{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T19:37:44Z","timestamp":1769283464012,"version":"3.49.0"},"reference-count":16,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Appl Clin Inform"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003As the coronavirus disease 2019 pandemic exerts unprecedented stress on hospitals, health care systems have quickly deployed innovative technology solutions to decrease personal protective equipment (PPE) use and augment patient care capabilities. Telehealth technology use is established in the ambulatory setting, but not yet widely deployed at scale for inpatient care.<\/jats:p><jats:p>\n          Objectives\u2003This article presents and describes our experience with evaluating and implementing inpatient telehealth technologies in a large health care system with the goals of reducing use of PPE while enhancing communication for health care workers and patients.<\/jats:p><jats:p>\n          Methods\u2003We discovered use cases for inpatient telehealth revealed as a result of an immense patient surge requiring large volumes of PPE. In response, we assessed various consumer products to address the use cases for our health system.<\/jats:p><jats:p>\n          Results\u2003We identified 13 use cases and eight device options. During device setup and implementation, challenges and solutions were identified in five areas: security\/privacy, device availability and setup, device functionality, physical setup, and workflow and device usage. This enabled deployment of more than 1,800 devices for inpatient telehealth across seven hospitals with positive feedback from health care staff.<\/jats:p><jats:p>\n          Conclusion\u2003Large-scale setup and distribution of consumer devices is feasible for inpatient telehealth use cases. Our experience highlights operational barriers and potential solutions for health systems looking to preserve PPE and enhance vital communication.<\/jats:p>","DOI":"10.1055\/s-0040-1719180","type":"journal-article","created":{"date-parts":[[2020,11,4]],"date-time":"2020-11-04T23:57:56Z","timestamp":1604534276000},"page":"733-741","source":"Crossref","is-referenced-by-count":20,"title":["Inpatient Telehealth Tools to Enhance Communication and Decrease Personal Protective Equipment Consumption during Disaster Situations: A Case Study during the COVID-19 Pandemic"],"prefix":"10.1055","volume":"11","author":[{"given":"Shawn Y.","family":"Ong","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, United States"}]},{"given":"Lisa","family":"Stump","sequence":"additional","affiliation":[{"name":"Information Technology Services, Yale New Haven Health System, New Haven, Connecticut, United States"}]},{"given":"Matthew","family":"Zawalich","sequence":"additional","affiliation":[{"name":"Information Technology Services, Yale New Haven Health System, New Haven, Connecticut, United States"}]},{"given":"Lisa","family":"Edwards","sequence":"additional","affiliation":[{"name":"Information Technology Services, Yale New Haven Health System, New Haven, Connecticut, United States"}]},{"given":"Glynn","family":"Stanton","sequence":"additional","affiliation":[{"name":"Information Technology Services, Yale New Haven Health System, New Haven, Connecticut, United States"}]},{"given":"Michael","family":"Matthews","sequence":"additional","affiliation":[{"name":"Information Technology Services, Yale New Haven Health System, New Haven, Connecticut, United States"}]},{"given":"Allen L.","family":"Hsiao","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, United States"},{"name":"Information Technology Services, Yale New Haven Health System, New Haven, Connecticut, United States"}]}],"member":"194","published-online":{"date-parts":[[2020,11,4]]},"reference":[{"issue":"05","key":"ref1","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1016\/S1473-3099(20)30120-1","article-title":"An interactive web-based dashboard to track COVID-19 in real time","volume":"20","author":"E Dong","year":"2020","journal-title":"Lancet Infect Dis"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"e200345","DOI":"10.1001\/jamahealthforum.2020.0345","article-title":"Hospital capacity and operations in the coronavirus disease 2019 (COVID-19) pandemic\u2014planning for the Nth patient","volume":"1","author":"J J Cavallo","year":"2020","journal-title":"JAMA Health Forum"},{"issue":"18","key":"ref4","doi-asserted-by":"crossref","first-page":"e41","DOI":"10.1056\/NEJMp2006141","article-title":"Critical supply shortages - the need for ventilators and personal protective equipment during the Covid-19 pandemic","volume":"382","author":"M L Ranney","year":"2020","journal-title":"N Engl J Med"},{"issue":"05","key":"ref5","doi-asserted-by":"crossref","first-page":"e200553","DOI":"10.1001\/jamahealthforum.2020.0553","article-title":"Personal Protective Equipment Shortages During COVID-19\u2014Supply Chain\u2013Related Causes and Mitigation Strategies","volume":"1","author":"P Mehrotra","year":"2020","journal-title":"JAMA Health Forum"},{"issue":"02","key":"ref7","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1055\/s-0040-1709715","article-title":"Responding to COVID-19: the UW Medicine Information Technology Services experience","volume":"11","author":"E S Grange","year":"2020","journal-title":"Appl Clin Inform"},{"issue":"06","key":"ref8","doi-asserted-by":"crossref","first-page":"967","DOI":"10.1093\/jamia\/ocaa048","article-title":"Electronic personal protective equipment: a strategy to protect emergency department providers in the age of COVID-19","volume":"27","author":"R W Turer","year":"2020","journal-title":"J Am Med Inform Assoc"},{"key":"ref9","volume-title":"Using telehealth to expand access to essential health services during the COVID-19 pandemic","author":"National Center for Immunization and Respiratory Diseases (NCIRD), Division of Viral Diseases"},{"issue":"06","key":"ref10","doi-asserted-by":"crossref","first-page":"957","DOI":"10.1093\/jamia\/ocaa067","article-title":"Telehealth transformation: COVID-19 and the rise of virtual care","volume":"27","author":"J Wosik","year":"2020","journal-title":"J Am Med Inform Assoc"},{"issue":"03","key":"ref11","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1055\/s-0040-1713635","article-title":"Rapid Implementation of an inpatient telehealth program during the COVID-19 pandemic","volume":"11","author":"J D Hron","year":"2020","journal-title":"Appl Clin Inform"},{"issue":"01","key":"ref12","doi-asserted-by":"crossref","first-page":"e54","DOI":"10.1016\/j.jpainsymman.2020.04.001","article-title":"Rapid implementation of inpatient telepalliative medicine consultations during COVID-19 pandemic","volume":"60","author":"J Humphreys","year":"2020","journal-title":"J Pain Symptom Manage"},{"issue":"11","key":"ref13","doi-asserted-by":"crossref","first-page":"436","DOI":"10.5435\/JAAOS-D-20-00360","article-title":"Orthopaedic surgical selection and inpatient paradigms during the coronavirus (COVID-19) pandemic","volume":"28","author":"P A Massey","year":"2020","journal-title":"J Am Acad Orthop Surg"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1016\/j.urology.2020.04.059","article-title":"Managing urology consultations during COVID-19 pandemic: application of a structured care pathway","volume":"141","author":"A Borchert","year":"2020","journal-title":"Urology"},{"issue":"01","key":"ref15","doi-asserted-by":"crossref","first-page":"e69","DOI":"10.1016\/j.jaad.2020.04.096","article-title":"Telemedicine for inpatient dermatology consultations in response to the COVID-19 pandemic","volume":"83","author":"J Trinidad","year":"2020","journal-title":"J Am Acad Dermatol"},{"issue":"08","key":"ref16","doi-asserted-by":"crossref","first-page":"857","DOI":"10.1055\/s-0040-1709687","article-title":"In-hospital telehealth supports care for neonatal patients in strict isolation","volume":"37","author":"R A Umoren","year":"2020","journal-title":"Am J Perinatol"},{"key":"ref17","volume-title":"Comprehensive hospital preparedness checklist for coronavirus disease 2019 (COVID-19)","author":"Centers for Disease Control and Prevention"},{"issue":"10","key":"ref20","first-page":"1","article-title":"Security comparison between android and iOS","volume":"5","author":"A Arora","year":"2017","journal-title":"Int J Eng Res Technol"}],"container-title":["Applied Clinical Informatics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0040-1719180.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,11,4]],"date-time":"2020-11-04T23:58:15Z","timestamp":1604534295000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0040-1719180"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10]]},"references-count":16,"journal-issue":{"issue":"05","published-online":{"date-parts":[[2020,10,21]]},"published-print":{"date-parts":[[2020,10]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0040-1719180","relation":{},"ISSN":["1869-0327"],"issn-type":[{"value":"1869-0327","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10]]}}}