Patient Engagement and Cost Savings Achieved by Automated Telemonitoring Systems Designed to Prevent and Identify Surgical Site Infections After Joint Replacement
Background: We designed two telemonitoring text and voice messaging interventions, EpxDecolonization (EpxDecol) and EpxWound, to improve management of orthopedic joint replacement patients at Washington University. We reviewed the use of these tools for a period of 88 weeks. Methods: Cohorts of 1,39...
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| Veröffentlicht in: | Telemedicine journal and e-health 2019-02, Vol.25 (2), p.143-151 |
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| creator | Yahanda, Alexander T. Marino, Nikolas E. Barron, John Concepcion, Angela St. John, Theresa Lu, Keyin Chermside-Scabbo, Christopher Aladegbami, Bola Ross, Will Clohisy, John Kirby, John P. |
| description | Background:
We designed two telemonitoring text and voice messaging interventions, EpxDecolonization (EpxDecol) and EpxWound, to improve management of orthopedic joint replacement patients at Washington University. We reviewed the use of these tools for a period of 88 weeks.
Methods:
Cohorts of 1,392 and 1,753 participants completed EpxDecol and EpxWound, respectively. All patients who completed EpxDecol also completed EpxWound. We assessed patient use of and satisfaction with these interventions. A return on investment (ROI) analysis was conducted to determine the cost savings generated by EpxWound and EpxDecol.
Results:
The proportions of patients who responded daily to EpxDecol and EpxWound were 91.9% and 77.7%, respectively, over the lengths of each intervention. The percent of daily responders declined |
| doi_str_mv | 10.1089/tmj.2017.0325 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7061301</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2101275419</sourcerecordid><originalsourceid>FETCH-LOGICAL-c431t-d2257b415f1733daa5fb2ab24e38b50254d849efc35c859e173a03676a58682a3</originalsourceid><addsrcrecordid>eNqFkU1v1DAQhiMEoqVw5Ip85JLFH3E-LkirpcCiSlRsOVsTZ5K6SuzFdlbav8MvxWGXCk6cPPY8874jv1n2mtEVo3XzLk4PK05ZtaKCyyfZJZOyzEVZNk-XWtBclry6yF6E8EApLVjFn2cXgrKGc9pcZj9vIRq0kVzbAQaclhJsRzYuRLKDg7FDIGt9b_CAHWmPZD1HN0FMlzsccXLWROcTRXbHEHEK5AMGM9jUj47c-jR2Vtx2qTL9kexmPxgNI9mZiGRre9TROJts-oiefHEmTXzD_Qj69z4vs2c9jAFfnc-r7PvH67vN5_zm66ftZn2T60KwmHecy6otmOxZJUQHIPuWQ8sLFHUrKZdFVxcN9lpIXcsGEwVUlFUJsi5rDuIqe3_S3c_thJ1O1h5GtfdmAn9UDoz6t2PNvRrcQVW0ZOlHk8Dbs4B3P2YMUU0maBxHsOjmoDijjFeyYE1C8xOqvQvBY_9ow6haclUpV7XkqpZcE__m790e6T9BJkCcgOUZrB0Ntujjf2R_AXGJs2w</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2101275419</pqid></control><display><type>article</type><title>Patient Engagement and Cost Savings Achieved by Automated Telemonitoring Systems Designed to Prevent and Identify Surgical Site Infections After Joint Replacement</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Yahanda, Alexander T. ; Marino, Nikolas E. ; Barron, John ; Concepcion, Angela ; St. John, Theresa ; Lu, Keyin ; Chermside-Scabbo, Christopher ; Aladegbami, Bola ; Ross, Will ; Clohisy, John ; Kirby, John P.</creator><creatorcontrib>Yahanda, Alexander T. ; Marino, Nikolas E. ; Barron, John ; Concepcion, Angela ; St. John, Theresa ; Lu, Keyin ; Chermside-Scabbo, Christopher ; Aladegbami, Bola ; Ross, Will ; Clohisy, John ; Kirby, John P.</creatorcontrib><description>Background:
We designed two telemonitoring text and voice messaging interventions, EpxDecolonization (EpxDecol) and EpxWound, to improve management of orthopedic joint replacement patients at Washington University. We reviewed the use of these tools for a period of 88 weeks.
