Semester

Fall

Date of Graduation

2022

Document Type

Dissertation

Degree Type

DNP

College

School of Nursing

Department

Not Listed

Committee Chair

Susan McKenrick

Committee Co-Chair

Kari Sand-Jeckliln

Committee Member

David Campbell

Abstract

Background: Telehealth was broadly implemented as a care modality in response to a worldwide pandemic in 2020. Before the COVID-19 pandemic, while telehealth was not new, it was not widely utilized at the project site location, and a uniform method of evaluating its effectiveness was needed. This quality assurance project developed and piloted a uniform process to evaluate telehealth in a Chronic Obstructive Pulmonary Disease (COPD) clinic, then evaluated stakeholder perceptions about the process used in developing the evaluation tool.

Methods: The telehealth evaluation tool was developed using the National Quality Forum (NQF) framework and Global Obstructive Lung Disease (GOLD) best practice recommendations. A modified Delphi technique was used to survey the stakeholder team to develop measures for the telehealth evaluation tool. The tool was piloted for one cycle of evaluation, then the process used to develop the tool was evaluated by the stakeholders using qualitative and quantitative data.

Results: This project occurred from June 4, 2021, to December 10, 2021 and included 77 patients. The telehealth evaluation tool was piloted retrospectively for one cycle or six weeks. Two of the three quality measures met the level of satisfactory. The stakeholders were satisfied/very satisfied with the process used to develop the COPD telehealth tool.

Discussion: The COPD telehealth evaluation tool should continue with further evaluation cycles and additional measurement criteria. This process can be applied to other specialty or primary care clinics and the tool could be transferrable to other service lines within the healthcare system.

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