Operations and Implementation

ePoster Presentations

EP-137 - Asynchronous Teleconsultation and Patient Movement: Lessons Learned from an Integrated System

Sunday, April 29
4:25 PM - 4:40 PM
Location: Education Zone, Booth 2416, Screen 4

Tripler Army Medical Center (TAMC) serves as the Department of Defense (DoD) tertiary medical care facility for the Western Pacific Military Treatment Facilities (MTFs) in Japan, South Korea, and Guam which have limited or no access to local specialty consultation services. The Pacific region spans 5 time zones and is spread across large bodies of water. This unique medical and geographic situation created the need for asynchronous teleconsultation capabilities between Western Pacific MTFs and TAMC.
When patients need to be seen face-to-face at TAMC, whether inpatient or outpatient, additional coordination is required, and additional transparency of information supports a smoother and safer handoff of the patient. From the coordination of the flight medical crew on a military aircraft to the scheduling of multiple specialty visits prior to arrival to decrease the length of stay/time away from home, integrating the key roles for visibility supports better quality of care in a fiscally responsible manner.
The Pacific Asynchronous TeleHealth (PATH) system is a HIPAA-compliant platform used for provider-to-provider teleconsultation and, when required, aeromedical evacuation case management. PATH improves the quality of care provided, and reduces costs and length of stay. The purpose of the presentation is to review the overall workflow of PATH, using clinical examples as indicated that also demonstrate the various administrative support roles required. Additional data and clinical examples will show how PATH decreases the need for face-to-face referrals, and improves care coordination for complex and/or critical patients who require in-flight care on military flights.

Learning Objectives:

Jennifer Mbuthia

Director of Telemedicine/Virtual Health
Tripler Army Medical Center

Lieutenant Colonel Jennifer Mbuthia is currently stationed at Tripler Army Medical Center (TAMC), Hawaii, and has served as Director of the Pacific Asynchronous TeleHealth (PATH) Program in January 2016 and TAMC Director for Telehealth/Virtual Health since June 2017. PATH serves as the asynchronous telemedicine consultation and patient movement for the Pacific Region.
LTC Mbuthia earned both her Bachelor of Science degree in biology and her Medical Degree from Brown University in Providence, RI. She entered military service as a medical student through the Health Professionals Scholarship Program. After completing her residency in Pediatrics at TAMC, she was assigned to both Landstuhl Regional Medical Center, Germany, and Fort Irwin, CA, as a general pediatrician. LTC Mbuthia completed her fellowship in Allergy and Clinical Immunology at Walter Reed Army Medical Center, Washington, DC, and then served as a Medical Director for the Vaccine Healthcare Centers Network (now the DHA Immunizations Healthcare Branch).
In 2011 she was selected by the 43rd Army Surgeon General, Lieutenant General Patricia Horoho, to serve as a member of her Commanders Initiative Group, followed by an assignment as the first Army physician to work in the Army Medicine Congressional Affairs Office.
LTC Mbuthia has multiple deployments to include as a Battalion Surgeon with 1st Infantry Division in Iraq for 12 months, a Battalion Surgeon with 101st Airborne Division in Afghanistan for 6 months, and multiple humanitarian deployments to locations in Southeast Asia and Central America. Her awards include the Bronze Star, Meritorious Service Medal, Army Commendation Medal, Joint Service Achievement Medal, Army Presidential Unit Citation Ribbon, Humanitarian Service Medal, Global War on Terrorism Expeditionary Medal, Afghanistan Campaign Medal, NATO Medal, and the Combat Medic Badge.


Send Email for Jennifer Mbuthia


EP-137 - Asynchronous Teleconsultation and Patient Movement: Lessons Learned from an Integrated System

Attendees who have favorited this

Please enter your access key

The asset you are trying to access is locked. Please enter your access key to unlock.

Send Email for Asynchronous Teleconsultation and Patient Movement: Lessons Learned from an Integrated System