Reduced cost and mortality using home telehealth to promote self-management of complex chronic conditions: A retrospective matched cohort study of 4,999 veteran patients

Telemedicine and e-Health

Volumn 21, Issue 1, 2015, Pages 70-76

  Darkins, Adam ^a   Kendall, Stephen ^b   Edmonson, Ellen ^a   Young, Michele ^b   Stressel, Pamela ^a  

^a VETERANS AFFAIRS MEDICAL CENTER   (United States)

^b DEPARTMENT OF VETERANS AFFAIRS   (United States)

Author keywords

e health; Home health monitoring; policy; telehealth

Indexed keywords

COSTS; HEALTH; HEALTH CARE; HEALTH INSURANCE; HOME HEALTH CARE; HOSPITALS; MEDICAL COMPUTING; PUBLIC POLICY;

CHRONIC CONDITIONS; E HEALTH; HEALTH CARE COSTS; HOME HEALTH MONITORING; HOSPITAL ADMISSIONS; RETROSPECTIVE ANALYSIS; TELEHEALTH; VETERANS HEALTH ADMINISTRATIONS;

COST BENEFIT ANALYSIS;

AGED; CHRONIC DISEASE; DISEASE MANAGEMENT; ECONOMICS; FEMALE; GOVERNMENT; HEALTH CARE COST; HEALTH SERVICES RESEARCH; HUMAN; MALE; MEDICATION COMPLIANCE; MIDDLE AGED; RETROSPECTIVE STUDY; SELF CARE; STATISTICS AND NUMERICAL DATA; TELEMEDICINE; UNITED STATES; VERY ELDERLY; VETERAN;

AGED; AGED, 80 AND OVER; CHRONIC DISEASE; DISEASE MANAGEMENT; FEMALE; HEALTH EXPENDITURES; HUMANS; MALE; MEDICATION ADHERENCE; MIDDLE AGED; ORGANIZATIONAL CASE STUDIES; RETROSPECTIVE STUDIES; SELF CARE; TELEMEDICINE; UNITED STATES; UNITED STATES DEPARTMENT OF VETERANS AFFAIRS; VETERANS;

EID: 84921455077     PISSN: 15305627     EISSN: 15563669     Source Type: Journal    
DOI: 10.1089/tmj.2014.0067     Document Type: Article

References (52)

