The Benefits of Telesitting for Clinicians and Patients
Prior to the pandemic, many healthcare organizations pursued telesitting as an operational efficiency and cost-cutting measure. A PCT can simultaneously monitor around 12 patients remotely. They can talk to patients if needed, deploy automated responses in different languages and ring an alarm if a patient needs immediate help. An organization no longer needs to hire a sitter for each patient room.
As the pandemic took hold, resources for healthcare organizations became scarce, including staff. Existing staff also had to be protected from exposure. Health IT teams began deploying telesitting not only to cut costs but out of necessity. Post-implementation, and with nursing support teams back on the floor, nurses again can focus on key clinical activities and caregiving. They can perform med-reconciliation instead of tech support for pillow speaker issues. Having nurses operate at the top of their licenses means more quality patient care in addition to clinician well-being.
Implementing telesitting programs benefits patient outcomes. In addition to saving money, organizations that use this technology also can track quality metrics, like the number of falls and falls with injury within a facility. However, healthcare providers should listen for anecdotes about successes. I remember a telesitting implementation some time ago during which one of our remote sitters, having watched a patient for a long while, noticed that he had stopped behaving as he normally did. The patient was decompensating and was moments from crashing. That observation potentially saved the patient, which is an immeasurable win.
Considerations for Implementing Telesitting Technology
Telesitting technology isn’t — and shouldn’t be — just about throwing technology at a problem. Organizations will need to write job descriptions for sitters; weigh the benefits of nursing or physician-led protocols for remotely monitoring patients; and develop procedures for intervention, program discharge and equipment recycling. Implementation teams should include representation from legal and privacy teams to ensure policies and consents for facilities cover the use of 24/7 audio and video monitoring. Perhaps most important, healthcare organizations must clearly identify protocols for noncompliance — for example, how many patient redirects will be allowed before someone needs to transition to a one-to-one safety sit.
From an IT perspective, before implementing the technology, health IT teams must ensure their organizations’ networks can handle the bandwidth for streaming video of that magnitude. Some organizations may not be able to implement telesitting until a network upgrade is complete, or they may have to deploy on a smaller scale at first. A network assessment by technology partners such as CDW can help healthcare organizations determine whether their networks can handle the addition of telesitting programs. Telesitting platforms also should have the ability to integrate directly with an organization’s electronic health record.
What’s Next for Telesitting Technology and Clinical Efficiency?
Telesitting, which seemed revolutionary prior the pandemic, will continue to evolve over the coming years. Organizations have already started overlaying AI algorithms onto video feeds to detect patient movement and probability of getting up. LIDAR technology, used to great effect in autonomous vehicles, can autonomously scan rooms for patient obstacles.
This technology can be implemented under Patient Room ‘Next’ strategies to advance patient care. Part of that overall strategy is getting away from having several point solutions and moving toward platforms with applications in other use cases across the system, thereby maximizing the investment. Examples of this include Artisight’s clinical automation capabilities and Caregility’s virtual nursing platform.
Telesitting has proved to be an excellent foray into using remote technology to ease the clinician burden. The evolution toward autonomous monitoring holds great promise for the future of care.