Transitional Telehealth Home Care: REACH

Transitional Telehealth Home Care: REACH

The investigators want to determine if additional, increased contact with infants and families discharged to home after cardiac surgery improves infant and parent outcomes as compared to usual care.

The investigators want to compare videoconferencing (SKYPE or FACTIME) and a monitoring system called Buddy Check is helpful. Buddy Check is a web-based tool using speech and internet technology to maintain contact with the health care team.

Infants are randomized to usual care or the intervention which uses automated daily phone calls and 2 virtual home visits each week. Weights, oxygen levels, and amount of food taken are obtained by the primary caregiver (parent) daily and sent via automated phone call, text message or email messages based on primary caregiver's desired.

Inclusion Criteria:

• Cardiac surgery within 2.5 weeks of life,
• Diagnosis of congenital heart disease,
• Post menstrual age 37 weeks and older;
• Minimum birth weight 2500 grams,
• At least one parent speaks and reads English,
• Anticipated discharge by 21 days of life

Exclusion Criteria:

• Cardiomyopathy,
• Diagnosis of Genetic syndrome