Kim Gloria Y K, Rostosky Rea, Bishop Franziska K, Watson Kelly, Prahalad Priya, Vaidya Aishwari, Lee Sharon, Diana Alexander, Beacock Clint, Chu Brian, Yadav Ginny, Rochford Kaylin, Carter Carissa, Ferstad Johannes O, Pang Erica, Kurtzig Jamie, Arbiter Brandon, Look Howard, Johari Ramesh, Maahs David M, Scheinker David
Clinical Informatics Management, Stanford University School of Medicine, Stanford, CA, USA.
Management Science and Engineering, Stanford University School of Engineering, Stanford, CA, USA.
NPJ Digit Med. 2024 Nov 6;7(1):311. doi: 10.1038/s41746-024-01319-x.
Digital decision support and remote patient monitoring may improve outcomes and efficiency, but rarely scale beyond a single institution. Over the last 5 years, the platform Timely Interventions for Diabetes Excellence (TIDE) has been associated with reduced care provider screen time and improved, equitable type 1 diabetes care and outcomes for 268 patients in a heterogeneous population as part of the Teamwork, Targets, Technology, and Tight Control (4T) Study (NCT03968055, NCT04336969). Previous efforts to deploy TIDE at other institutions continue to face delays. In partnership with the diabetes technology non-profit, Tidepool, we developed Tidepool-TIDE, a clinic-agnostic, turnkey solution available to any clinic in the United States. We present how we overcame common technical and operational barriers specific to scaling digital health technology from one site to many. The concepts described are broadly applicable for institutions interested in facilitating broader adoption of digital technology for population-level management of chronic health conditions.
数字决策支持和远程患者监测可能会改善治疗效果和提高效率，但很少能扩展到单个机构之外。在过去5年中，卓越糖尿病及时干预（TIDE）平台与减少医护人员筛查时间以及改善268名异质人群中1型糖尿病患者的护理和治疗效果相关，这是团队合作、目标、技术和严格控制（4T）研究（NCT03968055、NCT04336969）的一部分。此前在其他机构部署TIDE的努力仍面临延迟。我们与糖尿病技术非营利组织Tidepool合作，开发了Tidepool-TIDE，这是一种可供美国任何诊所使用的与诊所无关的交钥匙解决方案。我们介绍了我们如何克服将数字健康技术从一个站点扩展到多个站点所特有的常见技术和运营障碍。所描述的概念广泛适用于有兴趣促进数字技术在慢性健康状况人群管理中更广泛应用的机构。
