Maniaci Michael J, Maita Karla, Torres-Guzman Ricardo A, Avila Francisco R, Garcia John P, Eldaly Abdullah, Forte Antonio J, Matcha Gautam V, Pagan Ricardo J, Paulson Margaret R
Division of Hospital Internal Medicine, Mayo Clinic, Jacksonville, FL, USA.
Division of Plastic Surgery, Mayo Clinic, Jacksonville, FL, USA.
Int J Gen Med. 2022 Feb 22;15:1909-1918. doi: 10.2147/IJGM.S354101. eCollection 2022.
Healthcare provider's experience with new models of care is crucial for long-term success. In July 2020, Mayo Clinic implemented a novel virtual hybrid hospital at home program called Advanced Care at Home (ACH). This model allows virtual providers in a command center to care for high-acuity patients in the home setting through collaboration with a vendor-mediated supply chain. This study aims to describe the outcomes obtained from a survey applied to the ACH providers to determine their acceptance of the quality and safety of the virtual hybrid care model, their perception towards the decision-making and teamwork between the command center and supplier network, and determine if the overall experience with ACH was rewarding.
A 15-question anonymous survey was distributed via email quarterly to all the physicians and nurse practitioners registered in ACH program at Mayo Clinic. The survey encompassed questions related to the overall experience in ACH concerning work environment, quality of care, service reliability, teamwork, decision-making, and satisfaction. All the questions were Likert-like scale choice, and a descriptive analysis using frequency distribution and percentages of the data was performed.
Between September 1, 2020 and April 30, 2021, three quarterly surveys were sent to a total of 21 physicians and nurse practitioners caring for patients virtually in ACH. The response rate reported was 72%, 33%, and 66%, respectively, at the first, second, and third quarters. Eighty percent or more of providers consistently gave positive scores to all three areas analyzed throughout the 8-month study.
Providers found the ACH virtual hybrid model of home hospital care very rewarding. They were able to deliver high-quality and safe care to their patients through positive teamwork with a vendor-mediated supply chain. This novel model of hospital at home has the potential to be a great provider satisfier moving forward.
医疗服务提供者对新型护理模式的经验对于长期成功至关重要。2020年7月，梅奥诊所实施了一项名为“居家高级护理”（ACH）的新型虚拟混合居家医院项目。该模式允许指挥中心的虚拟医疗服务提供者通过与供应商介导的供应链合作，在家中护理重症患者。本研究旨在描述对ACH医疗服务提供者进行的一项调查所获得的结果，以确定他们对虚拟混合护理模式的质量和安全性的接受程度、他们对指挥中心与供应商网络之间决策和团队合作的看法，并确定ACH的整体体验是否有益。
通过电子邮件每季度向梅奥诊所ACH项目中注册的所有医生和执业护士发放一份包含15个问题的匿名调查问卷。该调查涵盖了与ACH中有关工作环境、护理质量、服务可靠性、团队合作、决策和满意度的整体体验相关的问题。所有问题均为李克特量表式选择，并对数据进行了频率分布和百分比的描述性分析。
在2020年9月1日至2021年4月30日期间，共向21名在ACH中为患者提供虚拟护理的医生和执业护士发送了三次季度调查问卷。第一、第二和第三季度的回复率分别为72%、33%和66%。在为期8个月的研究中，80%或更多的医疗服务提供者在所有三个分析领域持续给出了积极评分。
医疗服务提供者发现ACH虚拟混合居家医院护理模式非常有益。他们能够通过与供应商介导的供应链进行积极的团队合作，为患者提供高质量和安全的护理。这种新型的居家医院模式未来有可能极大地提高医疗服务提供者的满意度。
