What are the objective key elements for successful deployment of telemedicine in hospitals: A holistic approach after 2 years of using a connected tracking solution

Objective: The number of telemedicine solutions is growing, and studies are focusing on feasibility assessments. It is time to consider the fundamentals of deploying telemedicine solutions and provide recommendations for effective implementation.Methods: A qualitative data collection through observation and interview was conducted at our tertiary academic hospital after 2 years of experience with a telemedicine solution. The data underwent semantic analysis, and hypotheses were compared with a literature review to provide recommendations for implementation. Between February 2021 and October 2022, patients’ opinions were gathered through feedback questionnaires using the institutional mHealth application, a key component of the deployed telemedicine solution. Satisfaction results guided conclusions and reevaluations.Results: During April 2021, 14 interviews were conducted with 7 medical department chairs, 2 head nurses and 5 administrative leaders. Between February 2021 and October 2022, a total of 760 surgical patients used the mobile application CHUV@home and 478 (62.9%) answered the feedback questionnaire. During this period, 1,226 surgical patients were included, and 760 used the mobile application, generating 1,693 alerts with an average resolution time of 130 minutes per alert. Feedback questionnaires were answered by 478 (62.9%) patients, with global satisfaction. Patients and healthcare workers opinions were aligned to foster a design of telemedicine experience. Results were presented in the form of a risk matrix. Five major risks and their mitigation recommendations were highlighted.Conclusions: With the growing number of telemedicine solutions, many studies focus on feasibility assessment. The present study suggests that a holistic approach, engaging healthcare workers and patients, is essential for developing a meaningful and sustainable telemedicine strategy at a broader systemic level.