SPS 2016 Program - Page 45

disciplinary and interagency healthcare delivery infrastructure. Results: The ConnecXions telemedicine program clinical services have included primary care, mental health, and health education. Since it is early in the project, utilization has been primarily mental health and health education. The evidence on the use of telemedicine for the provision of health care to adolescents is still growing; however, preliminary findings have demonstrated the feasibility, efficiency and increased acceptance of using telemedicine in school settings and juvenile detention centers. Conclusion: With the introduction of a telemedicine unit to New Mexico State University’s Nursing Program, the ConnecXions program offers nursing students the opportunity to expand their knowledge on the use of technology to provide direct health care to patients. 27. Solving the Documentation Dilemma Using Virtual Scribes more patients. Providers and patients have an overall positive response to the technology. Drawbacks with the current technology include connectivity, audio/video quality and ergonomics issues [4]. As currently structured, incomplete medical information may result due to poor video quality and Wi-Fi disconnection. We propose the following recommendations for improvement: 1. Improve Wi-Fi connectivity by installing signal boosts. 2. Enable temporary local audio and video recording as a back-up. 3. Provide automated alert to clinician and scribe when connectivity is disrupted. 4. Revise protocol to include a clinician-initiated pre-closure wrap-up with scribe to rectify documentation gaps before encounter ends. 5. Make the standard paper Progress Note template available as a manual back-up. 6. Communicate device usability issues (heat, camera angle, etc.) and upgrade and/or substitute Google Glass with audio-only or other communication device. Jia Zeng, PhD1, Amna Fares, MS1, Amit A. Shah, MD2, Jennifer M. Slonaker, RN, CNP2, Barbara E. Ruddy, MD2, James A. Yiannias, MD3, Marnie J. de Mooij3, Mary Ann Hare, MS3, Ryan P. Miller3, Naomi L. Woychick3, Pelu Tran4,5, and Anita Murcko, MD1 Conclusion: Patients and clinicians are generally satisfied with the Google Glass + Augmedix technology. Pilot clinicians are committed to the benefits of virtual scribes to improve the efficiency of encounter documentation. Drawbacks include connectivity, transmission quality and ergonomics. 1 Department of Biomedical Informatics, Arizona State University, 2Division of Community Internal Medicine, Mayo Clinic, 3Center for Innovation, Mayo Clinic Arizona, Mayo Clinic, Scottsdale, 4Augmedix, 5Stanford University School of Medicine Background: Wearable technology has many potential applications in improving care delivery. Google Glass with Augmedix (GG+A) [1] has been introduced as a pilot in collaboration with the Mayo Clinic Center for Innovation (CFI) in Arizona. CFI is working with Mayo Clinic primary care providers who face documentation challenges due to the patient population and range of undifferentiated problems. Scribes trained specifically for the needs of such providers have been proposed [2]. Using this GG+A technology that includes a virtual scribe, primary care providers can streamline and improve clinical encounter documentation while maintaining the intimacy of the encounter. 28. Care of Acute Minor Illness via Telemedicine in Primary Care to Support Emergency Departments Jason H. Alexander, MBS, MSF, FACHE1, MAJ Daniel Yourk2, Joseph Wood, MD3 1 US Army, Regional Health Command—Atlantic, Telehealth, 2 Blanchfield Army Community Hospital, 3Dwight D. Eisenhower Army Medical Center Methods: The A3 problem-solving methodology [3] was used for this study. The current condition and target condition are described and represented in diagrams. Root cause analysis was performed to identify potential areas for improvement and development of an implementation plan. Background: The Vice Chief of Staff of the Army recently endorsed a proposed telehealth (TH) pilot to alleviate an overused Emergency Department (ED) while also creating a model of telehealth in a contested operational environment. Facilities selected for the pilot include Dwight D. Eisenhower Army Medical Center, Fort Gordon and Blanchfield Army Community Hospital, Fort Campbell. Both hospitals are members of Regional Health Command – Atlantic (RHC-A), the Army Medical Department’s largest Regional Health Command. Results: Patients experience more one-on-one interaction during encounter. Providers interact more with patients, save up to three hours of documentation time each day and see Methods: Analysis showed a percentage of patients seen in ED were acute instead of emergent. Once triaged, a portion of these non-urgent patients can be seen using TH, with the 45 | Page