When the first COVID-19 case was confirmed at a large healthcare system, leaders quickly identified the need for a robust telehealth-based response and defined six key imperatives:
They also observed key clinical needs driven by COVID-19, including remote monitoring and care for patients with COVID-19, providing virtual care, communicating changing guidance from the Centers for Disease Control and Prevention and the state, and supporting a new convalescent plasma donation program.
The rapid expansion of Twistle by Health Catalyst, a patient engagement platform already deployed at the organization for other use cases, facilitated the scale and standardization of COVID-19 messaging and care across the health system’s entire network. The secure, text-based messaging outreach allows patients to participate even if they don’t have access to the internet, a computer, or WiFi, helping the organization overcome health equity challenges and provide care in new ways. The health system uses a variety of communication protocols to facilitate the provision of care for patients and staff, including:
For patients with COVID-19 recovering at home, a Twistle pathway is initiated as part of the EHR order set. The organization first used twice-daily assessment forms to gather and report patients’ symptoms and remote physiologic monitoring to collect temperature and oxygen saturation. This information is integrated back into the EHR for a comprehensive record. As more was understood about the COVID illness, the assessments were decreased to once daily. The care team is alerted when data indicates patient deterioration, focusing attention on patients requiring intervention while safely supporting the care coordinator’s ability to manage a larger caseload.
Using the Twistle patient engagement platform, the health system expanded care capacity to meet increasing demand, continue providing necessary primary and preventative care, and keep its workforce safe. Results include:
“With Twistle, we could quickly centralize support for COVID-19 screening, testing, and monitoring for a huge population, including our care teams and patients. That was essential for us to manage a new and rapidly changing situation effectively.”Chief Medical Information Officer