Remote patient monitoring (RPM) and virtual visits have the potential to transform care delivery and outcomes but require intentional planning around how these technologies contribute to integrated care. Since maturity models are useful frameworks for understanding current performance and motivating progress, the authors developed a model describing the features of RPM that can advance integrated care.
This work was led by St. Joseph's Health System Centre for Integrated Care in collaboration with clinical and programme leads and frontline staff offering RPM services as part of Connected Health Hamilton in Ontario, Canada. Development of the maturity model was informed by a review of existing telehealth maturity models, online stakeholder meetings, and online interviews with clinical leads, programme leads, and staff.
The maturity model comprises 4 maturity levels and 17 sub-domains organised into 5 domains: Technology, Team Organisation, Programme Support, Integrated Information Systems, and Performance and Quality. An implementation pillars checklist identifies additional considerations for sustaining programmes at any maturity level. Finally, the authors apply one of Connected Health Hamilton's RPM programmes to the Team Organisation domain as an example of the maturity model in action.
This work extends previous telehealth maturity models by focussing on the arrangement of resources, teams, and processes needed to support the delivery of integrated care. Although the model is inspired by local programmes, the model is highly transferable to other RPM programmes.
CJS and SH are supported by Postdoctoral Fellowships offered through the McMaster Institute for Research on Aging (https://mira.mcmaster.ca/).
The authors thank all those involved in planning, implementing and delivering services as part of the Connected Health Hamilton collaborative for motivating and contributing to this research. In particular, special thanks goes to Prathiba Harsha, Joe Pedulla, Dr. Dan Perri, Dr. Steven Wong, Dr. Mohamed Panju and Dr. Natya Raghavan for sharing expert knowledge and lending guidance and clarity throughout the process. The authors extend thanks to the anonymous reviewers for insightful comments and efforts toward improving the submission.
Sinn, C.J., Pasat, Z., Klea, L., Hogeveen, S., Holditch, C., Beltzner, C. and Costa, A. (2022), "A maturity model framework for integrated virtual care", Journal of Integrated Care, Vol. ahead-of-print No. ahead-of-print. https://doi.org/10.1108/JICA-02-2022-0015
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