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Case Studies

Case Studies

Case Studies

Case Studies

MOBILIZING TELEMEDICINE

Cleveland Clinic: Mobilizing Telemedicine for Proactive T2D and Other Chronic Disease Management

Case Studies

Overview

 

The Cleveland Clinic utilized existing telemedicine and shared medical appointment (SMA) capabilities to prioritize the safety of patients with diabetes and obesity and to enhance patient and provider comfort via virtual healthcare.

The Challenge

 

Cleveland Clinic needed to ensure patient and provider safety and continuity of care for patients with diabetes at high risk for COVID-19 within the Endocrinology and Metabolism Institute (EMI).

The Approach

 

Outpatient visits: telemedicine + SMA

  • Offered to 80% of patients age 60+ with HbA1c levels >9% seen in the past year and who needed a follow-up visit

Inpatient visits: virtual alternatives

  • Offered to patients hospitalized for non-COVID-19 related illnesses
    • Virtual face-to-face visits

    • Phone consults with the patient, facilitated by hospital staff

    • Peer-to-peer e-consult without the patient

Outcomes

 

Within days

  • Converted to virtual visits using existing technology and methods
  • Minimized unnecessary contact, spread of infection, and use of PPE

Within ~6 weeks

  • 90% of patient visits and 100% of SMAs were virtual
  • Increased provider confidence in telemedicine to effectively manage chronic disease
  • Increased patient satisfaction with the convenience and safety of virtual visits
  • Shorter virtual visits and the ability to work from home gave staff better quality of life

For more information, visit Cleveland Clinic

 

PPE=personal protective equipment; T2D=type 2 diabetes.

 

Endocrinologists convert to telemedicine virtually overnight during COVID-19 pandemic. Cleveland Clinic Website. https://consultqd.clevelandclinic.org/endocrinologists-convert-to-telemedicine-virtually-overnight-during-covid-19-pandemic/. Published April 22, 2020. Accessed August 21, 2020.