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  1. Article ; Online: Association of Health Literacy and Area Deprivation With Initiation and Completion of Telehealth Visits in Adult Medicine Clinics Across a Large Health Care System.

    Brown, Sarah H / Griffith, Michelle L / Kripalani, Sunil / Horst, Sara N

    JAMA network open

    2022  Volume 5, Issue 7, Page(s) e2223571

    MeSH term(s) Adult ; Ambulatory Care Facilities ; Delivery of Health Care ; Health Literacy ; Humans ; Telemedicine
    Language English
    Publishing date 2022-07-01
    Publishing country United States
    Document type Journal Article
    ISSN 2574-3805
    ISSN (online) 2574-3805
    DOI 10.1001/jamanetworkopen.2022.23571
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  2. Article: Telehealth for Endocrinology: Experience and Effect on Utilization in the Prepandemic Era.

    Williams, Alexander / Walsh, Colin G / Griffith, Michelle L

    Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists

    2021  Volume 27, Issue 10, Page(s) 1017–1021

    Abstract: Objective: Telehealth (TH) use in endocrinology was limited before the COVID-19 pandemic but will remain a major modality of care postpandemic. Reimbursement policies have been limited historically due to concerns of overutilization of visits and ... ...

    Abstract Objective: Telehealth (TH) use in endocrinology was limited before the COVID-19 pandemic but will remain a major modality of care postpandemic. Reimbursement policies have been limited historically due to concerns of overutilization of visits and testing. Additionally, there is limited literature on endocrinology care delivered via TH for conditions other than diabetes. We assess real-world TH use for endocrinology in a prepandemic environment with the hypothesis that TH would not increase the utilization of total visits or related ancillary testing services compared with conventional (CVL) face-to-face office visits.
    Methods: A single-institution retrospective cohort study assessing the prepandemic use of TH in endocrinology, consisting of 75 patients seen via TH and 225 patients seen in CVL visits. For most patients, TH was conducted via a clinic-to-clinic model. Outcomes measured were total endocrine visit frequency and frequency of related laboratory and radiology testing per patient, hemoglobin A1C, microalbumin, low-density lipoprotein, thyroid-stimulating hormone, thyroglobulin, and thyroid ultrasounds.
    Results: For all endocrine visits, TH patients had a median of 0.24 (interquartile range, 0.015-0.36) visits per month. CVL patients had a median of 0.20 visits per month (interquartile range, 0.11-0.37). Total visits per month did not vary significantly between groups (P = .051). Hemoglobin A1C outcomes were equivalent and there was no increase in ancillary laboratory testing for the TH group.
    Conclusion: Our observations demonstrate that, in a prepandemic health care setting, TH visits can provide equivalent care for endocrinology patients, without increasing utilization of total visits or ancillary services.
    MeSH term(s) COVID-19 ; Humans ; Pandemics ; Retrospective Studies ; SARS-CoV-2 ; Telemedicine
    Language English
    Publishing date 2021-06-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1473503-9
    ISSN 1530-891X
    ISSN 1530-891X
    DOI 10.1016/j.eprac.2021.06.009
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  3. Article ; Online: A Patient With Discordant Hemoglobin A1c Results.

    Sterling, Brent / Griffith, Michelle L / Shajani-Yi, Zahra

    Clinical chemistry

    2020  Volume 66, Issue 7, Page(s) 990–991

    MeSH term(s) Aged ; Chromatography, High Pressure Liquid ; Data Accuracy ; Diabetes Mellitus, Type 2/blood ; Glycated Hemoglobin A/analysis ; Hematologic Tests ; Hemoglobinopathies/blood ; Hemoglobinopathies/diagnosis ; Hemoglobins, Abnormal/analysis ; Humans ; Immunoassay ; Male
    Chemical Substances Glycated Hemoglobin A ; Hemoglobins, Abnormal ; hemoglobin A1c protein, human ; hemoglobin Wayne
    Language English
    Publishing date 2020-07-06
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 80102-1
    ISSN 1530-8561 ; 0009-9147
    ISSN (online) 1530-8561
    ISSN 0009-9147
    DOI 10.1093/clinchem/hvaa060
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  4. Article ; Online: Approach to the Patient With Thyrotoxicosis Using Telemedicine.

