远程医疗成功案例.pdf

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1、Patient Success StoryTransplant Outreach/TelehealthZachary W.Sutton,DHA,MS,MSPAS,PA-C,DFAAPA,FACHDMCalandra WatkinsWe need to mention Chad Davis,FNP.Covering the mapOutreach providers travel to or stationed at locations throughout the stateQualitative interviews with transplant surgery and transplan

2、t nephrology providersPost-COVID pandemic-in-person and telehealth visits were being conductedIdentified levels of careFollow-up with email survey for all MDs/DOs,APPs,RNs,and transplant support staff.Both MDs and APPs agreed that an MD-only visitprovided more technical knowledge,but an APP visit pr

3、ovided more continuity for patient care.This makes it ideal for high-risk MD and APP combo visits in the outpatient setting.Phone Least interaction/voicemail Follow-up on lab results/med changes/initiate careVirtual Video only,limited by camera We can see a patient if a quality connectionRegional Re

4、gional clinics-high-quality connection/telehealth tools available Labs/Outreach APP availableOP Transplant outreach clinics-in-person-APP Labs available/physical examOP/RT9 APP and/or MD involved visit Most resources availableIP Admission All resources availableHierarchy of CareLevels of CarePre-tra

5、nsplant ProtocolPost-transplant ProtocolRegional Clinics-TelehealthFigure 2:Transplant Outreach Visits as a Percentage of Total Outpatient VisitsOutpatient Visits by Year20192020202120222023Outreach/Telehealth4071,1562,6373,9392,542Percentage 5%14%30%35%25%All Transplant Nephrology 7,9268,4568,86511

6、,37310,007Transplant OutreachSynergy between Telehealth/OutreachTelehealth sites are tied to timeshare clinics/regional hospitalsLeadership should target areas for specific servicesSynergyUtilization of Staff on-siteCalandra Watkins 2020 Transplant SurvivorFounder of Conquering W