{"id":"https://openalex.org/W4414341237","doi":"https://doi.org/10.13023/jah.0703.07","title":"Intensive Telemedicine Transitions of Care Clinic: A Prospective Feasibility Study of a Novel Ambulatory Model Serving Appalachian Patients","display_name":"Intensive Telemedicine Transitions of Care Clinic: A Prospective Feasibility Study of a Novel Ambulatory Model Serving Appalachian Patients","publication_year":2025,"publication_date":"2025-09-08","ids":{"openalex":"https://openalex.org/W4414341237","doi":"https://doi.org/10.13023/jah.0703.07","pmid":"https://pubmed.ncbi.nlm.nih.gov/40964411"},"language":"en","primary_location":{"id":"pmid:40964411","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40964411","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Appalachian health","raw_type":"Journal Article"},"volume":null,"type":"article","indexed_in":["datacite","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/12440305","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5095851527","display_name":"Jessica Thayer","orcid":"https://orcid.org/0000-0002-7475-728X","observed_orcids":["https://orcid.org/0000-0002-7475-728X"]},"institutions":[{"id":"https://openalex.org/I12097938","display_name":"West Virginia University","ror":"https://ror.org/011vxgd24","country_code":"US","type":"education","lineage":["https://openalex.org/I12097938"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Thayer, Jessica","raw_affiliation_strings":["West Virginia University"],"raw_orcid":"https://orcid.org/0000-0002-7475-728X","affiliations":[{"raw_affiliation_string":"West Virginia University","institution_ids":["https://openalex.org/I12097938"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Miller, Brett","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I12097938","display_name":"West Virginia University","ror":"https://ror.org/011vxgd24","country_code":"US","type":"education","lineage":["https://openalex.org/I12097938"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Miller, Brett","raw_affiliation_strings":["West Virginia University","West Virginia University, School of Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"West Virginia University","institution_ids":["https://openalex.org/I12097938"]},{"raw_affiliation_string":"West Virginia University, School of Medicine","institution_ids":["https://openalex.org/I12097938"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5025801010","display_name":"Marcelino Mederos Liriano","orcid":"https://orcid.org/0009-0003-3323-6482","observed_orcids":["https://orcid.org/0009-0003-3323-6482"]},"institutions":[{"id":"https://openalex.org/I12097938","display_name":"West Virginia University","ror":"https://ror.org/011vxgd24","country_code":"US","type":"education","lineage":["https://openalex.org/I12097938"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mederos Liriano, Marcelino","raw_affiliation_strings":["West Virginia University","West Virginia University, School of Medicine"],"raw_orcid":"https://orcid.org/0009-0003-3323-6482","affiliations":[{"raw_affiliation_string":"West Virginia University","institution_ids":["https://openalex.org/I12097938"]},{"raw_affiliation_string":"West Virginia University, School of Medicine","institution_ids":["https://openalex.org/I12097938"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5112435019","display_name":"Kathryn L. Hoffman","orcid":"https://orcid.org/0009-0005-6199-5755","observed_orcids":["https://orcid.org/0009-0005-6199-5755"]},"institutions":[{"id":"https://openalex.org/I12097938","display_name":"West Virginia University","ror":"https://ror.org/011vxgd24","country_code":"US","type":"education","lineage":["https://openalex.org/I12097938"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Hoffman, Kathryn","raw_affiliation_strings":["West Virginia University"],"raw_orcid":"https://orcid.org/0009-0005-6199-5755","affiliations":[{"raw_affiliation_string":"West Virginia University","institution_ids":["https://openalex.org/I12097938"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034205622","display_name":"Gina M. Baugh","orcid":"https://orcid.org/0000-0002-5419-0001","observed_orcids":["https://orcid.org/0000-0002-5419-0001"]},"institutions":[{"id":"https://openalex.org/I12097938","display_name":"West Virginia University","ror":"https://ror.org/011vxgd24","country_code":"US","type":"education","lineage":["https://openalex.org/I12097938"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Baugh, Gina","raw_affiliation_strings":["West Virginia University"],"raw_orcid":"https://orcid.org/0000-0002-5419-0001","affiliations":[{"raw_affiliation_string":"West Virginia University","institution_ids":["https://openalex.org/I12097938"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5085917002","display_name":"Jenna Sizemore","orcid":"https://orcid.org/0000-0002-3142-5672","observed_orcids":["https://orcid.org/0000-0002-3142-5672"]},"institutions":[{"id":"https://openalex.org/I12097938","display_name":"West