What have you done to help shape the Twistle COVID-19 use case?
Using the Twistle Health Journey Model, I created a COVID-19 Health Journey Map that has been useful in helping Twistle staff and customers understand the role that Twistle can play in force multiplying our overburdened healthcare system. I then developed standard Twistle workflow templates for multiple COVID-19 remote monitoring use cases that can be quickly adapted to our health system clients’ specific operational workflows, allowing for more rapid implementation. These use cases enable health systems to reach out automatically to at-risk patients via secure text messaging, phone, app, or e-mail to gather up-to-date information about symptoms and to generate alerts to care teams if patients’ symptoms require more attention.
The solution relieves health care professionals while giving patients peace of mind and a safety net for communication. Twistle is now monitoring over 900 positive or presumptive positive COVID-19 patients through its platform and is seeing patient response rates close to 90%.
Finally, as a trained pulmonary/critical care clinician, I have also aided the company in translating the most up to date recommendations from the CDC into patient-facing information and rapidly iterating on workflow content.
How has the company responded to the COVID-19 challenge?
I am so proud of the fact that every single Twistle employee, starting with the CEO, is living our #patientfirst value. Everyone is working tirelessly to create and implement COVID-19 remote monitoring workflows in record time. We’ve deployed our COVID-19 platform at each of the health systems using it in just four days, in some cases over the weekend. Everyone on the team is working together to make this happen. We are learning and adapting to the urgency of the situation with impressive speed. I am impressed that we are finding ways to work with clients that not only keep us afloat but are respectful of the incredible financial stresses our clients are being subjected to. Lastly, as a lean and mean (at times stressed) organization, the engineering and implementation teams are knocking it out of the park.
What advice or thoughts can you share that might impact or motivate others right now?
I am a student of the physiology and psychology of survival, and my favorite mantra under times of extreme stress was well stated by former United States Navy officer, Admiral Stockdale – “Face reality but maintain hope.” This situation will eventually abate. Until then, keep your head down, pace yourself, and stay the course. As a sleep doctor, I also cannot hesitate to remind people who are working tirelessly on the front lines to make sure you get enough sleep. Sleep deprivation lowers the immune system in addition to other health effects.
I also want to say that as a trained ICU doctor, it is hard for me to be on the sidelines when there is such a great need for my skill set. However, given my age and underlying condition, I would be at great risk. When I told my son, who is a nurse, that I was stressed over this and wanted to help in our small community of Helena, Montana, where there is only one pulmonary doctor, my son said “Dad, with your skill and training, you are doing more good and helping more people by staying on with Twistle and helping them.”
We thank Bill DePaso for all his hard work and have made a $1,000 donation on Bill’s behalf to St. Peter’s Health in Helena, MT, where his son and daughter-in-law are both front line nurses.