@Article{info:doi/10.2196/19938,
author="Bae, Ye Seul
and Kim, Kyung Hwan
and Choi, Sae Won
and Ko, Taehoon
and Jeong, Chang Wook
and Cho, BeLong
and Kim, Min Sun
and Kang, EunKyo",
title="Information Technology--Based Management of Clinically Healthy COVID-19 Patients: Lessons From a Living and Treatment Support Center Operated by Seoul National University Hospital",
journal="J Med Internet Res",
year="2020",
month="Jun",
day="12",
volume="22",
number="6",
pages="e19938",
keywords="COVID-19; clinical informatics; mobile app; telemedicine; hospital information system; app; health information technology",
abstract="Background: South Korea took preemptive action against coronavirus disease (COVID-19) by implementing extensive testing, thorough epidemiological investigation, strict social distancing, and rapid treatment of patients according to disease severity. The Korean government entrusted large-scale hospitals with the operation of living and treatment support centers (LTSCs) for the management for clinically healthy COVID-19 patients. Objective: The aim of this paper is to introduce our experience implementing information and communications technology (ICT)-based remote patient management systems at a COVID-19 LTSC. Methods: We adopted new electronic health record templates, hospital information system (HIS) dashboards, cloud-based medical image sharing, a mobile app, and smart vital sign monitoring devices. Results: Enhancements were made to the HIS to assist in the workflow and care of patients in the LTSC. A dashboard was created for the medical staff to view the vital signs and symptoms of all patients. Patients used a mobile app to consult with their physician or nurse, answer questionnaires, and input self-measured vital signs; the results were uploaded to the hospital information system in real time. Cloud-based image sharing enabled interoperability between medical institutions. Korea's strategy of aggressive mitigation has ``flattened the curve'' of the rate of infection. A multidisciplinary approach was integral to develop systems supporting patient care and management at the living and treatment support center as quickly as possible. Conclusions: Faced with a novel infectious disease, we describe the implementation and experience of applying an ICT-based patient management system in the LTSC affiliated with Seoul National University Hospital. ICT-based tools and applications are increasingly important in health care, and we hope that our experience will provide insight into future technology-based infectious disease responses. ",
issn="1438-8871",
doi="10.2196/19938",
url="http://www.jmir.org/2020/6/e19938/",
url="https://doi.org/10.2196/19938",
url="http://www.ncbi.nlm.nih.gov/pubmed/32490843"
}