Operations and Implementation

Panel Presentation

(OI2-01) Telemedicine Specialty Consultations with Federally Qualified Health Centers

Sunday, April 23
11:30 AM - 12:30 PM
Location: Tangerine Ballroom

GWU and UVA have long histories in providing telemedicine services. The two universities are in very different locations which has lead to diversity in service lines. GWU, an urban single site campus has focused on remote services and now is expanding telehealth services and collaborations to compete in crowded market. UVA is a state university supporting many rural partners across Virginia as a premier tertiary referral center.

Both Universities have projects providing telehealth services with Federally Qualified Health Centers. This panel discussion will provide insights into collaboration opportunities with FQHCs. The panel will include have a FQHC expert describe the needs, opportunities and challenges of FQHCs. Adding University prospective, the panel will provide insights into the similarities and differences in working with FQHC in rural and urban settings. Finally we will analyze meaningful metrics in FQHC and Academic Medical center collaborations.

The CareFirst Foundation recently funded a telemedicine project between GWU and Unity Health Care, a FQHC in Washington, DC. The project seeks to improved access to specialty care for patients seen at Unity Health Care's Anacostia Health Center. GW is providing specialty services of a nephrologist, cardiologist, and endocrinologist, via real time audio and video enhanced by a MA clinical presenter. The primary outcome measure is the number of completed referrals over total referrals, in effect a measure of the no show rate. By conducting specialist appointments via telemedicine and eliminating referral-related barriers to care, no-show rates are expected to decrease and the rate of completed referrals is expected to increase.

UVA has had collaborations for over 22 years with more than 15 FQHCs across the Commonwealth. These partners look to UVA to provide specialty services that are otherwise unavailable in their communities. As a result, the UVA Center for Telehealth has developed telemedicine services in speciality care including tele-psychiatry, dermatology, high risk obstetrics, and evolving clinics such as tele-sleep, tele-cytoscopy, developmental pediatrics and diabetic retinopathy screening. The collaboration between rural FQHCs and UVA has led to reducations in miles traveled, improved show rates, and decreased readmissions.

Learning Objectives:

Neal Sikka

Associate Professor, Emergency Medicine
George Washington University Medical Faculty Associates

Neal Sikka is an Associate Professor in the Department of Emergency Medicine and
a board certified emergency physician at The George Washington University
Hospital. He is the Director of the Innovative Practice Section at the GW Medical
Faculty Associates. Dr. Sikka oversees the GW MFA Telemedicine Communication
Center, is the Emergency Department Information System Physician Application
Manager, and is an active member of the GW mHealth Collaborative.
Dr. Sikka has been a faculty member of the Department of Emergency Medicine
since 2003, a Fellow of the American College of Emergency Physicians, and a
member of the American Telemedicine Association. He has published and spoken
extensively on medical informatics, telemedicine, mobile health, telestroke and
innovative medical practice and design. He has completed a McKesson Foundation grant studying the
use of SMS messaging in diabetic patients and a CMMI Innovation Challenge Grant
examining the use of telemedicine in home peritoneal dialysis. Currently, Dr Sikka and his team are conducting a CareFirst Foundation grant studying the impact of specialty consultations with a FQHC. He is involved in in
providing medical services via telemedicine to ships at sea, to remote clinics and
teams, as well as correctional facilities.


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Waddaa Redha

Telemedicine Fellow and Research Instructor
George Washington University

Dr. Waddaa Redha is a telemedicine fellow and a research instructor of emergency medicine at the Medical Faculty Associate (MFA) at George Washington University (GWU). In this role, he is actively involved in the different telemedicine activities at the MFA including Maritime Medical Access, ConnectER program, and the CareFirst project. With a background in medical education as he completed a medical education fellowship in 2016, he is also involved in the teaching of emergency care to medical students and residents at GWU. Dr. Redha is a practicing emergency physician who provides clinical care at the University and at the Veterans Affair Medical Center in Washington DC.


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Lisa Fitzpatrick


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Andrew Robie

Medical Director
Unity Health Care, Inc. - Anacostia Health Center

Andrew Robie, MD attended medical school at the University of Cincinnati and completed his family medicine residency at Oregon Health and Science University. He works as a family physician with Unity Health Care, Inc., a large federally qualified health center that cares for over 100,000 medically underserved patients in Washington, DC. He has served as medical director for Unity’s Anacostia Health Center since 2009. Since 2013, he has served as the clinician lead for health informatics initiatives for all of Unity’s 20 health care sites. Recently this role has included partnering with the George Washington University to pilot telemedicine specialty vists for health center patients. Clinical interests include treatment of hypertension, diabetes, and substance use disorders.


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David Cattell-Gordon


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(OI2-01) Telemedicine Specialty Consultations with Federally Qualified Health Centers

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