Implementing Age-Inclusive Telehealth in Post-Acute and Long-Term Care Settings

• The pandemic accelerated the adoption of telehealth in PALTC facilities, providing essential care during lockdowns and reducing hospitalization rates. However, the initial implementation was often rapid and disorganized.
• Post-pandemic, it is critical to design and evaluate telehealth programs intentionally, ensuring their sustainability and effectiveness for older adults.

Principles and Guidelines for Age-Inclusive Telehealth

• Telehealth programs should be person-centered, equitable, accessible, integrated, and coordinated. This involves tailoring services to the unique needs of older adults, ensuring equal access to high-quality care, and facilitating communication and cooperation among healthcare providers.
• Case studies highlight the importance of involving family members in telehealth consultations and addressing the specific needs of rural populations.

Implementation Strategy

• Successful implementation requires a well-defined plan and a dedicated team, including administrative, clinical, and technical leads. Communication with staff and residents is essential to ensure buy-in and smooth adoption of telehealth services.
• Education and training for staff and residents are critical to ensure the effective use of telehealth technologies, with an emphasis on workflows, documentation, and the integration of telehealth into daily operations.

Performance Monitoring and Sustainability

• Continuous performance monitoring using the Plan-Do-Study-Act (PDSA) cycle is necessary to assess the effectiveness of telehealth programs and make improvements. Metrics such as hospital readmission rates, emergency department visits, and patient satisfaction should be tracked and analyzed.
• Sharing results with stakeholders and adjusting strategies based on feedback is key to maintaining a sustainable telehealth program that continues to meet the needs of older adults in PALTC settings.