1. National Center for Veterans Analysis and Statistics, U. S. Department of Veterans Affairs. Profile of Veterans: 2011 data from the American Community Survey. Available at www. va. gov/vetdata/ (last accessed April 22, 2014).
2. Agha Z, Lofgren RP, VanRuiswyk JV, Layde PM. Are patients at Veterans Affairs Medical Centers sicker A comparative analysis of health status and medical resource use. Arch Intern Med 2000;160:3252-3257.
3. Meyer M, Kobb R, Ryan P. Chronic disease in the home. Dis Manage 2002;5:87-94.
4. Crossing the quality chasm: A new health system for the 21st century. Washington, DC: Institute of Medicine, 2001.
5. Veterans Millennium Healthcare and Benefits Act. U. S. Public Law 106-117. November 30, 1999.
6. Veterans Health Administration. Enrollee health care demand model. Testimony of the Honorable Jonathan Perlin before the Committee on Veteran's Affairs. U. S. House of Representatives. June 23, 2005. Available at www. va. gov/ocla/ HVAC/05062310. asp (last accessed April 22, 2014).
7. Longino CF, Bradley DE. A first look at retirement migration trends in 2000. Gerontologist 2003;43:904-907.
8. Cowper DC, Longino CF Jr, Kubal JD, Manheim LM, Dienstfrey SJ, Palmer JM. The retirement migration of U. S. Veterans, 1960,1970, 1980, and 1990. J Appl Gerontol 2003;19:123-137.
9. Ryan P, Kobb P, Hilsen P. Making the right connection: Matching patients to technology. Telemed J E Health 2003;9:81-88.
10. Kobb R, Hilsen P, Ryan P. Assessing technology needs for the elderly. Finding the perfect match for the home. Home Healthc Nurs 2003;21:666-673.
11. Lorig K, Ritter P, Stewart A, Sobel D, Brown BW, Bandura A, Gonzalez V, Laurent D, Holman H. Chronic disease self-management program 2-year health status and healthcare utilization outcomes. Med Care 2001;39:1217-1223.
12. Statement of the Honorable Robert H. Roswell, MD, Under Secretary for Health, Department of Veterans Affairs on VA's Long-Term Care Programs before The Committee on Veterans' Affairs Subcommittee on Health, U. S. House of Representatives. May 22, 2003. Available at www. va. gov/ocla/testimony/hvac/ sh/03my2210. asp (last accessed April 22, 2014).
13. Fillenbaum GG. Activities of daily living. In: Maddox GL, ed. The encyclopedia of aging. New York: Springer, 1987:460-464.
14. Katz S. Assessing self-maintenance: Activities of daily living, mobility, and instrumental activities of daily living. J Am Geriatr Assoc 1983;31:721-727.
15. Darkins A, Foster L, Anderson C, Goldschmidt L, Selvin G. The design, implementation, and operational management of a comprehensive quality management program to support national telehealth networks. Telemed J E Health 2013;19:557-564.
16. Chumbler NR, Mkanta WN, Richardson LC, Harris L, Darkins A, Kobb B, Ryan P. Remote patient-provided communication: Empirical test of a dialogic model of cancer care. J Telemed Telecare 2007;13:20-25.
17. Chumbler NR, Neugaard B, Kobb R, Ryan P, Qin H, Joo Y. An observational study of veterans with diabetes receiving weekly or daily home telehealth monitoring. J Telemed Telecare 2005;11:150-156.
18. Chumbler NR, Neugaard B, Kobb R, Ryan P, Qin H, Joo Y. Evaluation of a care coordination/home telehealth program for veterans with diabetes: Health services utilization and health-related quality of life. Eval Health Prof 2005;28:464-478.
19. Darkins A, Ryan P, Kobb R, Foster L, Edmonson E, Wakefield B, Lancaster A. Care coordination/home telehealth: The systematic implementation of health informatics, home telehealth, and disease management to support the care of veteran patients with chronic conditions. Telemed J E Health 2008;14:1118-1126.
20. Romanow R. Building on values: The future of healthcare in Canada-Final report. Commission on the Future of Healthcare in Canada, Ottawa. 2002. Available at www. cbc. ca/healthcare/final-report. pdf (last accessed September 2, 2013).
21. Kun LG. Telehealth and the global health network in the 21st century. From homecare to public health informatics. Comput Methods Programs Biomed 2001;64:155-167.
22. Dorsey ER, Venkataraman V, Grana MJ, Bull MT, George BP, Boyd CM, Beck CA, Rajan B, Seidmann A, Biglan KM. Randomized controlled clinical trial of ''virtual house calls'' for Parkinsons disease. JAMA Neurol 2013;70:565-570.
23. The Joint Commission. Home-The best place for healthcare. A positioning statement from the Joint Commission on the state of the home care industry. Chicago: The Joint Commission, 2011.
24. Pare G, Jaana M, Sicotte C. Systematic review of home telemonitoring for chronic disease: The evidence base. J Am Med Inform Assoc 2007;14:269-277.
25. Bensink M, Hailey D, Wootton R. A systematic review of success and failures in home telehealth: Preliminary results. J Telemed Telecare 2006;12(Suppl 3):8-16.
26. Polisena J, Tran K, Cimon K, Hutton B, McGill S, Palmer K. Home telehealth for diabetes management: A systematic review and meta-analysis. Diabetes Obes Metab 2009;11:913-930.
27. Gaikwad R. The role of home-based information and communications technology interventions in chronic disease management: A systematic literature review. Health Inform J 2009;15:122-146.
