Advancing Equitable Ambulatory Telehealth Through Dashboard Development

Telehealth has the potential to improve access to health care by mitigating barriers related to geography, time, and finances. However, the increased adoption of ambulatory telehealth has inadvertently widened access gaps for socially disadvantaged and marginalized populations. Quality improvement a...

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Main Authors: Leah R. Meisel, James P. Marcin, Zhong Wu, Kathryn M. Lopez, Mark Avdalovic, Jennifer L. Rosenthal
Format: Article
Language:English
Published: Mary Ann Liebert 2024-04-01
Series:Telemedicine Reports
Subjects:
Online Access:https://www.liebertpub.com/doi/10.1089/tmr.2024.0033
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author Leah R. Meisel
James P. Marcin
Zhong Wu
Kathryn M. Lopez
Mark Avdalovic
Jennifer L. Rosenthal
author_facet Leah R. Meisel
James P. Marcin
Zhong Wu
Kathryn M. Lopez
Mark Avdalovic
Jennifer L. Rosenthal
author_sort Leah R. Meisel
collection DOAJ
description Telehealth has the potential to improve access to health care by mitigating barriers related to geography, time, and finances. However, the increased adoption of ambulatory telehealth has inadvertently widened access gaps for socially disadvantaged and marginalized populations. Quality improvement approaches are a valuable strategy to address health care access inequities and disparities, involving data-driven implementation, assessment, and adaptation of tests of change over time. Because these iterative changes and interventions are data-driven, a critical element of quality improvement requires ongoing data collection and monitoring. This perspective describes the development and validation processes of a telehealth equity dashboard. This dashboard is currently available for use by our health system leaders, providers, and clinic staff. The overall objective of this dashboard is to identify and track inequities and to improve equitable ambulatory telehealth access across diverse patient groups. Lessons learned from creating this dashboard can inform other health care systems of how to develop and validate telehealth data feedback systems to promote quality improvement efforts to advance telehealth equity and accessibility.
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spelling doaj-art-ee7c70aa1e8a4177b893b5fc8fbedf442025-08-20T02:30:31ZengMary Ann LiebertTelemedicine Reports2692-43662024-04-015121922310.1089/tmr.2024.0033Advancing Equitable Ambulatory Telehealth Through Dashboard DevelopmentLeah R. Meisel0James P. Marcin1Zhong Wu2Kathryn M. Lopez3Mark Avdalovic4Jennifer L. Rosenthal5Center for Health and Technology, University of California Davis, Sacramento, CA, USA.Center for Health and Technology, University of California Davis, Sacramento, CA, USA.Center for Health and Technology, University of California Davis, Sacramento, CA, USA.Data Center of Excellence, University of California Davis, Sacramento, CA, USA.Division of Pulmonary, Critical Care and Sleep Medicine, University of California Davis, Sacramento, CA, USA.Center for Health and Technology, University of California Davis, Sacramento, CA, USA.Telehealth has the potential to improve access to health care by mitigating barriers related to geography, time, and finances. However, the increased adoption of ambulatory telehealth has inadvertently widened access gaps for socially disadvantaged and marginalized populations. Quality improvement approaches are a valuable strategy to address health care access inequities and disparities, involving data-driven implementation, assessment, and adaptation of tests of change over time. Because these iterative changes and interventions are data-driven, a critical element of quality improvement requires ongoing data collection and monitoring. This perspective describes the development and validation processes of a telehealth equity dashboard. This dashboard is currently available for use by our health system leaders, providers, and clinic staff. The overall objective of this dashboard is to identify and track inequities and to improve equitable ambulatory telehealth access across diverse patient groups. Lessons learned from creating this dashboard can inform other health care systems of how to develop and validate telehealth data feedback systems to promote quality improvement efforts to advance telehealth equity and accessibility.https://www.liebertpub.com/doi/10.1089/tmr.2024.0033dashboard systemsdigital healthhealth equitytelemedicinequality improvement
spellingShingle Leah R. Meisel
James P. Marcin
Zhong Wu
Kathryn M. Lopez
Mark Avdalovic
Jennifer L. Rosenthal
Advancing Equitable Ambulatory Telehealth Through Dashboard Development
Telemedicine Reports
dashboard systems
digital health
health equity
telemedicine
quality improvement
title Advancing Equitable Ambulatory Telehealth Through Dashboard Development
title_full Advancing Equitable Ambulatory Telehealth Through Dashboard Development
title_fullStr Advancing Equitable Ambulatory Telehealth Through Dashboard Development
title_full_unstemmed Advancing Equitable Ambulatory Telehealth Through Dashboard Development
title_short Advancing Equitable Ambulatory Telehealth Through Dashboard Development
title_sort advancing equitable ambulatory telehealth through dashboard development
topic dashboard systems
digital health
health equity
telemedicine
quality improvement
url https://www.liebertpub.com/doi/10.1089/tmr.2024.0033
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AT zhongwu advancingequitableambulatorytelehealththroughdashboarddevelopment
AT kathrynmlopez advancingequitableambulatorytelehealththroughdashboarddevelopment
AT markavdalovic advancingequitableambulatorytelehealththroughdashboarddevelopment
AT jenniferlrosenthal advancingequitableambulatorytelehealththroughdashboarddevelopment