Ambulatory Pediatric Telemedicine: successes and lessons learned - - PowerPoint PPT Presentation

Ambulatory Pediatric Telemedicine: successes and lessons learned

NRTRC Annual Conference

Seattle, WA

Date March 30, 2015 Panel: Robert Sidbury MD MPH, Sidney Gospe MD PhD, Yolanda Evans MD MPH

Disclosures

• The authors do not have any disclosures at this time.

Objectives At the end of this presentation, participants will be able to:

• Describe the benefits of using telemedicine in ambulatory

pediatric subspecialty clinics

• Understand the process of beginning telemedicine clinics

that cross state lines (including licensure, credentialing, scheduling)

• Describe unexpected barriers to beginning ambulatory

pediatric telemedicine clinics and how to overcome them

Challenges and Solutions

Challenge

• Limited access to medical
• providers based on geography or

location

• Lack of subspecialty services in the

community for children with special health care needs

• Limited learning opportunities for

community providers

• Limited funding to pay for bringing

subspecialists into rural communities

Telemedicine Solution

• Access to medical providers at larger

hospitals or medical practices

• Access to subspecialty clinics without

families needing to travel or take extra time off of work

• Access to CME training and

subspecialty training, conferences, and lectures

• Savings on travel reimbursement for

subspecialists providing outreach services

* * *

Children’s Participating Network Sites

* *

Wyoming

Words From Patients and Families

“I felt more comfortable about the team that will be caring for my child in Missoula. I’m OK about going home now” – Montana mother “When I have kids get direction from the ‘medical Mecca’, we don’t always get a clear message from the parents and notes. Care can

• fragment. VTC discharge makes for better care and outcomes.”
• Montana Pediatrician

“Coordination of care for this patient has been difficult for many reasons including location and language barriers. Using VTC you could actually see and meet his care providers.” – Alaska Dietician Examples from Families and Providers Using Video conferencing for discharge teaching

• Dr. Sid Gospe

Topics of Interest to discuss:

• Crossing state lines
• Licensure
• Privileges
• Working with grant funding
• PET grant

Experiences in Neurology

• Dr. Rob Sidbury

Topics of Interest to discuss:

• Regional clinic experience
• Equipment dermatology uses
• Camera quality
• Ambulatory clinic flow

Experiences in Dermatology

• Dr. Yolanda Evans

Topics of Interest to discuss:

• Crossing state lines
• Technical challenges
• Different video equipment
• Documentation in a separate EMR
• Ambulatory clinic
• No in-person visits
• Training staff at the originating site

Experiences in Adolescent Medicine

Thanks!