Evaluating Neonatal Telehealth Programs Using the STEM Framework.

TitleEvaluating Neonatal Telehealth Programs Using the STEM Framework.
Publication TypeJournal Article
Year of Publication2021
AuthorsChuo J, Chandler A, Lorch S
JournalSemin Perinatol
Volume45
Issue5
Pagination151429
Date Published2021 08
ISSN1558-075X
KeywordsChild Health Services, COVID-19, Female, Health Services Accessibility, Humans, Infant Health, Infant, Newborn, Infection Control, Neonatology, Perinatal Care, Pregnancy, Program Evaluation, Remote Consultation, SARS-CoV-2, Telemedicine, United States
Abstract

The COVID-19 pandemic has caused an explosive adoption of telehealth in pediatrics . However, there remains substantial variation in evaluation methods and measures of these programs despite introduction of measurement frameworks in the last five years. In addition, for neonatal health care, assessing a telehealth program must measure its benefits and costs for four stakeholder groups - patients, providers, healthcare system, and payers. Because of differences in their role within the health system, each group's calculation of telehealth's value may align or not with one another, depending on how it is being used. Therefore, a common mental model for determining value is critical in order to use telehealth in ways that produce win-win situations for most if not all four stakeholder groups. In this chapter, we present important principles and concepts from previously published frameworks to propose an approach to telehealth evaluation that can be used for perinatal health. Such a framework will then drive future development and implementation of telehealth programs to provide value for all relevant stakeholders in a perinatal health care system.

DOI10.1016/j.semperi.2021.151429
Alternate JournalSemin Perinatol
PubMed ID33994012
Grant ListU01 TR002626 / TR / NCATS NIH HHS / United States