EACS2023: 993 Telemedicine implementation in Buenos Aires during COVID-19 outbreak: implementation outcomes using implementation facilitation as a core strategy M. Bullo , T. Kierszenowicz , M.C. Acosta , M.J. Rolon , G. Oshiro , D. Cecchini , C.G. Rodriguez , P.G. Scapellato , E. Bottaro , M.H. Losso Hospital J.M. Ramos Mejía, Buenos Aires, Argentina, Argentinian National Council of Science and Technology, Buenos Aires, Argentina, Hospital Dr. Juan A. Fernández, Buenos Aires, Argentina, Hospital Dr. Cosme Argerich, Buenos Aires, Argentina, Hospital Donación F. Santojanni, Buenos Aires, Argentina General data Abstract category: Access and delivery of care Abstract body Purpose: From October 2020 to September 2022, we conducted an implementation study to offer telemedicine(TM) across four HIV units of general public hospitals in Buenos Aires. The intervention was using TM to provide continuum of care to people living with HIV(PLHIV). The strategy was centered in providing facilitation. Facilitators rendered expertise, supported problem-solving and provided technical assistance. TM visits were conducted through phone or videocalls. In this presentation, we show data on implementation outcomes. Method: We used RE-AIM framework to design this study. The two main implementation indicators were: 1. Time and costs to deliver the intervention; 2. Fidelity of the adopted intervention. We collected data on working timetables and budget used to hire facilitators, and monthly narrative reports by facilitators. Results: Five facilitators were involved in delivering telemedicine to recruit 4118 participants. Hiring cost during 24 months was USD 36.236,84. Total working hours were 1080. Timetable and budget were splitted into: 1) Time required to prepare and conduct trainings (270 hs;USD 9059.21); 2) Hours to design and distribute supporting material (270 hs;USD 9059.21);3) Hours to directly engage participants (540 hs;18.118.42 USD). Cost per PLHIV was USD8,79. Total months 24 Total USD 36.236.84 USD TOTAL working hours 1080 Time required to prepare. conduct and attend to trainings (=TOTAL work hours / 4) 270 Money spent to prepare conduct and attend to trainings (=TOTAL USD / 4) 9059.21 USD Hours spent to design and distribute supporting material (=TOTAL work hours / 4) 270 Money spent to design and distribute supporting material (=TOTAL USD / 4) 9059.21 USD Hours spent to directly engage participants (=TOTAL work hours / 2) 540 Money spent to directly engage participants (=TOTAL USD / 2) 18.118.42 USD While the core intervention -providing clinical care through voice or video calls-remained the same as planned, implementing TM involved adjustments focused on the role of facilitators. They provided technical assistance to patients and practitioners, managed physicians’ agendas to increase number of available appointments and updated contact information of patients. TM implementation required also dealing with hospital boards to: guarantee the proper functionality of shift systems, solve lack of internet connection, purchase informatic equipment, implement e-prescription and digital lab orders. Conclusions: The core intervention could be implemented in an affordable manner in our setting using facilitation. Costs of implementing this study could vary in other settings. Facilitation was crucial to overcome challenges and identify required adjustments to improve implementation and maintenance of the intervention. General conditions 1. I confirm that I previewed this abstract and that all information is correct. I accept that the content of this abstract cannot be modified or corrected after the submission deadline and I am aware that it will be published exactly as submitted.: Yes 2. I confirm that the submission of the abstract constitutes my consent to publication (e.g. conference website, programmes, other promotions, etc.). : Yes 3. I herewith confirm that the contact details saved in this system are those of the corresponding author, who will be notified about the status of the abstract. The corresponding author is responsible for informing the other authors about the status of the abstract.: Yes 4. I agree that all data provided may be used (saved, stored, processed, transmitted and deleted) in compliance with the privacy policy to provide the services described.: Yes 1 2 1 3 3 4 4 5 5 1 1 2 3 4 5 59
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