1. Telehealth Intervention Programs for Seniors: An Observational Study of a Community-Embedded Health Monitoring Initiative.
- Author
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Hamilton, Taya, Johnson, Liam, Quinn, Brian T, Coppola, Jean, Sachs, David, Migliaccio, John, Phipps, Colette, Schwartz, Jennifer, Capasso, Marikay, Carpenter, Mae, and Putrino, David
- Subjects
MEDICAL care costs ,MEDICAL care use ,OLDER people ,TELEMEDICINE ,SCIENTIFIC observation ,SENIOR housing ,TELEPHONE calls - Abstract
Background:Chronic disease in older adults is estimated to account for 84% of annual health care spending in the United States, with many preventable costs expected to rise as the population continues to age. Introduction:Telehealth Intervention Programs for Seniors (TIPS) is a community-embedded program targeting low-income older adults, providing weekly assessment of vital signs and subjective wellness, and wrap-around aging services. Materials and Methods:TIPS recruited 765 volunteers over 55 years, who were Medicaid and/or Medicare eligible. Data were collected from 2014 to 2016 [median enrollment 343 days (105–435)] using 12 TIPS sites. This observational study evaluated the efficacy of TIPS by measuring within-subject changes in self-reported hospital visits and <30-day readmissions, before and during TIPS participation. Data of 617 participants (median age 74.3; interquartile range 16) were analyzed. Results:Self-reported hospital visits were reduced by 28.9% (p = 0.0013). Medicare participants benefited the most, with a 50% (p < 0.0001) reduction in hospital visits, and a 75.5% (p = 0.017) reduction in <30-day readmissions. Multivariate analysis revealed that participants (1) Medicaid-registered (odds ratio [OR] = 2.72, 95% confidence interval [CI] 0.392–1.611), (2) reporting feeling unwell (OR = 1.33, 95% CI 0.118–0.459), and (3) living alone (OR = 2.34, 95% CI 0.115–1.592) were significantly more likely than other participants to experience a hospital visit. Discussion:TIPS demonstrates that community-embedded health services can reduce rates of hospital visits in older adults. Conclusion:The success of TIPS highlights the potential of successfully deployed remote patient-monitoring initiatives in reducing the utilization of costly health services. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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