2023
Variation in patterns of telestroke usage during the COVID-19 pandemic
Nakamoto C, Wilcock A, Schwamm L, Zachrison K, Uscher-Pines L, Mehrotra A. Variation in patterns of telestroke usage during the COVID-19 pandemic. Journal Of Stroke And Cerebrovascular Diseases 2023, 32: 107036. PMID: 36791674, PMCID: PMC9899774, DOI: 10.1016/j.jstrokecerebrovasdis.2023.107036.Peer-Reviewed Original Research
2022
Financial impact of telehealth: rural chief financial officer perspectives.
Uscher-Pines L, Sousa J, Zachrison K, Schwamm L, Mehrotra A. Financial impact of telehealth: rural chief financial officer perspectives. The American Journal Of Managed Care 2022, 28: e436-e443. PMID: 36525663, PMCID: PMC10074395, DOI: 10.37765/ajmc.2022.89279.Peer-Reviewed Original ResearchMeSH KeywordsFemaleHospital AdministratorsHospitals, RuralHumansPregnancyRural PopulationTelemedicineConceptsTelehealth servicesShort-term acute care hospitalsAcute care hospitalsAddress patients' needsHospital administratorsQuality of careCritical access hospitalsCare hospitalPerson careLimited reimbursementPatient needsTelehealth utilizationRural hospitalsTelehealth programHospitalTelehealthAccess hospitalsHospital AssociationImproving Population Access to Stroke Expertise Via Telestroke: Hospitals to Target and the Potential Clinical Benefit
Richard J, Mehrotra A, Schwamm L, Wilcock A, Uscher‐Pines L, Majersik J, Zachrison K. Improving Population Access to Stroke Expertise Via Telestroke: Hospitals to Target and the Potential Clinical Benefit. Journal Of The American Heart Association 2022, 11: e025559. PMID: 35435016, PMCID: PMC9238444, DOI: 10.1161/jaha.122.025559.Peer-Reviewed Original ResearchLegislation Increased Medicare Telestroke Billing, But Underbilling And Erroneous Billing Remain Common
Wilcock A, Schwamm L, Zubizarreta J, Zachrison K, Uscher-Pines L, Majersik J, Richard J, Mehrotra A. Legislation Increased Medicare Telestroke Billing, But Underbilling And Erroneous Billing Remain Common. Health Affairs 2022, 41: 350-359. PMID: 35254931, PMCID: PMC9188431, DOI: 10.1377/hlthaff.2021.00791.Peer-Reviewed Original ResearchAdvances in Stroke: Digital Health
Silva G, Schwamm L. Advances in Stroke: Digital Health. Stroke 2022, 53: 1004-1007. PMID: 35176876, DOI: 10.1161/strokeaha.121.036974.Peer-Reviewed Original ResearchEstimated Population Access to Acute Stroke and Telestroke Centers in the US, 2019
Zachrison K, Cash R, Adeoye O, Boggs K, Schwamm L, Mehrotra A, Camargo C. Estimated Population Access to Acute Stroke and Telestroke Centers in the US, 2019. JAMA Network Open 2022, 5: e2145824. PMID: 35138392, PMCID: PMC8829668, DOI: 10.1001/jamanetworkopen.2021.45824.Peer-Reviewed Original Research
2021
Changes in Virtual and In-Person Health Care Utilization in a Large Health System During the COVID-19 Pandemic
Zachrison K, Yan Z, Schwamm L. Changes in Virtual and In-Person Health Care Utilization in a Large Health System During the COVID-19 Pandemic. JAMA Network Open 2021, 4: e2129973. PMID: 34705016, PMCID: PMC8552053, DOI: 10.1001/jamanetworkopen.2021.29973.Peer-Reviewed Original ResearchAssociation of Hospital Telestroke Adoption With Changes in Initial Hospital Presentation and Transfers Among Patients With Stroke and Transient Ischemic Attacks
Zachrison K, Richard J, Wilcock A, Zubizaretta J, Schwamm L, Uscher-Pines L, Mehrotra A. Association of Hospital Telestroke Adoption With Changes in Initial Hospital Presentation and Transfers Among Patients With Stroke and Transient Ischemic Attacks. JAMA Network Open 2021, 4: e2126612. PMID: 34554236, PMCID: PMC8461501, DOI: 10.1001/jamanetworkopen.2021.26612.Peer-Reviewed Original ResearchConceptsHospital stroke volumeControl hospitalsStroke volumeStroke centersStroke symptomsStroke systemsCase mixTransient ischemic attack admissionsHospital pairsInitial hospital presentationThrombectomy-capable hospitalsComprehensive stroke centerTransient ischemic attackPrimary stroke centerCross-sectional studyMajor teaching hospitalObserved patient characteristicsBed sizeHospital presentationIschemic attackInitial hospitalCritical access hospitalsPatient characteristicsInterhospital transferPostimplementation periodTelehealth Disparities: The Authors Reply
Rodriguez J, Bates D, Samal L, Saadi A, Schwamm L. Telehealth Disparities: The Authors Reply. Health Affairs 2021, 40: 1340-1340. PMID: 34339238, DOI: 10.1377/hlthaff.2021.01041.Peer-Reviewed Original ResearchRising to the challenges of the pandemic: Telehealth innovations in U.S. emergency departments
