SPS 2017 Program SPS 2017 Program - Page 49

multispecialty group medical practices, teaching hospital, regional community clinics, affiliate hospitals and clinics, behavioral health services, vision centers, pharmacies, and air and ground transport services. We serve a Tri-State region, with population of 600,000 patients. Our telemedicine clinical services have grown to over 100 providers, in 33 specialty areas. 31. A Safer Transition from the Emergency Room: Using Telemedicine to Reimagine the ER Visit Through the years a strong infrastructure of technology, pro- viders and staff has been built. Statistics that are monitored include the number of appointments, the number of special- ists, specialties, regional sites and locations. Our telemedicine program is an essential component to our strengthening com- mitment to ‘Care Close to Home’. Background: The week following ER discharge is often a challenging time for patients; whether a result of continuing symptoms, anxiety about symptom progression, inability to access follow-up care, or questions related to treatment plan or prescriptions. All have repercussions for patient safety, care quality, and satisfaction with service. Patient-centric so- lutions for continuity of care during this period are rare, re- turn visits to the ER are not. With this in mind, Emergency Medicine Consultants (EMC) has re-imagined the ER visit; using telemedicine to transform the 3-hour ER visit into a week-long patient relationship. Developing a communication tool between key stakeholders in the implementation of internal providers was imperative. Methods: The action method of research was utilized to plan the timeline and communication tool. This includes planning, action, observation, reflection. Results: A tool for implementation of telemedicine pro- grams was developed. This electronic tool ensures that each stakeholder in the process is notified of a new service line or provider. A final notification is sent to all stakeholders when all of the steps of the implementation have been completed and it has final approval. Conclusions: Our Clinical Telemedicine program at Gunder- sen Health System has been successful because of the con- sistent stream of communication between key members of staff as well as the originating site. This has allowed for steady growth and high patient satisfaction. Matt Muller, MD Emergency Medicine Consultants Ltd. Methods: Through a partnership with CirrusMD, EMC pi- loted offering 24/7 direct, continual patient access to emer- gency physicians via a HIPPA-compliant, text-first virtual care platform following discharge from the ER at no cost to the patient. By the end of the pilot, the service is being offered to 30,000 patients a month at 12 hospitals in the Dallas-Ft Worth metroplex. Results: The Safe Transitions program is achieving the triple aim: improved safety, service, and resource utilization. In the first six months of the pilot, 2,700 follow-up virtual encoun- ters were completed, involving almost 2,000 patients. Median response time to initial patient inquiry by a physician was two minutes, with median duration of patient encounters span- ning 40 minutes. Nearly 80 percent of patients who registered for the service used it, with 25 percent of patients on the platform having multiple encounters over the 7-day period. Resolution of patient issues occurred in 84 percent of en- counters without brick-and-mortar referral, with additional prescriptions written in 15 percent of encounters. Service levels led 90 percent of surveyed patients to indicate that having access to Safe Transitions “improved” their experience with the health system, and 90 percent said they were more likely to recommend the health system to friends and family because of Safe Transitions. Conclusions: Telemedicine following acute care episodes improves access and continuity of care, care quality, and pa- tient experience, while reducing avoidable utilization. 32. Reducing Hospital Readmissions Through the MD24 Telemedicine Program in Rural Areas Linh Nguyen, MD, MMM MD24 House Call Background: Hospital readmission has been a problem in the US Healthcare industry. In Arizona hospital readmission 49 | Page