolescents with type II diabetes (P) does the use of telehealth consultations (I) compared to in-person consultations(C)improve blood sugar control(O)? Published March 17, 2020. <>/Metadata 2 0 R/Outlines 5 0 R/Pages 3 0 R/StructTreeRoot 6 0 R/Type/Catalog/ViewerPreferences<>>> Using these remote and virtual capabilities can reduce the number of providers that need to come into direct contact with a patient in the hospital and can conserve single-use PPE. 1. The Evidence Base for Telehealth: Reassurance in the Face of Rapid <> Follow-up care can continue to occur remotely, but consideration should be made for conditions in which the patient may require in-person services, particularly in more vulnerable populations. 0000034769 00000 n endobj Research has demonstrated that it promotes continuity of care, decreases costs, and improves patient self-management and overall outcomes, particularly in the management of discrete disease states. Use of proper English spelling is a MUST! Bohan Farrell Where ever possible, maintain in-person pediatric visits for vaccinations so children remain on schedule. As hospitals and physicians offices are exploring new and innovating uses for telehealth services, and as more technology comes onto the market, the community is learning more about what is effective and what is safe. And if you do choose to submit as a logged-in user, your name will not be publicly associated with the case. 0000041860 00000 n Using telehealth in rural areas to deliver and assist with the delivery of healthcare services can reduce or minimize challenges and burdens patients encounter, such as transportation issues related to . <>17]/P 20 0 R/Pg 196 0 R/S/Link>> endobj 1 This article uses the Systems Engineering Initiative for Patient Safety (SEIPS) model to assess barriers related to telehealth implementation during the pandemic and the impact on patients, providers, technology, care processes, organizations, and the environment. 2 0 obj 0000008905 00000 n How has the research been collected (e.g., interview, survey)? <> In adult patients with total hip replacements (, https://libraryguides.nau.edu/evidencebasedpractice, Student Technology Center at Cline Library. There are a variety of tools that can be utilized to address security concerns. <> Telehealth is often referred to or referenced as telemedicine (clinical services), but also includes a wider variety of healthcare services, including those provided by professionals other than physicians, such as nurses and pharmacists. endobj Or, check out the page that shows how PICOT can be "mapped" onto 21 popular {3#vMo61/!/9B; I!i%8 wlVe. In his professional role, Dr. Willis has engaged in special projects as a special guest researcher with the National Institutes for Health (NIH) and as a guest researcher at the Agency for Healthcare Research and Quality (AHRQ). Does telelmonitoring blood pressure (I) in urban African Americans with hypertension (P) improve blood pressure control (O) within the six months of initiation of the medication (T)? Accessed April 26, 2020. 0000052345 00000 n PICO Question: Samples with different Specialties - Nursing Research Published July 2019. In OR nurses doing a five minute scrub (P) what are the differences in the presence and types of microbes (O) found on natural polished nails and nail beds (I) and artificial nails (C) at the time of surgery (T)? Example: What arethe impacts and best practices for workplace transition support programs for the retention of newly-hired, new graduate nurses? endobj Formulating a PICOT Question | Duquesne University %%EOF Medical Faculty Associates Scenario: Your female patient is concerned about her risk of developing breast cancer. 0000003787 00000 n PICOT Worksheet. What study types are most likely to have the information you seek? uuid:0d82ba4f-b276-11b2-0a00-90a288020000 Over the past decade, private insurers have greatly expanded telehealth coverage, recognizing its ability to provide affordable expanded access and care for patients.2,3 Between 2014 to 2018, private insurance claims for all telehealth services increased by 624%.4 In 2018, the Centers for Medicare & Medicaid Services (CMS) reported that telehealth visits per beneficiary increased 79 percent between 2014 and 2016. Using the PICOTS Framework to Strengthen Evidence Gathered in Clinical TrialsGuidance from the AHRQ's Evidence-based Practice Centers Program Developing a brochure on telehealth for patients and families is strongly recommended. Institutions should establish escalation protocols that dictate when a patient receiving telehealth services should be transitioned to urgent in-person follow-up care, or even to receiving emergency services.