Methods:
Cohorts of 1,392 and 1,753 participants completed EpxDecol and EpxWound, respectively. All patients who completed EpxDecol also completed EpxWound. We assessed patient use of and satisfaction with these interventions. A return on investment (ROI) analysis was conducted to determine the cost savings generated by EpxWound and EpxDecol.
Results:
The proportions of patients who responded daily to EpxDecol and EpxWound were 91.9% and 77.7%, respectively, over the lengths of each intervention. The percent of daily responders declined <5% during each intervention. Ultimately, 88.4% of EpxDecol patients and 67.8% of EpxWound patients responded to ≥80% of all messages. Median patient survey responses (
n
= 1,246) were 9/9 (best possible) for care, 8/9 for improved communication, and 5/9 (perfect number) for number of messages received. ROI analysis for this 88-week period showed that using EpxDecol and EpxWound to engage patients (instead of nurses calling patients) saved the equivalent of 2.275 full-time nursing equivalents per week. We calculated net savings of $260,348 with an ROI of 14.85
x
for 1,753 patients over 88 weeks. One-year cost savings from these interventions were $153,800 with an ROI of 14.79
x.
Conclusions:
EpxDecol and EpxWound may serve important roles in the perioperative process for orthopedic joint reconstruction surgery given high patient usage of and satisfaction with these interventions. Implementing EpxDecol and EpxWound for a large patient population could yield substantial cost savings and ROI.</description><identifier>ISSN: 1530-5627</identifier><identifier>EISSN: 1556-3669</identifier><identifier>DOI: 10.1089/tmj.2017.0325</identifier><identifier>PMID: 30192209</identifier><language>eng</language><publisher>United States: Mary Ann Liebert, Inc., publishers</publisher><subject>Arthroplasty, Replacement - methods ; Confidentiality ; Cost Savings ; Humans ; Original Research ; Patient Participation - methods ; Patient Satisfaction ; Preoperative Period ; Self Care - economics ; Self Care - methods ; Surgical Wound Infection - prevention & control ; Telemedicine - economics ; Telemedicine - methods ; Telephone ; Text Messaging</subject><ispartof>Telemedicine journal and e-health, 2019-02, Vol.25 (2), p.143-151</ispartof><rights>2019, Mary Ann Liebert, Inc., publishers</rights><rights>Copyright 2019, Mary Ann Liebert, Inc., publishers 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c431t-d2257b415f1733daa5fb2ab24e38b50254d849efc35c859e173a03676a58682a3</citedby><cites>FETCH-LOGICAL-c431t-d2257b415f1733daa5fb2ab24e38b50254d849efc35c859e173a03676a58682a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30192209$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yahanda, Alexander T.</creatorcontrib><creatorcontrib>Marino, Nikolas E.</creatorcontrib><creatorcontrib>Barron, John</creatorcontrib><creatorcontrib>Concepcion, Angela</creatorcontrib><creatorcontrib>St. John, Theresa</creatorcontrib><creatorcontrib>Lu, Keyin</creatorcontrib><creatorcontrib>Chermside-Scabbo, Christopher</creatorcontrib><creatorcontrib>Aladegbami, Bola</creatorcontrib><creatorcontrib>Ross, Will</creatorcontrib><creatorcontrib>Clohisy, John</creatorcontrib><creatorcontrib>Kirby, John P.</creatorcontrib><title>Patient Engagement and Cost Savings Achieved by Automated Telemonitoring Systems Designed to Prevent and Identify Surgical Site Infections After Joint Replacement</title><title>Telemedicine journal and e-health</title><addtitle>Telemed J E Health</addtitle><description>Background:
We designed two telemonitoring text and voice messaging interventions, EpxDecolonization (EpxDecol) and EpxWound, to improve management of orthopedic joint replacement patients at Washington University. We reviewed the use of these tools for a period of 88 weeks.
Methods:
Cohorts of 1,392 and 1,753 participants completed EpxDecol and EpxWound, respectively. All patients who completed EpxDecol also completed EpxWound. We assessed patient use of and satisfaction with these interventions. A return on investment (ROI) analysis was conducted to determine the cost savings generated by EpxWound and EpxDecol.
