SPS 2017 Program SPS 2017 Program - Page 28

Poster Abstracts Meet the authors at the poster presentation session breakfast, Tuesday from 7:30 to 8:30 am in the Regency Ballroom. Abstract number indicates poster location in the Regency Ballroom. 1. Telemedicine in Physician Assistant Education: A Partnership with a Community Agency 2. Using Lean Methods to Improve Virtual Emergency Behavioral Health Treatment Theresa Bacon-Baguley PhD, RN Carolinas HealthCare System Grand Valley State University Background: Increasingly, behavioral health patients are presenting to medical emergency departments in our nation. CHS is dedicated to improving the access and quality of care to the psychiatric patient. Through innovative technology and Lean practices, we have improved our process in addressing the specific needs of this population. Clinical barriers for psy- chiatric patients in medical ED’s include variation in care and documentation, decreased quality of care, chaotic environ- ments increasing stress, and increased demand on nursing resources. Considerable communication challenges are em- bedded in this professional collaboration between the ED and the behavioral health service line to coordinate and actualize a virtual consult result. Background: A core challenge of physician assistant educa- tion is preparing professionals for lifelong learning. While this conventionally has encompassed scientific advances, students must also embrace new care delivery models and technolo- gies. Telemedicine, the provision of care via two-way audio and video, is an example of a technological advance reform- ing health care. Methods: During a three-semester sequence of Hospital Community Experiences, physician assistant students were assigned experiences with Answer Health on Demand, a tele- medicine collaborative. Preceding the experiences, the agen- cy lectured on the application of telemedicine. Students were then introduced to the technology, and partnered with a pro- vider. Prior to observing the patient-provider interaction, pa- tient consent was obtained. Afterwards, students completed a reflection paper on lessons learned, and the potential im- pact of telemedicine on their careers. Results: Thematic analysis was completed on the students’ reflection papers (n=13). Preceding the lecture and experi- ence, over 75% of students (10/13) were unaware of tele- medicine: “I had no prior understanding of what telemedicine was and I am going into the healthcare field.” Several stated they were “skeptical” about the effectiveness of “impersonal” health care appointments. After the experience, all students remarked that telemedicine will play a large role in the future of healthcare and will provide benefits by improving access in rural areas, decreasing wait time, and saving cost. “Within the next decade, telemedicine will be a major route that many individuals will take due to the convenience and practicality,” said one student. More importantly, 30% of students (4/13) commented that telemedicine is a technology they can see themselves using in their future practice. Amy Barrett, MA, LPC Methods: Proven and specific problem solving methods in- cluding A3 Practical Problem Solving, Root Cause Analysis, Plan Do Study Act (PDSA), and managing for daily improve- ments (MDI) provide the structure for the team to be success- ful in implementing positive change. Escalation plans and staffing to demand models enable us to respond more effi- ciently to surges in consultation requests. The Lean methodol- ogies seek to empower the team of professionals doing the daily work to problem solve and eliminate waste. Results: Using Lean methods, we have been able to decrease the time from consultation request to complete by 2.4 hours, thereby allowing the patient to access care and interventions more quickly. These methods have allowed us to shave 3.2 hours from our response times, the initiation of the consult and decrease ED length of stay with volume increases. Conclusion: Initial results indicate that collaborative interac- tion between students and telemedicine providers enhanced student learning and exposed students to technological ad- vances in the delivery of care. Further, results indicate that students perceived telemedicine more favorably as a viable delivery method after the experience. 28 | Page