    Griffith, Michelle L / Bischoff, Lindsay A / Baum, Howard B A

    The Journal of clinical endocrinology and metabolism

    2020  Volume 105, Issue 8

    Abstract: Context: The potential for endocrine care via telemedicine has been recognized since the early 2000s when clinical outcome data demonstrated improvements in glycemic control with telemedicine. The widespread use of telemedicine during the COVID-19 ... ...

    Abstract Context: The potential for endocrine care via telemedicine has been recognized since the early 2000s when clinical outcome data demonstrated improvements in glycemic control with telemedicine. The widespread use of telemedicine during the COVID-19 pandemic has pushed telemedicine beyond diabetes care and into clinical areas with a paucity of published data. The evaluation and treatment of thyrotoxicosis heavily relies on laboratory assessment and imaging with physical exam playing a role to help differentiate the etiology and assess the severity of thyrotoxicosis.
    Case description: We describe a patient presenting for evaluation of new thyrotoxicosis via telemedicine, and describe modifications to consider for thorough, safe evaluation via telemedicine.
    Conclusion: Telemedicine may be an ideal way to assess and treat patients with thyrotoxicosis who are not able to physically attend a visit with an endocrinologist but still have access to a laboratory for blood draws. Potential challenges include access to imaging and high-volume surgeons if needed. Clinical and economic outcomes of telemedicine care of thyrotoxicosis should be studied so that standards of care for endocrine telemedicine can be established.
    MeSH term(s) Adult ; Betacoronavirus ; COVID-19 ; Coronavirus Infections/prevention & control ; Endocrinology/methods ; Female ; Humans ; Pandemics/prevention & control ; Pneumonia, Viral/prevention & control ; SARS-CoV-2 ; Symptom Assessment/methods ; Telemedicine/methods ; Thyrotoxicosis/diagnosis
    Keywords covid19
    Language English
    Publishing date 2020-06-11
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 3029-6
    ISSN 1945-7197 ; 0021-972X
    ISSN (online) 1945-7197
    ISSN 0021-972X
    DOI 10.1210/clinem/dgaa373
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  5. Article: Approach to the Patient With Thyrotoxicosis Using Telemedicine

    Griffith, Michelle L / Bischoff, Lindsay A / Baum, Howard B A

    J. clin. endocrinol. metab

    Abstract: CONTEXT: The potential for endocrine care via telemedicine has been recognized since the early 2000s when clinical outcome data demonstrated improvements in glycemic control with telemedicine. The widespread use of telemedicine during the COVID-19 ... ...

    Abstract CONTEXT: The potential for endocrine care via telemedicine has been recognized since the early 2000s when clinical outcome data demonstrated improvements in glycemic control with telemedicine. The widespread use of telemedicine during the COVID-19 pandemic has pushed telemedicine beyond diabetes care and into clinical areas with a paucity of published data. The evaluation and treatment of thyrotoxicosis heavily relies on laboratory assessment and imaging with physical exam playing a role to help differentiate the etiology and assess the severity of thyrotoxicosis. CASE DESCRIPTION: We describe a patient presenting for evaluation of new thyrotoxicosis via telemedicine, and describe modifications to consider for thorough, safe evaluation via telemedicine. CONCLUSION: Telemedicine may be an ideal way to assess and treat patients with thyrotoxicosis who are not able to physically attend a visit with an endocrinologist but still have access to a laboratory for blood draws. Potential challenges include access to imaging and high-volume surgeons if needed. Clinical and economic outcomes of telemedicine care of thyrotoxicosis should be studied so that standards of care for endocrine telemedicine can be established.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #621873
    Database COVID19

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  6. Article: Vanderbilt Health Affiliated Network Statin Outreach Service.