28. Wootton R, Dimmick SL, Kvedar JC, Hailey D. Home telehealth: Connecting within the community. In: Wootton R Dimmick SL, Kvedar JC, eds. The evidence base. London: Royal Society of Medicine Press, 2006:53-62.
29. Yong P, Olsen L. Discussion. In: The healthcare imperative. Lowering costs and improving outcomes: Workshop series summary. Washington, DC: National Academies Press, 2010:448.
30. Barnett A, van der Pols J, Dobson A. Regression to the mean: What it is and how to deal with it. Int J Epidemiol 2005;34:215-220.
31. Humensky J, Carretta H, de Groot K, Brown MM, Tarlov E, Hynes DM. Service utilization of Veterans dually eligible for VA and Medicare fee-for-service: 1999-2004. Medicare Care Medicaid Res Rev 2012;2(3):e1-e22.
32. Takahashi PY, Pecina JL, Upatising B, Chaudhry R, Shah ND, Van Houten H, Cha S, Croghan I, Naessens JM, Hanson GJ. A randomized controlled trial of telemonitoring in older adults with multiple health issues to prevent hospitalizations and emergency department visits. Arch Intern Med 2012;172:773-779.
33. Henderson C, Knapp M, Fernandez J, Beecham J, Hirani S, Cartwright M, Rixon L, Beynon M, Rogers A, Bower P, Doll H, Fitzpatrick R, Steventon A, Bardsley M, Hendy J, Newman S. Cost effectiveness of telehealth for patients with long term conditions (Whole Systems Demonstrator telehealth questionnaire study): Nested economic evaluation in a pragmatic, cluster randomised controlled trial. BMJ 2013;346.
34. Steventon A, Bardsley M, Billings J, Dixon J, Doll H, Beynon M, Hirani S, Cartwright M, Rixon L, Knapp M, Henderson C, Rogers A, Hendy J, Fitzpatrick R, Newman S. Effect of telecare on use of health and social care services: Findings from the Whole Systems Demonstrator cluster randomised trial. Age Ageing 2013;42:501-508.
35. Stroetmann K, Kubitschke L, Robinson S, Stroetmann V, Cullen K, McDaid D. How can telehealth help in the provision of integrated care Copenhagen: World Health Organization, on behalf of the European Observatory on Health Systems and Policies, 2010.
36. National Academy of Sciences. Aging and the macroeconomy: Long-term implications of an older population. Washington, DC: National Academy of Sciences, 2012.
37. Kayyali B, Kimmel Z, van Kuiken S. Spurring the market for high-tech home healthcare. McKinsey. 2011. Available at www. mckinsey. com/insights/ health-systems-and-services/spurring-the-market-for-high-tech-home- health-care (last accessed September 3, 2013).
38. Landers SH. Why healthcare is going home. N Engl J Med 2010;363:1690-1691.
39. Price Waterhouse Coopers. Emerging mhealth: Paths for growth. June 2012. Available at www. pwc. in/press-releases/global-mhealth-adoption. jhtml (last accessed December 30, 2013).
40. Kumar S, Nilsen WJ, Abernethy A, Atienza A, Patrick K, Pavel M, Riley WT, Shar A, Spring B, Spruijt-Metz D, Hedeker D, Honavar V, Kravitz R, Lefebvre RC, Mohr DC, Murphy SA, Quinn C, Shusterman V, Swendeman D. Mobile health technology evaluation: The mHealth Evidence Workshop. Am J Prev Med 2013;45:228-236.
41. Upatising B, Hanson GJ, Kim YL, Cha SS, Yih Y, Takahashi P. Effects of home telemonitoring on transitions between frailty states and death for older adults: A randomized controlled trial. Int J Gen Med 2013;6:145-151.
42. Kinosian B, Tompkins H, Edes T. Factors associated with reduction in inpatient days by home based primary care (HBPC). J Am Geriatr Soc 2008;65(Suppl 4):S197-S198.
43. Engel GL. The need for a new medical model: A challenge for biomedicine. Science 1977;196:129-136.
44. Borrell-Carrió F, Suchman AL, Epstein RM. The biopsychosocial model 25 years later: Principles, practice, and scientific inquiry. Ann Fam Med 2004;2:576-582.
45. Brown SH, Lincoln MJ, Groen PJ, Kolodner R. VistA-U. S. Department of Veterans Affairs national-scale HIS. Int J Med Inform 2003;69:135-156.
46. Dale JA, Behkami NA, Olsen GS, Dorr D. A multi-perspective analysis of lessons learned from building an integrated care coordination information system (ICCIS). AMIA Annu Symp Proc 2012;129-135.
47. Dorr D, Wilcox A, Brunker C, Burdon R, Donnelly S. The effect of technologysupported, multidisease care management on the mortality and hospitalization of seniors. J Am Geriatr Soc 2008;56:2195-2202.
48. Adang EM, Wensing M. Economic barriers to implementation of innovations in healthcare: Is the long run-short run efficiency discrepancy a paradox? Health Policy 2008;88:236-242.
49. Kohn D. The role of business process reengineering in health care. Top Health Inf Manage 1994;14:1-6.
50. Olsen L, Aisner D, McGinnis JM. The learning healthcare system: Workshop summary. Washington, DC: Institute of Medicine, National Academies Press, 2007.
51. Wasseran J, Ringel J, Wynn B, Zwanziger J, Ricci K, Newberry S, Genovese B, Schoenbaum M. An analysis of the Veterans Equitable Resource Allocation (VERA) system. Santa Monica, CA: National Defense Research Institute and RAND Health, 2001.
52. Kitsiou S, Pare G, Jaanna M. Systematic reviews and meta-analyses of home telemonitoring interventions for patients with chronic diseases: A critical assessment of their methodological quality. J Med Internet Res 2013;15(7):e150.