Healthcare simulation has long been used to promote the exploration of procedures and processes related to the provision of healthcare with high acceptance rates seen in the pre-hospital as well as hospital-based provider groups (Abelsson et al., 2015). The combined use of telehealth technologies (carts, cameras, peripherals) with high-fidelity simulation mannequins (complete with vitals, motion, fluids) affords healthcare systems with new paths for delivering education and improving the quality of clinical practice. Telehealth outreach projects led by the Medical University of SC and SC Area Health Education Consortium are connecting community providers with simulation training focused on clinical decision making processes. While also meeting the educational needs of health professions students during their academic training, healthcare professionals are supported through interactive simulations exercises provided at a distance. These are two areas of innovation related to ! telehealth education. Using telehealth equipment and programmable mannequins co-located within a virtual training laboratory, local paramedics and neonatal respiratory therapists are being trained to better address airway management cases while remaining in their home communities. Pilot programs have demonstrated significant value and resulted in expansion into full-scale training programs. Community hospitals and emergency medical agencies are benefiting from improved access to educational programs while partnering with experts to address the integration of evidenced-based practice protocols into a variety of care settings. Outcomes show increased learner confidence in managing these cases and decreased decision response times through the training scenario progression. Confidence and acceptability of the simulation and telehealth technologies are self-reported to be "somewhat" to "very" high for all participants. Pre- and post-test data comparisons show that 62.5% of partiicipants improved their scores on the knowledge assessments. For airway management scenarios, participants regularly decreased their time to intervention while working through increasingly complex case parameters - all from a distance through telehealth supported simulation exercises. Additional findings show improved care coordination between referring entities and statewide policy recommendations for emergency management agencies resulting in improved training for providers, outcomes for patients and care management among institutions. Applications for this innovative training modality extend to a wide-range of community providers and facilities tasked with coordinating care and managing the health of rural populations.
Director for the Office of Telehealth Education
South Carolina Area Health Education Consortium, Medical University of SC
Ragan DuBose-Morris, PhD, is the Director of the Office of Telehealth Education for the South Carolina Area Health Education Consortium and an Assistant Professor at the Medical University of South Carolina. Her leadership responsibilities include implementing telehealth services through a statewide network of videoconferencing systems and developing educational programs for healthcare students and professionals.
Dr. DuBose-Morris serves on numerous MUSC and statewide telehealth councils, workgroups and committees. Her leadership efforts focus on the successful development of educational initiatives, implementation of technical networks, and creation of effective communication plans for partnerships across the state.
Dr. DuBose-Morris received her BA in communications from the College of Charleston and a MA in media studies from The New College of California. She earned an EdS and PhD in Computing Technology in Education from Nova Southeastern University.
Tuesday, April 25
10:15 AM – 10:29 AM