    Terry, Christopher / Neal, Erin B / Daly, Katelyn / Skupien, Donna / Griffith, Michelle L

    Clinical diabetes : a publication of the American Diabetes Association

    2020  Volume 38, Issue 3, Page(s) 295–299

    Abstract: Quality Improvement Success Stories are published by the American Diabetes Association in collaboration with the American College of Physicians and the National Diabetes Education Program. This series is intended to highlight best practices and ... ...

    Abstract Quality Improvement Success Stories are published by the American Diabetes Association in collaboration with the American College of Physicians and the National Diabetes Education Program. This series is intended to highlight best practices and strategies from programs and clinics that have successfully improved the quality of care for people with diabetes or related conditions. Each article in the series is reviewed and follows a standard format developed by the editors of
    Language English
    Publishing date 2020-06-26
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1025953-3
    ISSN 0891-8929
    ISSN 0891-8929
    DOI 10.2337/cd19-0099
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  7. Article ; Online: Innovations in Diabetes Care for a Better "New Normal" Beyond COVID-19.

    Agarwal, Shivani / Griffith, Michelle L / Murphy, Elizabeth J / Greenlee, Carol / Boord, Jeffrey / Gabbay, Robert A

    The Journal of clinical endocrinology and metabolism

    2020  Volume 106, Issue 1, Page(s) e377–e381

    Abstract: The coronavirus disease pandemic has created opportunities for innovation in diabetes care that were not possible before. From the lens of this "new normal" state, we have an opportunity to rapidly implement, test, and iterate models of diabetes care to ... ...

    Abstract The coronavirus disease pandemic has created opportunities for innovation in diabetes care that were not possible before. From the lens of this "new normal" state, we have an opportunity to rapidly implement, test, and iterate models of diabetes care to achieve the quadruple aim of improving medical outcomes, patient experience, provider satisfaction, and reducing costs. In this perspective, we discuss several innovative diabetes models of care which promote collaborative care models and improve access to high-quality specialty diabetes care. We discuss ongoing threats to diabetes care innovation, and offer practical solutions to foster evolution and sustain current strides made during the pandemic.
    MeSH term(s) COVID-19/epidemiology ; Diabetes Mellitus/therapy ; Humans ; Patient Care Team ; Pharmacists ; Referral and Consultation ; SARS-CoV-2 ; Telemedicine
    Keywords covid19
    Language English
    Publishing date 2020-11-17
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 3029-6
    ISSN 1945-7197 ; 0021-972X
    ISSN (online) 1945-7197
    ISSN 0021-972X
    DOI 10.1210/clinem/dgaa704
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  8. Article: Innovations in Diabetes Care for a Better "New Normal" Beyond COVID-19

    Agarwal, Shivani / Griffith, Michelle L / Murphy, Elizabeth J / Greenlee, Carol / Boord, Jeffrey / Gabbay, Robert A

    J. clin. endocrinol. metab

    Abstract: The coronavirus disease pandemic has created opportunities for innovation in diabetes care that were not possible before. From the lens of this "new normal" state, we have an opportunity to rapidly implement, test, and iterate models of diabetes care to ... ...

    Abstract The coronavirus disease pandemic has created opportunities for innovation in diabetes care that were not possible before. From the lens of this "new normal" state, we have an opportunity to rapidly implement, test, and iterate models of diabetes care to achieve the quadruple aim of improving medical outcomes, patient experience, provider satisfaction, and reducing costs. In this perspective, we discuss several innovative diabetes models of care which promote collaborative care models and improve access to high-quality specialty diabetes care. We discuss ongoing threats to diabetes care innovation, and offer practical solutions to foster evolution and sustain current strides made during the pandemic.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #883619
    Database COVID19

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  9. Article: A Shared Decision-Making Approach to Telemedicine: Engaging Rural Patients in Glycemic Management.

