Personalized Implementation of Video Telehealth
Abstract
This article describes the Personalized Implementation for Video Telehealth strategy to increase adoption of video telehealth to home (VTH) across a large, urban Veterans Health Administration medical center and applications for broader use in non-VHA settings. The authors fully integrated VTH into existing mental health clinics, resulting in (1) a significant increase in the number of patients receiving VTH, (2) a significant increase in the number of VTH visits relative to median national improvement, (3) a greater number of unique specialty mental health clinics offering VTH in Houston, and (4) a greater number of community clinics active in delivering VTH.
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Of the reviewed articles that reported patient or caregiver challenges, these were primarily clinician perceptions rather than direct reports from patients or caregivers.
“Of the articles that did report patient or caregiver challenges [2,32-34,38,42], these were primarily clinician perceptions, rather than direct reports from patients or caregivers.”
From Spread, Scale-up, and Sustainability of Video Consulting in Health Care: Systematic Review and Synthesis Guided by the NASSS Framework (2021) · cites this paper as [42]
Challenges to and opportunities for widespread implementation for patients and caregivers were reported in 6 articles.
“Challenges to and opportunities for widespread implementation for patients and caregivers were reported in 6 articles [2,32-34,38,42].”
From Spread, Scale-up, and Sustainability of Video Consulting in Health Care: Systematic Review and Synthesis Guided by the NASSS Framework (2021) · cites this paper as [42]
Engaged leadership staff were reported to be pivotal for promoting uptake and creating conditions for sustained and widespread provider uptake.
“Engaged leadership staff were also reported to be pivotal for promoting uptake and creating conditions for sustained and widespread provider uptake [42].”
From Spread, Scale-up, and Sustainability of Video Consulting in Health Care: Systematic Review and Synthesis Guided by the NASSS Framework (2021) · cites this paper as [42]
Complexity in the organizational domain was managed more effectively when telehealth champions were available, as reported in 11 reviewed articles.
“Complexity in the organizational domain was managed more effectively when telehealth champions were available, as reported in 11 of the reviewed articles [2,33-37,39-43].”
From Spread, Scale-up, and Sustainability of Video Consulting in Health Care: Systematic Review and Synthesis Guided by the NASSS Framework (2021) · cites this paper as [42]
Telehealth champions were typically clinical staff.
“Telehealth champions were typically clinical staff [2,34,36,41-43].”
From Spread, Scale-up, and Sustainability of Video Consulting in Health Care: Systematic Review and Synthesis Guided by the NASSS Framework (2021) · cites this paper as [42]
Hurricane Harvey was reported by Lindsay et al to be an opportunity for provider buy-in for video-mediated mental health services.
“Interestingly, albeit much more localized, Hurricane Harvey was reported by Lindsay et al [42] to be an opportunity for provider buy-in for video-mediated mental health services.”
From Spread, Scale-up, and Sustainability of Video Consulting in Health Care: Systematic Review and Synthesis Guided by the NASSS Framework (2021) · cites this paper as [42]
Factors impacting resilience and adaptation over time were reported in three reviewed articles.
“Factors impacting resilience, “the intrinsic ability of a system to adjust its functioning prior to, during, or following changes and disturbances so that it can sustain required operations, even after a major mishap or in the presence of continuous stress” [62], and adaptation over time were reported in three articles [32,42,43].”
From Spread, Scale-up, and Sustainability of Video Consulting in Health Care: Systematic Review and Synthesis Guided by the NASSS Framework (2021) · cites this paper as [42]
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Self-citation
- Authors
- Lindsay, J. A., Day, S. C., Amspoker, A. B., Fletcher, T. L., Hogan, J., Day, G., Helm, A., Stanley, M. A., & Martin, L. A.
- Affiliations
- Michael E. DeBakey VA Medical Center (US)
- Baylor College of Medicine (US)
- Corresponding author
- Lindsay, Jan A.
- ORCID
- Venue
- Psychiatric Clinics of North America
- Publisher
- Elsevier BV
- Published
- 2019-12
- Volume
- 42
- Issue
- 4
- Pages
- 563-574
- ISSN
- 0193-953X (ISSN-L)
- OpenAlex
- W2978947708
- Cited by
- 34
- References
- 19
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 1 · 2023: 7 · 2022: 5 · 2021: 9 · 2020: 7 · 2019: 1
- FWCI
- 5.06
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatric Clinics of North America (publishedVersion)
- PubMed (publishedVersion)
- Funders
- VA Office of Rural Health
- Salt Lake City Resource Center
- VA HSR&D Center
- VA South Central Mental Illness Research, Education and Clinical Center
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Demography › Technology Use by Older Adults
- Keywords
- video telehealth, telehealth adoption, implementation strategies, Veterans Health Administration, psychiatric clinic, specialty mental health services, community clinics, home-based telehealth
- MeSH terms
- Delivery of Health Care, Health Services Research, Humans, Mental Health Services, United States, United States Department of Veterans Affairs, Telemedicine
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