Virginia University","ror":"https://ror.org/011vxgd24","country_code":"US","type":"education","lineage":["https://openalex.org/I12097938"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sizemore, Jenna","raw_affiliation_strings":["West Virginia University"],"raw_orcid":"https://orcid.org/0000-0002-3142-5672","affiliations":[{"raw_affiliation_string":"West Virginia University","institution_ids":["https://openalex.org/I12097938"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I12097938"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.27102789,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"7","issue":"3","first_page":"95","last_page":"104"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.9945999979972839,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.9945999979972839,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12174","display_name":"Hospital Admissions and Outcomes","score":0.0013000000035390258,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12246","display_name":"Chronic Disease Management Strategies","score":0.0010999999940395355,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/telemedicine","display_name":"telemedicine","score":0.9580000042915344},{"id":"https://openalex.org/keywords/care-transitions","display_name":"care transitions","score":0.9010000228881836},{"id":"https://openalex.org/keywords/hospital-discharge","display_name":"hospital discharge","score":0.8830000162124634},{"id":"https://openalex.org/keywords/rural-health","display_name":"rural health","score":0.8289999961853027},{"id":"https://openalex.org/keywords/chronic-disease-management","display_name":"chronic disease management","score":0.7570000290870667},{"id":"https://openalex.org/keywords/diabetes-mellitus","display_name":"diabetes mellitus","score":0.4480000138282776},{"id":"https://openalex.org/keywords/hypertension","display_name":"hypertension","score":0.953000009059906},{"id":"https://openalex.org/keywords/home-monitoring","display_name":"home monitoring","score":0.6359999775886536},{"id":"https://openalex.org/keywords/emergency-department-presentation","display_name":"emergency department presentation","score":0.7279999852180481},{"id":"https://openalex.org/keywords/hospital-readmission","display_name":"hospital readmission","score":0.9380000233650208},{"id":"https://openalex.org/keywords/multidisciplinary-team","display_name":"multidisciplinary team","score":0.7929999828338623},{"id":"https://openalex.org/keywords/cost-reduction","display_name":"cost reduction","score":0.6769999861717224},{"id":"https://openalex.org/keywords/outpatient-care","display_name":"outpatient care","score":0.8059999942779541}],"concepts":[{"id":"https://openalex.org/C2779891985","wikidata":"https://www.wikidata.org/wiki/Q46994","display_name":"Telemedicine","level":3,"score":0.8443999886512756},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8090000152587891},{"id":"https://openalex.org/C35785553","wikidata":"https://www.wikidata.org/wiki/Q756720","display_name":"Ambulatory","level":2,"score":0.7358999848365784},{"id":"https://openalex.org/C124306116","wikidata":"https://www.wikidata.org/wiki/Q2512965","display_name":"Ambulatory care","level":3,"score":0.6087999939918518},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.6083999872207642},{"id":"https://openalex.org/C178219300","wikidata":"https://www.wikidata.org/wiki/Q4741959","display_name":"Ambulatory care nursing","level":4,"score":0.4375},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3831999897956848},{"id":"https://openalex.org/C2781050511","wikidata":"https://www.wikidata.org/wiki/Q46994","display_name":"Telehealth","level":4,"score":0.3709000051021576},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3377000093460083},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.3224000036716461},{"id":"https://openalex.org/C2776807786","wikidata":"https://www.wikidata.org/wiki/Q5113964","display_name":"Chronic care","level":3,"score":0.310699999332428},{"id":"https://openalex.org/C3018838755","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Medical care","level":2,"score":0.29499998688697815},{"id":"https://openalex.org/C2775924081","wikidata":"https://www.wikidata.org/wiki/Q55608371","display_name":"Control (management)","level":2,"score":0.2881999909877777},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.2741999924182892},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.2621999979019165},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.26190000772476196},{"id":"https://openalex.org/C2989236134","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Patient care","level":2,"score":0.25780001282691956}],"mesh":[],"locations_count":5,"locations":[{"id":"pmid:40964411","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40964411","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Appalachian