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The Playbook: Pediatric Digital Medicine

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Medicaid Guide

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Chapter 3 – Section 2

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Settings of pediatric DHT implementation

To maximize the impact of pediatric DHTs, consider the unique dynamics of each environment where they are used—clinics, homes, schools, and community settings.

Use this section to explore how each setting influences the adoption, usage, and overall effectiveness of DHTs, offering insights you can use to align your technology with real-world care contexts for children and their families.

Pediatric care spans a variety of environments, each with distinct considerations for implementing DHTs. Consider how the setting influences both the technology design and the approach to implementation. Key settings include:

Home: Using DHTs for self-management of chronic conditions and remote monitoring can take place at home.
School: School nurses and educators use DHTs to monitor health, especially for children with chronic conditions.
Primary and specialty clinics: Clinicians use DHTs to support regular visits, track progress, and manage ongoing care.
Community health centers: Community health centers can use DHTs to serve underrepresented populations, including those in rural or low-income areas.
Clinical trials: Researchers can both evaluate the effectiveness of DHTs or apply DHTs in the actual trials (e.g., patient engagement, measurement and data collection). Read more about applying DHTs in clinical research here.

Homes and schools as important settings of care

DHTs are transforming home care for pediatric patients, enhancing management of chronic and acute conditions directly from the home. Discover how these tools provide a seamless bridge between home and other care sites.

Opportunities:

Parental involvementt:

Tools promote active parent involvement, allowing them to track and manage their child’s condition more confidently.

Reduced hospital visits:

Continuous home monitoring can help catch early warning signs, minimizing emergency visits.

Improved adherence:

Regular monitoring and reminders support consistent treatment and medication adherence, enhancing outcomes.

Schools play a crucial role in managing pediatric health, particularly for students with chronic conditions. DHTs empower school nurses with tools like real-time monitoring and telehealth consultations to ensure students receive timely and effective care.

Opportunities:

Enhanced support for school nurses:

Real-time data and telehealth access allow nurses to make informed decisions, improving response times.

Improved coordination:

DHT platforms enable seamless communication between school nurses, clinicians, and parents, fostering a cohesive care team.

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DHTs in clinical and community settings

DHTs are key to enhancing the quality and reach of pediatric care in primary and specialty clinics. From conditions like diabetes to ADHD, discover how DHTs support frequent monitoring and foster continuity of care across clinic visits and specialists.

Opportunities:

Continuous monitoring:

Tools like glucose monitors and behavioral tracking apps provide clinicians with real-time insights, facilitating proactive management.

Seamless follow-ups:

Remote follow-up capabilities help track patient progress between visits, reducing the need for in-person check-ins while keeping families engaged.

Comprehensive care integration:

Clinics can integrate DHT data into patient records, offering a holistic view of a child’s health over time.

Community health centers also play a pivotal role in delivering essential healthcare to underserved children. Discover how DHTs enhance access by offering tools like telemedicine and mobile health apps, bringing quality care to low-resource settings.

Opportunities:

Increased accessibility:

DHTs, such as telehealth platforms and mobile health apps, reduce the need for travel, connecting families to healthcare professionals from their community and helping address gaps in health services for underserved populations.

Community empowerment:

Localized DHTs provide culturally sensitive care and support, fostering trust and sustained engagement in underserved areas.

Implementing DHTs in pediatric research

Clinical trials are an essential phase in the life cycle of DHT development. As a setting for implementation, DHTs can enhance both trial quality and participant experience by supporting data collection, adherence monitoring, and patient engagement. Learn more about how DHTs can advance pediatric research and bring children to the forefront of medical advancements in our microplaybook, Digital Health Technologies in Clinical Investigations.

Special considerations for pediatric implementation settings

Take note of these special considerations when implementing DHTs in pediatric settings.

Stakeholder considerations

Pro tips:

Design for developmental stages: Adapt interfaces to align with children’s cognitive and health literacy levels. For young kids, prioritize caregiver dashboards; for teens, focus on tools that foster independence.
Establish feedback loops: Regularly evaluate age-specific needs and adjust features to stay relevant.
Provide caregiver education: Offer ongoing support programs for caregivers as children’s healthcare needs shift.
Consult pediatric experts: Work closely with pediatric specialists to ensure developmentally appropriate tools.
Account for language and developmental differences: Tailor language to the population’s needs, considering both age-specific comprehension (we suggest a 5th grade reading level) and the local language context and needs of the care system.

Care transitions and continuity

Pro tips:

Formalize transition protocols: Create shared digital care plans accessible across all relevant settings (hospital, school, home) and to all relevant stakeholders (patients, caregivers, clinicians) to ease transitions.
Consider multiple home settings: Account for complex family dynamics (e.g., blended families) by designing data-sharing and device transfer protocols for seamless care management. Consider how physical devices or passwords and login information can be transferred between relevant stakeholders.