{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T10:51:17Z","timestamp":1787741477518,"version":"build-2784847793"},"reference-count":23,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,6,21]],"date-time":"2023-06-21T00:00:00Z","timestamp":1687305600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000009","name":"Foundation for the National Institutes of Health","doi-asserted-by":"publisher","award":["Grant R18DK122422"],"award-info":[{"award-number":["Grant R18DK122422"]}],"id":[{"id":"10.13039\/100000009","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007028","name":"Leona M. and Harry B. Helmsley Charitable Trust","doi-asserted-by":"publisher","award":["G\u20102002\u201004251\u2010 2"],"award-info":[{"award-number":["G\u20102002\u201004251\u2010 2"]}],"id":[{"id":"10.13039\/100007028","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Endocrino Diabet &amp; Metabol"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Algorithm\u2010enabled remote patient monitoring (RPM) programs pose novel operational challenges. For clinics developing and deploying such programs, no standardized model is available to ensure capacity sufficient for timely access to care. We developed a flexible model and interactive dashboard of capacity planning for whole\u2010population RPM\u2010based care for T1D.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data were gathered from a weekly RPM program for 277 paediatric patients with T1D at a paediatric academic medical centre. Through the analysis of 2\u2009years of observational operational data and iterative interviews with the care team, we identified the primary operational, population, and workforce metrics that drive demand for care providers. Based on these metrics, an interactive model was designed to facilitate capacity planning and deployed as a dashboard.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The primary population\u2010level drivers of demand are the number of patients in the program, the rate at which patients enrol and graduate from the program, and the average frequency at which patients require a review of their data. The primary modifiable clinic\u2010level drivers of capacity are the number of care providers, the time required to review patient data and contact a patient, and the number of hours each provider allocates to the program each week. At the institution studied, the model identified a variety of practical operational approaches to better match the demand for patient care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We designed a generalizable, systematic model for capacity planning for a paediatric endocrinology clinic providing RPM for T1D. We deployed this model as an interactive dashboard and used it to facilitate expansion of a novel care program (4\u2009T Study) for newly diagnosed patients with T1D. This model may facilitate the systematic design of RPM\u2010based care programs.<\/jats:p><\/jats:sec>","DOI":"10.1002\/edm2.435","type":"journal-article","created":{"date-parts":[[2023,6,24]],"date-time":"2023-06-24T10:29:26Z","timestamp":1687602566000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["A quantitative model to ensure capacity sufficient for timely access to care in a remote patient monitoring program"],"prefix":"10.1002","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4692-6338","authenticated-orcid":false,"given":"Annie","family":"Chang","sequence":"first","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai  New York New York USA"},{"name":"Department of Management Science and Engineering Stanford University  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael Z.","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Management Science and Engineering Stanford University  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes O.","family":"Ferstad","sequence":"additional","affiliation":[{"name":"Department of Management Science and Engineering Stanford University  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Dupenloup","sequence":"additional","affiliation":[{"name":"Department of Management Science and Engineering Stanford University  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dessi P.","family":"Zaharieva","sequence":"additional","affiliation":[{"name":"Department of Paediatric, Division of Paediatric Endocrinology Stanford University  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David M.","family":"Maahs","sequence":"additional","affiliation":[{"name":"Department of Paediatric, Division of Paediatric Endocrinology Stanford University  Stanford California USA"},{"name":"Stanford Diabetes Research Centre Stanford University  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3894-4344","authenticated-orcid":false,"given":"Priya","family":"Prahalad","sequence":"additional","affiliation":[{"name":"Department of Paediatric, Division of Paediatric Endocrinology Stanford University  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramesh","family":"Johari","sequence":"additional","affiliation":[{"name":"Department of Management Science and Engineering Stanford University  Stanford California USA"},{"name":"Stanford Diabetes Research Centre Stanford University  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Scheinker","sequence":"additional","affiliation":[{"name":"Department of Management Science and Engineering Stanford University  Stanford California USA"},{"name":"Department of Paediatric, Division of Paediatric Endocrinology Stanford University  Stanford California USA"},{"name":"Stanford Diabetes Research Centre Stanford University  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,6,21]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1089\/TMJ.2018.0205"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/JAMIA\/OCAA072"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/JAMA.2020.6940"},{"key":"e_1_2_11_5_1","doi-asserted-by":"crossref","unstructured":"D.Rodbard \u201cContinuous Glucose Monitoring: A Review of Successes Challenges and Opportunities \u201d18 S2 S23\u2013S213 2016 10.1089\/DIA.2015.0417","DOI":"10.1089\/dia.2015.0417"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.2337\/DB20-159-LB"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.14567"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/PEDI.13256"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.2196\/27284"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0145721720931092"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.2196\/20270"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/pedi.12648"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/pedi.13180"},{"key":"e_1_2_11_14_1","unstructured":"PrahaladP RitterV LeverenzB et al.CGM Initiation in Youth with Public Insurance Results in Improvements in A1c and Increased Transition to Hybrid Closed Loop Systems. 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