Uscher-Pines L, Sousa J, Mehrotra A, Schwamm L, Zachrison K. Rising to the challenges of the pandemic: Telehealth innovations in U.S. emergency departments. Journal Of The American Medical Informatics Association 2021, 28: 1910-1918. PMID: 34022045, PMCID: PMC8194856, DOI: 10.1093/jamia/ocab092.Peer-Reviewed Original ResearchMeSH KeywordsAftercareCOVID-19Emergency Service, HospitalHumansPandemicsPatient DischargeSARS-CoV-2TelemedicineUnited StatesConceptsEmergency departmentTelehealth programED leadersU.S. emergency departmentsCoronavirus disease 2019 (COVID-19) pandemicDisease 2019 pandemicPersonal protective equipmentTelehealth applicationsPostdischarge assessmentsAcute careVirus exposureVisit volumeOngoing COVID-19Telehealth implementationTele-triageMaximum variation samplingProtective equipmentTelehealth innovationCOVID-19Tele-consultationCOVID-19 pandemicImplementation supportCarePandemicLiterature reviewPatient characteristics associated with the successful transition to virtual care: Lessons learned from the first million patients
Zachrison K, Yan Z, Sequist T, Licurse A, Tan-McGrory A, Erskine A, Schwamm L. Patient characteristics associated with the successful transition to virtual care: Lessons learned from the first million patients. Journal Of Telemedicine And Telecare 2021, 29: 621-631. PMID: 34120506, DOI: 10.1177/1357633x211015547.Peer-Reviewed Original ResearchConceptsVirtual participantsVirtual participationBehavioral health visitsVirtual carePatient characteristicsHealth visitsInternet accessElectronic health record dataVideoNon-Hispanic black raceLarge integrated health systemHealth record dataAmbulatory care patientsIntegrated health systemVisit frequencyUse of telehealthOutcomes of interestPatient portalsAmbulatory visitsCare patientsBlack raceVisit typeVulnerable patientsCOVID patientsLimited English proficiencyDisparities In Telehealth Use Among California Patients With Limited English Proficiency
Rodriguez J, Saadi A, Schwamm L, Bates D, Samal L. Disparities In Telehealth Use Among California Patients With Limited English Proficiency. Health Affairs 2021, 40: 487-495. PMID: 33646862, DOI: 10.1377/hlthaff.2020.00823.Peer-Reviewed Original ResearchMeSH KeywordsCaliforniaCommunication BarriersHealthcare DisparitiesHumansLanguageLimited English ProficiencyTelemedicineConceptsLimited English proficiencyTelehealth useCalifornia Health Interview SurveyEmergency department useMultivariable logistic regressionHealth Interview SurveyHealth care accessCalifornia patientsDepartment useCare accessPatientsClinical teamCare deliveryTelehealth servicesLogistic regressionInterview SurveyLower ratesTelehealthEnglish proficiencyLanguage barriersCliniciansTeleneurology-Enabled Determination of Death by Neurologic Criteria After Cardiac Arrest or Severe Neurologic Injury.
Matiello M, Turner A, Estrada J, Whitney C, Kitch B, Lee P, Girkar U, Palacios R, Singla P, Schwamm L. Teleneurology-Enabled Determination of Death by Neurologic Criteria After Cardiac Arrest or Severe Neurologic Injury. Neurology 2021, 96: e1999-e2005. PMID: 33637632, DOI: 10.1212/wnl.0000000000011751.Peer-Reviewed Original ResearchConceptsIntensive care unitOrgan donorsNeurologic criteriaSevere neurologic damageSevere neurologic deficitsSevere neurologic injuryProportion of patientsDemographic informationPatient demographic informationPotential organ donorsDetermination of prognosisNumber of referralsProportion of donorsTeleneurology consultationsNeurologic deficitsNeurologic injuryMedian timeNeurologic damageCare unitComatose patientsCardiac arrestPatientsRetrospective dataConsultsOrgan donationRegional Changes in Patterns of Stroke Presentation During the COVID-19 Pandemic
Etherton M, Zachrison K, Yan Z, Sveikata L, Bretzner M, Estrada J, Viswanathan A, Singhal A, Schwamm L. Regional Changes in Patterns of Stroke Presentation During the COVID-19 Pandemic. Stroke 2021, 52: 1398-1406. PMID: 33588592, PMCID: PMC8992369, DOI: 10.1161/strokeaha.120.031300.Peer-Reviewed Original ResearchCTA Protocols in a Telestroke Network Improve Efficiency for Both Spoke and Hub Hospitals
Yu A, Regenhardt R, Whitney C, Schwamm L, Patel A, Stapleton C, Viswanathan A, Hirsch J, Lev M, Leslie-Mazwi T. CTA Protocols in a Telestroke Network Improve Efficiency for Both Spoke and Hub Hospitals. American Journal Of Neuroradiology 2021, 42: 435-440. PMID: 33541900, PMCID: PMC7959422, DOI: 10.3174/ajnr.a6950.Peer-Reviewed Original ResearchConceptsEndovascular thrombectomySpoke hospitalsTelestroke networkHub hospitalCTA protocolHealth Stroke Scale scoreEmergent large vessel occlusionStroke Scale scoreRate of patientsLarge vessel occlusionCTA utilizationThrombectomy ratesStroke triageThrombectomyNonsignificant increasePatientsScale scoreHospitalTriage processNational InstituteOverall rateCTAExtended windowHigher numberRetention rate
2020
Advances in Stroke
Silva G, Schwamm L. Advances in Stroke. Stroke 2020, 52: 351-355. PMID: 33349024, DOI: 10.1161/strokeaha.120.033239.Peer-Reviewed Original ResearchWhat Drives Greater Assimilation of Telestroke in Emergency Departments?
