基于学校的远程医疗：对学生健康结果的影响.pdf

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1、School-Based Telehealth:Impact on Student Health Outcomes Describe the implementation and service model of the School-Based Telehealth Program and its impact on student health and educational outcomes.Analyze the statistical data on program performance,including consent rates,encounter frequency,cos

2、t avoidance,and instructional time saved.Technological Device with audiovisual capabilities Ironbow Telehealth Cart iPad TeleReady RoomHIPAA compliant modality DOXY Polycom HealowDisparities seen in Rural Communities Lower Median Incomes Higher Poverty Rates Lack of ResourcesLoris,South Carolina Uni

3、ted States Census Allergic Rhinitis Upper Respiratory Infection Fever Headache Sore Throat Sinus Congestion Minor rash,Wound,or Burn Earache Urinary Frequency Cough Lice Conjunctivitis Asthma COVID Flu Strep Urinalysis Hemoglobin Glucose Upper Respiratory Culture Nebulizer Breathing Treatment Earwax

4、 Removal Medical Administration Acetaminophen Albuterol Diphenhydramine Ibuprofen Ipratropium/AlbuterolA student complained of ear pain while in class.Her teacher sent her to the school nurse.The school nurses assessment led to concerns of a possible ear infection.She called the students parent.The

5、parent stated that she did not have reliable transportation,and her daughters pediatrician never has appointments available.The school nurse informed mom that her child could complete a medical appointment within the school.Mom agreed to these services.I did not have a written consent on file,so I p

6、rovided mom with a link to our virtual consent form.After receiving the consent back,I collected the patients vitals and notified an available LRMC provider that we were ready for her to call our telehealth cart.EnrollmentsCompleted visitsLocal urgent care cost avoidanceLocal emergency department co

7、st avoidance Total amount of clinical tests performedReturn to classInstructional time savedTelehealth visit durationTelehealth visit 17 minutes605 clinical tests 124 positives“It has been very beneficial having telehealth here in the school.Pediatric offices are full and overwhelmed and not able to

8、 see children in a reasonable time.Having telehealth in the schools has enabled children to get care when otherwise they wouldve not.”-Arland Blackburn,RN“It has been very beneficial having telehealth here in the school.Pediatric offices are full and overwhelmed and not able to see children in a rea

9、sonable time.Having telehealth in the schools has enabled children to get care when otherwise they wouldve not.”-Arland Blackburn,RN“I think the School-Based Telehealth Team does a wonderful job.The children get seen sooner when theyre sick instead of waiting for appointments.”-Beth Long,RN“Many stu

10、dents were able to go right back to class after the Telehealth provider determined that they were not contagious.Those students could have missed multiple days of school if it werent for the Telehealth services in the school.”-Gail Cox,RN“As a mom,Telehealth in the schools is such a huge asset.When

11、you have a sick child,there can be a lot of running around and waiting,Telehealth completely takes that away and ensures your child is seen as soon as possible.This also means faster treatment for a sick child.In addition,it allows parents to stay at work longer,while still ensuring that their child

12、 is receiving medical care.From what I have witnessed,Telehealth has been very beneficial in keeping kids at school that can stay,while ensuring that sick children who are going home will already have a treatment plan in place.I would like to add that many children fall through the cracks,as they ma

13、y go home and never be taken to see a doctor.For these children,Telehealth has been instrumental in getting them well.”“School-Based Telehealth is an awesome thing to have at schools.It benefited my daughter and I by not having to miss the day from school and work to go somewhere else to be seen.Nur

14、se Lauren&Wendy Mote are both very great with children&they made sure my daughter was 100%well.”“I was able to get a COVID test for my child right away instead of waiting five or more days for the results to come back.Right after testing negative,he was able to finish his school day and I was able t

15、o stay at work.”“I have had many parents express their gratitude regarding the ability to complete a medical appointment within the safety and familiarity of their childs school.Many parents admitted they did not have the resources to provide their child with a medical visit outside of the school du

