Panel Presentation

(V7-01) Tele-Emergency Performance Assessment Reporting Tool: A Standardized Approach to Measuring Impact

Monday, April 24
1:30 PM - 2:30 PM
Location: W230 BC

The Evidence-Based Tele-Emergency Network Grant Program is designed to inform policy makers about the use of Tele-Emergency care especially as it promotes the quality and immediacy of emergency care that rural patients receive. The Office for the Advancement of Telehealth (OAT) has awarded grants to six health systems whose projects represent a variety of approaches to providing tele-emergency care. Some networks offer general emergency care, others focus on care of stroke, trauma, behavioral health or pediatric emergencies. Some of the networks are new to tele-emergency delivery, others have several years of experience. This presentation is a follow up to a panel presented in 2016 on the work of these grantees and their collaborative efforts to build an evidence base for tele-emergency care.

Since April 2016, these grantees have been gathering information on 49 variables for all of their tele-emergency encounters. These variables include a variety of encounter and clinical data in an attempt to measure the impact of telemedicine on the provision of emergency care. Key areas include information on patient arrival and discharge, the video session details, patient transfers, patient demographics, reason for visit and acuity, payment and payer, and compliance with the evidence base for care of chest pain, heart attack, stroke, and sepsis.

OAT has engaged the Rural Telemedicine Research Center (RTRC) to advance publicly available, high quality, impartial, clinically informed, and policy-relevant telehealth research. As part of that mission, RTRC has been conducting the evaluation of the Evidence-Based Tele-Emergency Network Grant Program to evaluate the utility of telemedicine in improving quality, timeliness, and cost-effectiveness of rural emergency care.

OAT will moderate this panel that includes the principal investigators of the RTRC and two of the grantees submitting data for the evaluation. The discussion will focus on selection of measures for the evaluation, development of the data collection tool, lessons and challenges in data collection, and efforts to boost utilization of telemedicine to gain a robust sample size. Initial findings will also be shared.

Learning Objectives:

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Nicholas M. Mohr

Associate Professor
Rural Telehealth Research Center, University of Iowa Carver College of Medicine

Dr. Nicholas Mohr is an Associate Professor of Emergency Medicine and Anesthesia Critical Care at the University of Iowa, and is an investigator in the Rural Telehealth Research Center. Dr. Mohr graduated from the University of Iowa Carver College of Medicine and completed his Emergency Medicine residency at Indiana University followed by his fellowship in Critical Care at Washington University. His research interests include early sepsis care, rural emergency services, and telemedicine use in rural emergency departments, authoring over 35 peer-reviewed manuscripts and nearly 20 book chapters.


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Stephanie Laws

Executive Director
Rural Health Innovation Collaborative

Stephanie Laws is the Executive Director of the Rural Health Innovation Collaborative. She manages and directs the overall activities of the Wabash Valley Rural Telehealth Network (WVRTN) for Union Hospital located in Terre Haute, IN. Founded in 2010, the WVRTN assists rural patients to overcome the temporal barriers to the receipt of timely, specialty-based care throughout west central Indiana and east central Illinois. Organizations impacted by the WVRTN include critical access hospitals, rural health clinics, community mental health centers, federally qualified health centers, and occupational health industrial sites. Stephanie serves as the Principal Investigator and Project Director for the Evidence Based TeleEmergency Service Network Grant. She also provides consultation to the Upper Midwest Telehealth Resource Center to advance telehealth throughout the Midwest.


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Amanda Bell

eCARE Quality & Innovation Officer
Avera eCARE

Mandy Bell is the eCARE Quality & Innovation Officer at Avera Health in Sioux Falls, SD and works with each of the Avera’s eCARE telemedicine teams to demonstrate performance outcomes. Mandy specializes in new service line launches and also leads public policy efforts related to Avera’s telehealth programs. She serves as Avera's principal investigator on eEmergency related research programs and assisted with several peer-reviewed manuscripts. Mandy has a Masters in Healthcare Administration from the University of Minnesota.


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(V7-01) Tele-Emergency Performance Assessment Reporting Tool: A Standardized Approach to Measuring Impact

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