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. 2022 Jan 1;101(1):53-60.
doi: 10.1097/PHM.0000000000001904.

Implementation of a Framework for Telerehabilitation in Clinical Care Across the Continuum During COVID-19 and Beyond

Soo Yeon Kim  1 , Kelly Daley, April D Pruski, Tariq AlFarra, Alba Azola, Marlis Gonzalez Fernandez, Mary S Keszler, Stacey Friedel, Hayley Haaf, Harrison Segall, Peiting Lien, Jacklyn Cypher, Julia Mazariegos, Preeti Raghavan
Affiliations

Implementation of a Framework for Telerehabilitation in Clinical Care Across the Continuum During COVID-19 and Beyond

Soo Yeon Kim et al. Am J Phys Med Rehabil. .

Abstract

The COVID-19 pandemic has propelled an unprecedented global implementation of telemedicine and telerehabilitation as well as its integration into the healthcare system. Here, we describe the clinical implementation of the A3E framework for the deployment of telerehabilitation in the inpatient and outpatient rehabilitation continuum by addressing accessibility, adaptability, accountability, and engagement during the COVID-19 pandemic. By using an organized, coordinated, and stratified approach, we increased our telerehabilitation practice from 0 to more than 39,000 visits since the pandemic began. Learning from both the successes and challenges can help address the need to increase access to rehabilitation services even beyond the COVID-19 pandemic.

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Conflict of interest statement

Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.

Figures

FIGURE 1
FIGURE 1
Algorithm for stratifying in-patient services using AM-PAC raw scores.
FIGURE 2
FIGURE 2
Low-tech telerehabilitation kits were created to facilitate synchronous telerehabilitation and home exercise programs across disciplines.
FIGURE 3
FIGURE 3
Postacute COVID-19 Team (PACT) clinic eligibility after hospital discharge. PM&R, physical medicine and rehabilitation; RPM, remote pulse oximetry monitoring.
FIGURE 4
FIGURE 4
The Johns Hopkins outpatient e-triage algorithm for in-person and telerehabilitation during COVID-19.
See this image and copyright information in PMC

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