Quality Metrics in Digital Health Equity: A Systematic Evaluation of Cleveland Clinic's Ongoing Virtual Care Initiative

Abstract

Background: As digital health technologies become increasingly integrated into healthcare delivery, there is a pressing need to ensure that vulnerable and underserved populations are receiving the appropriate resources. The adoption of this patient-centered approach empowers patients to manage their own health through the promotion of digital equity.

Methods: A literature review and quality improvement evaluation were conducted to understand gaps in current digital equity programming at The Cleveland Clinic Foundation and identify avenues for public health collaboration within the Cuyahoga County community. Patients in the Department of Internal Medicine were screened for digital needs and evaluated via confidential phone interviews. Descriptive statistics and qualitative analysis were used to evaluate the interview data.

Results: Of 2,993 patients screened, 554 reported digital needs, and 395 successfully received referrals to community resources. Despite these efforts, only 27.64% of contacted patients reported receiving assistance, highlighting persistent barriers such as transportation, documentation requirements, and limited follow-up protocols.

Conclusion: Recommendations to improve digital equity include expanding transportation services, implementing digital navigator roles, and integrating community organizations into healthcare facilities. While the limitations of this study restrict generalizability, the findings highlight the value of adopting a comprehensive approach to achieving digital health equity and calls attention to maintaining a commitment to equitable healthcare access to achieve broader public health objectives¹⁰.

Keywords: Digital Equity, Cleveland, Telehealth, Quality Assurance/Quality Improvement, Public Health

How to Cite:

Rights: Aashna Rana, Meredith Seeley, Andrew Morris, Stephanie Price