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. 2021 Feb;5(1):109-117.
doi: 10.1016/j.mayocpiqo.2020.12.004. Epub 2020 Dec 14.

Digital Health Surveillance Strategies for Management of Coronavirus Disease 2019

Thulasee Jose  1 , David O Warner  1 , John C O'Horo  2 , Steve G Peters  3 , Rajeev Chaudhry  2 , Matthew J Binnicker  4 , Charles D Burger  5
Affiliations

Digital Health Surveillance Strategies for Management of Coronavirus Disease 2019

Thulasee Jose et al. Mayo Clin Proc Innov Qual Outcomes. 2021 Feb.

Abstract

Objective: To describe the design, implementation, and utilization of electronic health record (EHR)-based digital health surveillance strategies used to manage the coronavirus disease 2019 (COVID-19) pandemic and to ensure delivery of high-quality clinical care, such as case identification, remote monitoring, telemedicine services, and recruitment to clinical trials at Mayo Clinic.

Methods: The design and implementation work described in this report was performed at Mayo Clinic, a large multistate integrated health care system with more than 1.5 million annual patient visits that uses the Epic EHR system. Rule-based live registries were designed in the EHR system to classify patients who currently test positive for COVID-19, patients who test positive but have recovered from COVID-19, patients who are thought to have COVID-19 but do not yet meet clinical diagnostic criteria, patients who test negative for COVID-19, and patients who exceed a risk score for serious complications from COVID-19.

Results: By use of registries, custom dashboards and operational reports were developed to provide a daily high-level summary for clinical practice use and up-to-date information to manage individual patients affected by COVID-19, including support of case identification, contact isolation, and other care management tasks.

Conclusion: We developed and implemented a systematic approach to the use of EHR patient registries to manage the COVID-19 pandemic that proved feasible and useful in a large multistate group clinical practice. The key to harnessing the potential of digital surveillance tools to promote patient-centered care during the COVID-19 pandemic was to use the registry data, reports, and dashboards as informatics tools to inform decision-making.

Keywords: COVID-19, coronavirus disease 2019; EHR, electronic health record; PCR, polymerase chain reaction; SARS-CoV-2, severe acute respiratory syndrome coronavirus 2.

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Figures

Figure 1
Figure 1
Utilization of coronavirus disease 2019 (COVID-19) registries at Mayo Clinic.
Figure 2
Figure 2
Coronavirus disease 2019 (COVID-19) serology dashboard for surgical services. PCR, polymerase chain reaction; SARS-CoV-2, severe acute respiratory syndrome coronavirus 2.
Figure 3
Figure 3
Presurgical coronavirus disease 2019 (COVID-19) tracking dashboard.
See this image and copyright information in PMC

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