Uscher-Pines L, Sousa J, Zachrison K, Guzik A, Schwamm L, Mehrotra A. What Drives Greater Assimilation of Telestroke in Emergency Departments? Journal Of Stroke And Cerebrovascular Diseases 2020, 29: 105310. PMID: 32992169, PMCID: PMC7686253, DOI: 10.1016/j.jstrokecerebrovasdis.2020.105310.Peer-Reviewed Original ResearchAttitude of Health PersonnelClinical ProtocolsDelivery of Health Care, IntegratedEmergency Service, HospitalHealth Knowledge, Attitudes, PracticeHumansInterviews as TopicLeadershipPractice Patterns, Physicians'Quality ImprovementQuality Indicators, Health CareReferral and ConsultationStrokeTelemedicineWorkflowAssessment of Telestroke Capacity in US Hospitals
Richard J, Wilcock A, Schwamm L, Uscher-Pines L, Zachrison K, Siddiqui A, Mehrotra A. Assessment of Telestroke Capacity in US Hospitals. JAMA Neurology 2020, 77: 1035-1037. PMID: 32453424, PMCID: PMC7251500, DOI: 10.1001/jamaneurol.2020.1274.Peer-Reviewed Original ResearchMeSH KeywordsDisease ManagementHealth Services ResearchHospitalsHumansNeurologyStrokeTelemedicineUnited StatesEstablishment of an internationally agreed minimum data set for acute telestroke
Cadilhac D, Bagot K, Demaerschalk B, Hubert G, Schwamm L, Watkins C, Lightbody C, Kim J, Vu M, Pompeani N, Switzer J, Caudill J, Estrada J, Viswanathan A, Hubert N, Ohannessian R, Hargroves D, Roberts N, Ingall T, Hess D, Ranta A, Padma V, Bladin C. Establishment of an internationally agreed minimum data set for acute telestroke. Journal Of Telemedicine And Telecare 2020, 27: 582-589. PMID: 31937198, DOI: 10.1177/1357633x19899262.Peer-Reviewed Original ResearchMeSH KeywordsAftercareHumansPatient DischargeReferral and ConsultationStrokeTelemedicineThrombolytic TherapyConceptsTelestroke programsMinimum datasetExpert panelProcess of careGeneral clinical careInternational expert panelReliable international comparisonsTelestroke consultationThrombolysis treatmentPatient characteristicsEndovascular treatmentAcute careClinical managementPatient outcomesClinical careNeurosurgery treatmentDischarge informationInitial scoping reviewCareScoping ReviewTelestrokeHospitalTreatmentAustralasia-Pacific regionDelphi technique
2019
Teleneurology Consultations for Prognostication and Brain Death Diagnosis
Girkar U, Palacios R, Gupta A, Schwamm L, Singla P, May H, Estrada J, Whitney C, Matiello M. Teleneurology Consultations for Prognostication and Brain Death Diagnosis. Telemedicine Journal And E-Health 2019, 26: 482-486. PMID: 31503539, DOI: 10.1089/tmj.2019.0033.Peer-Reviewed Original ResearchConceptsBrain deathNeurology consultationIntensive care unitBrain death diagnosisPresence of apneaGood inter-rater reliabilityNeurologic prognosisTeleneurology consultationsApnea testingBrainstem reflexesCare unitNeurologic examinationBedside teamCardiac arrestBrain injuryComatose stateInter-rater reliabilityDeath diagnosisConsensus criteriaAmerican AcademyRemote neurologistDiagnosisDeathStandardized scalesConsultation