Value (Business Strategy and Financial Management)
EP-154 - Acute Care Telemedicine Caring for Rural America
Monday, April 30
4:45 PM - 5:00 PM
Location: Education Zone, Booth 2416, Screen 2
Hospital Medicine at Regions Hospital in St. Paul Minnesota has started using video telemedicine to create a unique opportunity to improve the quality of care for patients and quality of life for physicians in rural hospitals during the evening and night time shifts. It is common in remote areas for a primary care provider to be on call for hospital admissions during the night and often enter hold over orders when an admission arrives. The patient and family in the hospital do not see to a doctor until the next day. In the morning the provider's clinic is full, but they still have to complete admissions from the night before and are now sleep deprived. What if we could make the primary care provider's work life balance better? What if we could progress patient care overnight connecting patients and families to a hospitalist immediately? What if we could do all this by a single hospitalist covering multiple Originating Sites using video telemedicine technology?
Access to a hospitalist physician should not be dependent on where a patient lives or the time of day care is needed. Supporting critical access hospitals in order to keep patients close to home and progress care around the clock is the main goal of the Hospital Telemedicine service. Through engaging key stakeholders and thinking innovatively the Hospital Medicine Service Line has furthered their pursuit of achieving the Triple Aim.
This presentation will detail the new staffing model and patient care system at Regions Hospital in support of rural hospitals during the evening and night time shifts. A checklist of the implementation steps to consider when deploying a hospital telemedicine program will be included, such as operations and workflow, reimbursement, technology & device support, contracting, credentialing, training & education and marketing. Clinical competencies and lessons learned from developing and supporting an overnight acute care telemedicine service will be shared in this presentation. A critical component to a successful hospital telemedicine service is support by Originating Site staff. A description of the process Regions Hospital undertook to engage rural site leadership and frontline nursing staff will be included.
- Analyze the pros and cons of using a virtual hospitalist staffing model to complete hospital admissions at various Originating Site through video telemedicine.
- Recognize the importance of early collaboration with each Originating Site to ensure hospitalists and nursing staff are comfortable with the hospital telemedicine admission process.
- Explain how hospital medicine services can complete hospital admissions using video telemedicine technologies and systems.