    Griffith, Michelle L / Siminerio, Linda / Payne, Tammie / Krall, Jodi

    Journal of clinical medicine

    2016  Volume 5, Issue 11

    Abstract: Telemedicine can connect specialist health care providers with patients in remote and underserved areas. It is especially relevant in diabetes care, where a proliferation of treatment options has added further complexity to the care of an already complex, ...

    Abstract Telemedicine can connect specialist health care providers with patients in remote and underserved areas. It is especially relevant in diabetes care, where a proliferation of treatment options has added further complexity to the care of an already complex, highly prevalent disease. Recent developments in health reform encourage delivery systems to use team-based models and engage patients in shared decision-making (SDM), where patients and providers together make health care decisions that are tailored to the specific characteristics and values of the patient. The goal of this project was to design, integrate, and evaluate a team-based, SDM approach delivered to patients with diabetes in a rural community, building upon the previously established telemedicine for reach, education, access, and treatment (TREAT) model. Patients in this feasibility study demonstrated improvement in hemoglobin A1c values, and reported better understanding of diabetes. Providers reported the SDM aids increased cohesion among team members (including patients) and facilitated patient education and behavioral goal setting. This project demonstrated that SDM could be integrated into the workflow of a telemedicine team visit with good provider and patient satisfaction.
    Language English
    Publishing date 2016-11-17
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm5110103
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  10. Article ; Online: A patient education intervention improved rates of successful video visits during rapid implementation of telehealth.

    Gusdorf, Roman E / Shah, Kaustav P / Triana, Austin J / McCoy, Allison B / Pabla, Baldeep / Scoville, Elizabeth / Dalal, Robin / Beaulieu, Dawn B / Schwartz, David A / Horst, Sara N / Griffith, Michelle L

    Journal of telemedicine and telecare

    2021  Volume 29, Issue 8, Page(s) 607–612

    Abstract: Introduction: The need to rapidly implement telehealth at large scale during the COVID-19 pandemic led to many patients using telehealth for the first time. We assessed the effect of structured pre-visit preparatory telephone calls on success of ... ...

    Abstract Introduction: The need to rapidly implement telehealth at large scale during the COVID-19 pandemic led to many patients using telehealth for the first time. We assessed the effect of structured pre-visit preparatory telephone calls on success of telehealth visits and examined risk factors for unsuccessful visits.
    Methods: A retrospective cohort study was carried out of 45,803 adult patients scheduled for a total of 64,447 telehealth appointments between March and July 2020 at an academic medical center. A subset of patients received a structured pre-visit phone call. Demographic factors and inclusion of a pre-visit call were analysed by logistic regression. Primary outcomes were non-completion of any visit and completion of phone-only versus audio-visual telehealth visits.
    Results: A pre-visit telephone call to a subset of patients significantly increased the likelihood of a successful telehealth visit (OR 0.54; 95% CI: 0.48-0.60). Patients aged 18-30 years, those with non-commercial insurance or those of Black race were more likely to have incomplete visits. Compared to age 18-30, increasing age increased likelihood of a failed video visit: 31-50 years (OR 1.31; 95% CI: 1.13-1.51), 51-70 years (OR 2.98; 2.60-3.42) and >70 years (OR 4.16; 3.58-4.82). Those with non-commercial insurance and those of Black race (OR 1.8; 95% CI 1.67-1.92) were more likely to have a failed video visit.
    Discussion: A structured pre-call to patients improved the likelihood of a successful video visit during widespread adoption of telehealth. Structured pre-calls to patients may be an important tool to help reduce gaps in utilization among groups.
    MeSH term(s) Humans ; Patient Education as Topic ; Telemedicine ; Telephone ; COVID-19/epidemiology ; Office Visits ; Retrospective Studies ; Male ; Female ; Adolescent ; Young Adult ; Adult ; Middle Aged ; Aged ; Aged, 80 and over
    Language English
    Publishing date 2021-05-11
    Publishing country England
    Document type Journal Article
    ZDB-ID 1340281-x
    ISSN 1758-1109 ; 1357-633X
    ISSN (online) 1758-1109
    ISSN 1357-633X
    DOI 10.1177/1357633X211008786
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