Results:
The proportions of patients who responded daily to EpxDecol and EpxWound were 91.9% and 77.7%, respectively, over the lengths of each intervention. The percent of daily responders declined <5% during each intervention. Ultimately, 88.4% of EpxDecol patients and 67.8% of EpxWound patients responded to ≥80% of all messages. Median patient survey responses (
n
= 1,246) were 9/9 (best possible) for care, 8/9 for improved communication, and 5/9 (perfect number) for number of messages received. ROI analysis for this 88-week period showed that using EpxDecol and EpxWound to engage patients (instead of nurses calling patients) saved the equivalent of 2.275 full-time nursing equivalents per week. We calculated net savings of $260,348 with an ROI of 14.85
x
for 1,753 patients over 88 weeks. One-year cost savings from these interventions were $153,800 with an ROI of 14.79
x.
Conclusions:
EpxDecol and EpxWound may serve important roles in the perioperative process for orthopedic joint reconstruction surgery given high patient usage of and satisfaction with these interventions. Implementing EpxDecol and EpxWound for a large patient population could yield substantial cost savings and ROI.</description><subject>Arthroplasty, Replacement - methods</subject><subject>Confidentiality</subject><subject>Cost Savings</subject><subject>Humans</subject><subject>Original Research</subject><subject>Patient Participation - methods</subject><subject>Patient Satisfaction</subject><subject>Preoperative Period</subject><subject>Self Care - economics</subject><subject>Self Care - methods</subject><subject>Surgical Wound Infection - prevention & control</subject><subject>Telemedicine - economics</subject><subject>Telemedicine - methods</subject><subject>Telephone</subject><subject>Text Messaging</subject><issn>1530-5627</issn><issn>1556-3669</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1v1DAQhiMEoqVw5Ip85JLFH3E-LkirpcCiSlRsOVsTZ5K6SuzFdlbav8MvxWGXCk6cPPY8874jv1n2mtEVo3XzLk4PK05ZtaKCyyfZJZOyzEVZNk-XWtBclry6yF6E8EApLVjFn2cXgrKGc9pcZj9vIRq0kVzbAQaclhJsRzYuRLKDg7FDIGt9b_CAHWmPZD1HN0FMlzsccXLWROcTRXbHEHEK5AMGM9jUj47c-jR2Vtx2qTL9kexmPxgNI9mZiGRre9TROJts-oiefHEmTXzD_Qj69z4vs2c9jAFfnc-r7PvH67vN5_zm66ftZn2T60KwmHecy6otmOxZJUQHIPuWQ8sLFHUrKZdFVxcN9lpIXcsGEwVUlFUJsi5rDuIqe3_S3c_thJ1O1h5GtfdmAn9UDoz6t2PNvRrcQVW0ZOlHk8Dbs4B3P2YMUU0maBxHsOjmoDijjFeyYE1C8xOqvQvBY_9ow6haclUpV7XkqpZcE__m790e6T9BJkCcgOUZrB0Ntujjf2R_AXGJs2w</recordid><startdate>20190201</startdate><enddate>20190201</enddate><creator>Yahanda, Alexander T.</creator><creator>Marino, Nikolas E.</creator><creator>Barron, John</creator><creator>Concepcion, Angela</creator><creator>St. John, Theresa</creator><creator>Lu, Keyin</creator><creator>Chermside-Scabbo, Christopher</creator><creator>Aladegbami, Bola</creator><creator>Ross, Will</creator><creator>Clohisy, John</creator><creator>Kirby, John P.</creator><general>Mary Ann Liebert, Inc., publishers</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20190201</creationdate><title>Patient Engagement and Cost Savings Achieved by Automated Telemonitoring Systems Designed to Prevent and Identify Surgical Site Infections After Joint Replacement</title><author>Yahanda, Alexander T. ; Marino, Nikolas E. ; Barron, John ; Concepcion, Angela ; St. John, Theresa ; Lu, Keyin ; Chermside-Scabbo, Christopher ; Aladegbami, Bola ; Ross, Will ; Clohisy, John ; Kirby, John P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c431t-d2257b415f1733daa5fb2ab24e38b50254d849efc35c859e173a03676a58682a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Arthroplasty, Replacement - methods</topic><topic>Confidentiality</topic><topic>Cost Savings</topic><topic>Humans</topic><topic>Original Research</topic><topic>Patient Participation - methods</topic><topic>Patient Satisfaction</topic><topic>Preoperative Period</topic><topic>Self Care - economics</topic><topic>Self Care - methods</topic><topic>Surgical Wound Infection - prevention & control</topic><topic>Telemedicine - economics</topic><topic>Telemedicine - methods</topic><topic>Telephone</topic><topic>Text Messaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yahanda, Alexander T.