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	Institution: STANFORD Univ Med Center  | My Account | E-mail Alerts | Access Rights | Sign In Vol. 9 No. 1, January 2000   Archives  •  Online Features Original Contribution  This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (99)  • Contact me when this article is cited  Related Content  • Similar articles in this journal Outcomes of the Kaiser Permanente Tele-Home Health Research Project Barbara Johnston, RN, MSNM&L; Linda Weeler, RN, MSNM&L; Jill Deuser, RN, MBA; Karen H. Sousa, RN, PhD Arch Fam Med. 2000;9:40-45. Context  Level of acuity and number of referrals for home health care have been escalating exponentially. As referrals continue to increase, health care organizations are encouraged to find more effective methods for providing 0high-quality patient care with cost savings. Objective  To evaluate the use of remote video technology in the home health care setting as well as the quality, use, patient satisfaction, and cost savings from this technology. Design  Quasiexperimental study conducted from May 1996 to October 1997. Setting  Home health department in the Sacramento, Calif, facility of a large health maintenance organization. Participants  Newly referred patients diagnosed as having congestive heart failure, chronic obstructive pulmonary disease, cerebral vascular accident, cancer, diabetes, anxiety, or need for wound care were eligible for random assignment to intervention (n = 102) or control (n = 110) groups. Intervention  The control and intervention groups received routine home health care (home visits and telephone contact). The intervention group also had access to a remote video system that allowed nurses and patients to interact in real time. The video system included peripheral equipment for assessing cardiopulmonary status. Main Outcome Measures  Three quality indicators (medication compliance, knowledge of disease, and ability for self-care); extent of use of services; degree of patient satisfaction as reported on a 3-part scale; and direct and indirect costs of using the remote video technology. Results  No differences in the quality indicators, patient satisfaction, or use were seen. Although the average direct cost for home health services was $1830 in the intervention group and $1167 in the control group, the total mean costs of care, excluding home health care costs, were $1948 in the intervention group and $2674 in the control group. Conclusions  Remote video technology in the home health care setting was shown to be effective, well received by patients, capable of maintaining quality of care, and to have the potential for cost savings. Patients seemed pleased with the equipment and the ability to access a home health care provider 24 hours a day. Remote technology has the potential to effect cost savings when used to substitute some in-person visits and can also improve access to home health care staff for patients and caregivers. This technology can thus be an asset for patients and providers. From the Home Health Department, Kaiser Permanente Medical Center, Sacramento, Calif. THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES Discharge planning and home care for end-stage COPD patients Escarrabill Eur Respir J 2009;34:507-512. ABSTRACT | FULL TEXT   Physiotherapy at a distance: a controlled study of rehabilitation at home after a shoulder joint operation Eriksson et al. J Telemed Telecare 2009;15:215-220. ABSTRACT | FULL TEXT   Costs to Medicare of the Informatics for Diabetes Education and Telemedicine (IDEATel) Home Telemedicine Demonstration: Findings from an independent evaluation Moreno et al. Diabetes Care 2009;32:1202-1204. 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ABSTRACT | FULL TEXT   Improving Safety with Information Technology Bates and Gawande NEJM 2003;348:2526-2534. FULL TEXT   Commentary on "Research Design in End-of-Life Research: State of Science" Tennstedt Gerontologist 2002;42:99-103. FULL TEXT   Major Depression in Elderly Home Health Care Patients Bruce et al. Am. J. Psychiatry 2002;159:1367-1374. ABSTRACT | FULL TEXT   Telemedicine and Remote Patient Monitoring Field and Grigsby JAMA 2002;288:423-425. FULL TEXT   Feasibility of In-Home Telehealth for Conducting Nursing Research Smith et al. Clin Nurs Res 2002;11:220-233. ABSTRACT   A Model for Using Novel Nursing Interventions to Meet the Challenges of Community Health Needs Koehler et al. Home Health Care Management Practice 2002;14:129-136. ABSTRACT   Telehealth: Connecting with Families to Promote Health and Healing Siden et al. Journal of Family Nursing 2001;7:315-327. ABSTRACT   The Future History of Home Care and Physician House Calls in the United States Leff and Burton Journals of Gerontology Series A: Biological Sciences and Medical Sciences 2001;56:M603-608. ABSTRACT | FULL TEXT   Recent advances: Telemedicine Wootton BMJ 2001;323:557-560. FULL TEXT   Patient Participation in Electronic Medical Records Tsai and Starren JAMA 2001;285:1765-1765. FULL TEXT   Telehomecare: Virtual Visits from the Patient Home Finkelstein et al. Home Health Care Management Practice 2001;13:219-226. ABSTRACT   An Analysis of the Home Health Marketplace: How Telehealth Technology May Assist Home Health Agencies with Changes in Home Care Delivery under the Prospective Payment System Komet Home Health Care Management Practice 2001;13:142-148. ABSTRACT   HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | CME | PHYSICIAN JOBS | HELP CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP   © 2000 American Medical Association. All Rights Reserved.