health","raw_type":"Journal Article"},{"id":"pmh:oai:europepmc.org:11250041","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/12440305","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Text"},{"id":"pmh:oai:uknowledge.uky.edu:jah-1289","doi":null,"is_oa":true,"landing_page_url":"https://uknowledge.uky.edu/jah/vol7/iss3/7","pdf_url":null,"source":{"id":"https://openalex.org/S4306402623","display_name":"UKnowledge (University of Kentucky)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I143302722","host_organization_name":"University of Kentucky","host_organization_lineage":["https://openalex.org/I143302722"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Journal of Appalachian Health","raw_type":"text"},{"id":"pmh:oai:pubmedcentral.nih.gov:12440305","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12440305/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"J Appalach Health","raw_type":"Text"},{"id":"doi:10.13023/jah.0703.07","doi":"https://doi.org/10.13023/jah.0703.07","is_oa":true,"landing_page_url":"https://doi.org/10.13023/jah.0703.07","pdf_url":null,"source":{"id":"https://openalex.org/S4306402623","display_name":"UKnowledge (University of Kentucky)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I143302722","host_organization_name":"University of Kentucky","host_organization_lineage":["https://openalex.org/I143302722"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":null,"raw_source_name":null,"raw_type":"JournalArticle"}],"best_oa_location":{"id":"pmh:oai:europepmc.org:11250041","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/12440305","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Text"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[],"study_designs":[{"display_name":"Clinical Trial","id":"https://openalex.org/study-designs/clinical-trial"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Introduction:":[0],"Hospital":[1,136],"discharge":[2],"is":[3,29],"a":[4,30,76,187],"complex":[5],"process":[6],"plagued":[7],"with":[8,21,59,75,102,120,168,177,199,211],"medical":[9,62,243],"errors":[10],"and":[11,24,85,96,110,142],"poor":[12],"coordination.":[13],"Disjointed":[14],"discharges":[15],"are":[16],"detrimental":[17],"to":[18,33,50,248],"Appalachian":[19,55],"patients":[20,155,167,176,185,210],"access":[22,35,247],"barriers":[23],"multiple":[25],"chronic":[26,61,94,104,143,242],"diseases.":[27],"Telehealth":[28,116],"tool":[31],"used":[32],"improve":[34,51],"within":[36],"rural":[37],"Appalachia.":[38],"To":[39],"address":[40],"this":[41],"high-risk":[42],"transition":[43],"period,":[44],"an":[45,121,233],"interprofessional":[46,122,234],"team":[47,123,235],"deployed":[48],"telemedicine":[49,237],"post-hospital":[52],"care":[53],"for":[54,197,232],"patients.":[56],"Purpose:":[57],"Patients":[58,101],"uncontrolled":[60,103,178,200,212],"conditions":[63,95,105,244],"were":[64,106,118,147,170,216],"enrolled":[65,111],"into":[66],"the":[67,113,131,158,208],"Intensive":[68],"Telemedicine":[69],"Transition":[70],"of":[71,79,93,125,133,175,184,241],"Care":[72],"Clinic":[73],"(I-TTC)":[74],"primary":[77],"outcome":[78],"30-day":[80,188],"Emergency":[81],"Department":[82],"(ED)":[83,140],"presentations":[84],"hospital":[86,192],"readmissions.":[87],"Secondary":[88],"outcomes":[89],"included":[90],"improved":[91,246],"control":[92,240],"patient":[97],"cost":[98,223],"savings.":[99],"Methods:":[100],"given":[107],"home-monitoring":[108],"devices":[109],"in":[112,157,238],"I-TTC":[114,134,159,205,229],"post-hospitalization.":[115],"visits":[117],"conducted":[119],"comprised":[124],"graduate":[126],"health":[127],"science":[128],"students":[129],"under":[130],"supervision":[132],"physicians.":[135],"readmissions,":[137],"emergency":[138],"department":[139],"presentations,":[141],"disease":[144],"specific":[145],"measurements":[146],"analyzed":[148],"through":[149,245],"retrospective":[150],"review.":[151],"Results:":[152],"Sixteen":[153],"adult":[154],"participated":[156],"pilot":[160],"study":[161],"from":[162],"2021-2022.":[163],"At":[164],"baseline":[165],"all":[166],"hypertension":[169],"uncontrolled.":[171],"The":[172,194,219,228],"average":[173,195,220],"HbA1C":[174],"diabetes":[179,201],"was":[180,202,225],"11%.":[181],"Post-enrollment,":[182],"12.5%":[183],"had":[186],"ED":[189],"presentation":[190],"or":[191],"re-admission.":[193],"HbA1c":[196],"those":[198],"8.1%":[203],"after":[204],"intervention.":[206],"Of":[207],"ten":[209],"blood":[213],"pressure,":[214],"six":[215],"controlled":[217],"post-enrollment.":[218],"cohort":[221],"total":[222],"savings":[224],"$3,144.35.":[226],"Implications:":[227],"suggests":[230],"feasibility":[231],"utilizing":[236],"achieving":[239],"ambulatory":[249],"healthcare.":[250]},"counts_by_year":[],"updated_date":"2026-09-29T14:09:16.559479","created_date":"2025-10-10T00:00:00"}