</creatorcontrib><creatorcontrib>Marino, Nikolas E.</creatorcontrib><creatorcontrib>Barron, John</creatorcontrib><creatorcontrib>Concepcion, Angela</creatorcontrib><creatorcontrib>St. John, Theresa</creatorcontrib><creatorcontrib>Lu, Keyin</creatorcontrib><creatorcontrib>Chermside-Scabbo, Christopher</creatorcontrib><creatorcontrib>Aladegbami, Bola</creatorcontrib><creatorcontrib>Ross, Will</creatorcontrib><creatorcontrib>Clohisy, John</creatorcontrib><creatorcontrib>Kirby, John P.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Telemedicine journal and e-health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yahanda, Alexander T.</au><au>Marino, Nikolas E.</au><au>Barron, John</au><au>Concepcion, Angela</au><au>St. John, Theresa</au><au>Lu, Keyin</au><au>Chermside-Scabbo, Christopher</au><au>Aladegbami, Bola</au><au>Ross, Will</au><au>Clohisy, John</au><au>Kirby, John P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patient Engagement and Cost Savings Achieved by Automated Telemonitoring Systems Designed to Prevent and Identify Surgical Site Infections After Joint Replacement</atitle><jtitle>Telemedicine journal and e-health</jtitle><addtitle>Telemed J E Health</addtitle><date>2019-02-01</date><risdate>2019</risdate><volume>25</volume><issue>2</issue><spage>143</spage><epage>151</epage><pages>143-151</pages><issn>1530-5627</issn><eissn>1556-3669</eissn><abstract>Background:
We designed two telemonitoring text and voice messaging interventions, EpxDecolonization (EpxDecol) and EpxWound, to improve management of orthopedic joint replacement patients at Washington University. We reviewed the use of these tools for a period of 88 weeks.
Methods:
Cohorts of 1,392 and 1,753 participants completed EpxDecol and EpxWound, respectively. All patients who completed EpxDecol also completed EpxWound. We assessed patient use of and satisfaction with these interventions. A return on investment (ROI) analysis was conducted to determine the cost savings generated by EpxWound and EpxDecol.
Results:
The proportions of patients who responded daily to EpxDecol and EpxWound were 91.9% and 77.7%, respectively, over the lengths of each intervention. The percent of daily responders declined <5% during each intervention. Ultimately, 88.4% of EpxDecol patients and 67.8% of EpxWound patients responded to ≥80% of all messages. Median patient survey responses (
n
= 1,246) were 9/9 (best possible) for care, 8/9 for improved communication, and 5/9 (perfect number) for number of messages received. ROI analysis for this 88-week period showed that using EpxDecol and EpxWound to engage patients (instead of nurses calling patients) saved the equivalent of 2.275 full-time nursing equivalents per week. We calculated net savings of $260,348 with an ROI of 14.85
x
for 1,753 patients over 88 weeks. One-year cost savings from these interventions were $153,800 with an ROI of 14.79
x.
Conclusions:
EpxDecol and EpxWound may serve important roles in the perioperative process for orthopedic joint reconstruction surgery given high patient usage of and satisfaction with these interventions. Implementing EpxDecol and EpxWound for a large patient population could yield substantial cost savings and ROI.</abstract><cop>United States</cop><pub>Mary Ann Liebert, Inc., publishers</pub><pmid>30192209</pmid><doi>10.1089/tmj.2017.0325</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1530-5627 |
| ispartof | Telemedicine journal and e-health, 2019-02, Vol.25 (2), p.143-151 |
| issn | 1530-5627 1556-3669 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7061301 |
| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Arthroplasty, Replacement - methods Confidentiality Cost Savings Humans Original Research Patient Participation - methods Patient Satisfaction Preoperative Period Self Care - economics Self Care - methods Surgical Wound Infection - prevention & control Telemedicine - economics Telemedicine - methods Telephone Text Messaging |
| title | Patient Engagement and Cost Savings Achieved by Automated Telemonitoring Systems Designed to Prevent and Identify Surgical Site Infections After Joint Replacement |
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