NEJM July 21, 2020
Anna U. Morgan, MD, MSc, MSHP, Mohan Balachandran, MA, MS, David Do, MD, Doreen Lam, BA, Andrew Parambath, BA, MEd, Krisda H. Chaiyachati, MD, MPH, MSHP, Nancy M. Bonalumi, DNP, RN, CEN, FAEN, Susan C. Day, MD, MPH, Kathleen C. Lee, MD & David A. Asch, MD, MBAet al.

Remote Monitoring of Patients with Covid-19: Design, implementation, and outcomes of the first 3,000 patients in COVID Watch

An innovation team at the University of Pennsylvania Health System demonstrates how an automated text-messaging system can remotely monitor patients with confirmed or suspected Covid-19 at home and quickly support worsening patients with human care.

Summary

To manage a large and heterogenous population of patients with confirmed or presumed Covid-19, but well enough to remain at home, the University of Pennsylvania Health System (UPHS) developed a program to monitor for worsening dyspnea or other concerning symptoms. “COVID Watch” combined automated twice-daily text message check-ins with a...

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