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, Panel: Robert Sidbury MD MPH, Sidney Gospe MD 2015 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 Telemedicine Solution •Limited access to medical •Access to medical providers at larger hospitals or medical practices •providers based on geography or location •Lack of subspecialty services in the •Access to subspecialty clinics without community for children with special families needing to travel or take extra health care needs time off of work •Limited learning opportunities for •Access to CME training and community providers subspecialty training, conferences, and lectures •Limited funding to pay for bringing •Savings on travel reimbursement for subspecialists into rural communities subspecialists providing outreach services

Children’s Participating Network Sites * * * * * Wyoming

Words From Patients and Families Examples from Families and Providers Using Video conferencing for discharge teaching “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

Experiences in Neurology Dr. Sid Gospe Topics of Interest to discuss: • Crossing state lines • Licensure • Privileges • Working with grant funding • PET grant

Experiences in Dermatology Dr. Rob Sidbury Topics of Interest to discuss: • Regional clinic experience • Equipment dermatology uses • Camera quality • Ambulatory clinic flow

Experiences in Adolescent Medicine 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

Thanks!