Clinical Services

Oral Presentation

(CS2-01) Use of a Research Collaborative Model to Study Outcomes and Utilization of Pediatric Telehealth

Sunday, April 23
11:30 AM - 11:59 AM
Location: W224 AB

Objectives
Describe the Value of Learning Collaboratives for the Study of Telemedicine-related Healthcare Quality Outcomes and
Share Early Lessons Learned from Formation of the Standardized Pediatric Research on Outcomes and Utilization of Telehealth (SPROUT) Collaborative


Methods
Three PubMed searches were completed on title keywords: Community, Multicenter, Multi state, Collaborative, Learning, Models, IHI, Breakthrough, Quality Improvement, Research. Results were further filtered by Individual inspection to identify publications related to multi-center, multistate, and community collaboratives utilized for research or quality improvement. Operational mechanisms of these collaboratives were identified and incorporated into the creation of the SPROUT collaborative. The purpose of SPROUT is to create a national registry of pediatric telehealth programs across the country and provide a collaborative research backbone for conducting quality outcomes research for pediatric telemedicine. Initial efforts by the SPROUT team consisted of establishing vision and goals, identifying stakeholder participation and participating institutions, creation of a web presence, and design of the first project.

Results
Literature review yielded a final list of 104 publications. Common findings of operational mechanisms for these collaboratives were related to human resources, key operational processes, and various tools used for implementation. Currently, SPROUT consists of 81 institutions and 134 members from 32 states. In collaboration with the American Academy of Pediatrics Section on Telehealth Care and the American Telemedicine Association Pediatrics Special Interest Group, the first study will assess infrastructural components of pediatric telehealth programs at various stages of maturity. We will share results from our initial study, “Identifying Critical Infrastructural Elements of Pediatric Telemedicine Implementation,” which aims to identify key system components for a successful telemedicine program. Future SPROUT projects will assess the impact of subareas in Pediatric Telehealth on healthcare triple aim outcomes related to population health, care experience, and cost.

Conclusion
Research collaboratives are organization structures that answer difficult clinical outcomes questions by leveraging the combined multicenter contribution of subject matter expertise, operational resources, and the required experimental units for substantive power. These organization structures are traditionally used not only in multicenter clinical trials, but also quality improvement efforts that become more powerful when executed as collaboratives. This model has value for assessing pediatric telemedicine efforts nationwide.
SPROUT is a collaborative network that conducts prospective research on pediatric telehealth and provides telemedicine investigators with dynamic learning laboratories that can deliver results quickly so that the integration of telemedicine into healthcare delivery can evolve in a data driven manner.

John Chuo

Neonatologist
Childrens Hosptial of Pennsylvania

John Chuo, MD, MSBI, IA, is a neonatologist at Children’s Hospital of Philadelphia, and an Associate Professor of Clinical Pediatrics at the Perelman School of Medicine, University of Pennsylvania. He attended a neonatal-perinatal fellowship at Children’s Hospital Boston, and earned a Masters of Biomedical Informatics at the Joint MIT-Harvard Program in Health Science and Technology. Dr. Chuo received his training in quality improvement from the Institute for Healthcare Improvement in 2008. He currently is Neonatal Quality Officer for the CHOP Newborn Network and Medical Director of Telemedicine at CHOP.

Presentation(s):

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Steven D. McSwain

Associate Professor
Medical University of South Carolina

David McSwain is an Associate Professor of Pediatric Critical Care Medicine and the Medical Director of Inpatient and Emergency Teleconsultation at the Medical University of South Carolina (MUSC) in Charleston, SC. He is the Chair of the American Telemedicine Association (ATA) national workgroup for the development of Pediatric Telehealth Guidelines, and an active member of both the ATA Pediatric Telehealth Special Interest Group and the American Academy of Pediatrics (AAP) Section on Telehealth Care. At MUSC, Dr. McSwain has developed and implemented numerous successful telehealth programs across a wide spectrum of adult and pediatric specialty services, including teleconsultation programs for pediatric critical care, adult critical care, pediatric emergency medicine, neurology, EEG, pediatric gastroenterology, pediatric burn management, and neonatology. He led the design of both the MUSC Telehealth Simulation Center and the telehealth infrastructure for MUSC’s Special Medical Unit for highly infectious diseases. He played a central role in the establishment of the MUSC Center for Telehealth and the South Carolina Telehealth Alliance, and is the primary investigator for a $1 million grant to expand MUSC’s critical care telehealth services to other Children’s Hospitals in South Carolina. He is also working with other pediatric telehealth experts from across the country to found a national pediatric telehealth research collaborative.

Presentation(s):

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Christina A. Olson

Pediatric Hospitalist
Children's Hospital Colorado

Christina Olson is an assistant professor of pediatrics at the University of Colorado School of Medicine and the telehealth medical director for Children's Hospital Colorado with interests in telehealth, global health, systems-based practice and patient safety. As a hospitalist she currently provides neonatal and pediatric inpatient care in both tertiary care academic medical centers and community hospitals, with previous experience as a primary care pediatrician in a remote location. She also serves as a Navy Reserve medical officer with 11 years of military service including humanitarian deployments to Asia and several years on active duty.

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Alison Curfman

Alison Curfman
Washington University in St. Louis

Dr. Alison Curfman is completing fellowship in Pediatric Emergency Medicine at Washington University in St. Louis. She has taken a position as Medical Director for Pediatric Telemedicine for the Mercy Hospital system - a large hospital system known for the Mercy Virtual Care Center, the only freestanding telehealth hospital in the country.

Alison is the co-founder and Vice-Chair of SPROUT, a multi-center research network dedicated to high quality pediatric telehealth research. This year she co-authored the chapter “Pediatric Emergency and Critical Care Telemedicine” for the McGraw Hill textbook Understanding Telehealth.

Alison is completing an MBA at the University of Wisconsin and devoting her career to developing sustainable, successful telehealth programs for pediatrics. She is committed to the highest quality of clinical care, antibiotic stewardship, patient safety, and advocating for the patient-centered medical home. Alison is passionate about health policy, and is excited for the opportunity to advocate for strong pediatric telehealth practices.

Presentation(s):

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(CS2-01) Use of a Research Collaborative Model to Study Outcomes and Utilization of Pediatric Telehealth



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