16、e to not having reliable transportation,or the ability to miss any more time off work.”“The program helps with attendance due to getting excuses back quickly instead of having to wait days for providers to provide an excuse for absences.”ConvenienceConvenienceIncreased Access to Medical Care Cost ef

17、fective Alleviates burdens on parentsConvenienceIncreased Access to Medical CareDecreased AbsencesConvenienceIncreased Access to Medical CareDecreased AbsencesFaster Diagnosis and Treatment Collaborative Care School-Based Telehealth Provider Primary Care Provider Parent/Guardian Pharmacy Nurses Scho

18、ol staff PatientsCollaborative CareContinuity of CareCollaborative CareContinuity of CareHealth Education and Illness Prevention Education Annual class Wellness nightProgram ExpansionFeedback SystemMobile Team SAFESAFEConvenientConvenientfunfunbeneficialbeneficialTelehealthTelehealth Improved studen

19、t outcomes Reduced educational disruptions Alleviated family burdens Future expansion and continued impact 1.“Little River Medical Center”Little River Medical Center-Little River,SC,25 June 2024,https:/ three verbalized information regarding Little River Medical Center and quoted Mission.2.“Our Loca

20、tions-Little River Medical Center-Little River,SC.”Little River Medical Center-Little River,SC,25 June 2024, three images of Little River and Carolina Forest Little River Medical Center locations.3.“Printable South Carolina Maps|State Outline,County,Cities.”W,2024, three image of South Carolina,mani

21、pulated to add border and highlight Horry County.4.Federally Qualified Health Center Fact Sheet,American Hospital Association.(April 2009).https:/www.aha.org/system/files/content/11/09AprilFQHCfactsheet.pdf.Slide three direct quote regarding FQHC mission.5.Minority Health and Health Disparities:Defi

22、nitions,Parameters.”National Institute of Minority Health and Health Disparities,U.S.Department of Health and Human Services,www.nimhd.nih.gov/about/strategic-plan/nih-strategic-plan-definitions-and-parameters.html.Updated 12 Jan.2024.Slide five NIH facts.6.United States Census Bureau Statistics and

23、 Images:U.S.Census Bureau(2022).Loris city,South Carolina.Retrieved from https:/data.census.gov/profile/Loris_city,_South_Carolina?g=160XX00US4542730.Slide five census information.7.“Loris Elementary in South Carolina-U.S.News Education.”Overview of Loris Elementary, is based on the 2020-2021 and 20

24、21-2022 school years.Slide five Loris Elementary School statistics.8.“Daisy Elementary in South Carolina-U.S.News Education.”Overview of Daisy Elementary,https:/ is based on the 2020-2021 and 2021-2022 school years.Slide five Daisy Elementary School statistics.9.“What Are My Care Options and Their C

25、osts?”W, Care cost avoidance information.This source has adjusted this information to match inflation.10.Corso,Alyssa.“How Much an ER Visit Costs without Insurance|Mira.”W,19 Dec.2022, Room cost avoidance information.This source has adjusted this information to match inflation.11.“Facebook.”F,2022,

26、2 Oct.2024.Slide 14“See your DOCTOR right from your BED!”image.12.“My Forms|JotForm.”W, 14 image of digital consent form.13.“Little River Medical Center-Little River,SC.”W,2024,images.app.goo.gl/DrdXDyFh7QQ8qkjBA.Accessed 2 Oct.2024.Slide 32 image of LRMC Mobile Medical logo.14.“Mobile Medical-Littl

27、e River Medical Center-Little River,SC.”W,2023,images.app.goo.gl/prv1g4VA1XrrKDZG7.Accessed 2 Oct.2024.Slide 32 image of LRMC Mobile Medical logo.15.Romero,Rainee.“Living Local Carolina:Little River Medical Center Offers School-Based Telehealth.”WBTW,29 Oct.2021, 33 image of Lauren OBrien and Jackie Glassmyer from Living Local segment.