DNP 805 Topic 6 Discussion 1

DNP 805 Topic 6 Discussion 1 A patient of your choice is being discharged to home and will use telehealth technology. Post the technology your patient will use at home and how will you connect with the patient using this technology. Nearly10% of all babies born in the United States are delivered prematurely, and many of these babies are transported from lower levels of care to a neonatal intensive care unit with the capability of providing necessary services and support (Umoren, Gray, Schooley, Billimonia, Smith, & Sawyer, 2018). Neonatal transport teams stabilize newborns for transport, with access to a medical control physician (MCP) by telephone or video-based telemedicine. Compared with telephone consultation, video based telemedicine has been shown to improve the quality of care and decrease state wide infant mortality rates (Umoren, Gray, Schooley, Billimonia, Smith, & Sawyer, 2018). Although there are high satisfaction rates with telemedicine after implementation, individual providers may be initially reluctant to adopt new technologies Simulation training in telemedicine for MCPs has not been described and may be a useful modality for exploring telemedicine acceptance and management (Umoren, Gray, Schooley, Billimonia, Smith, & Sawyer, 2018). A study found that the use of videos improved attending neonatologists’ assessment of stability and confidence in assessing respiratory status and changed recommendations for respiratory management in simulated cases compared with standard telephone consultation (Umoren, Gray, Schooley, Billimonia, Smith, & Sawyer, 2018). Most providers in our study felt that using videos helped in forming their plan and preferred the simulation case-based training approach. Using videos improved the MCP's accuracy in the assessment of stability compared with telephone communication (Umoren, Gray, Schooley, Billimonia, Smith, & Sawyer, 2018). Because determinations of stability affect MCP recommendations for local management or referral to higher levels of care, these finding shave the potential to improve resource utilization within a regional transport system. References Umoren, R., Gray, M., Schooley, N., Billimonia, Z., Smith, K., & Sawyer, T. (2018). Effect of video-based telemedicine on transport management of stimulated newborns. Air Medical Journal, 37(5), 317-320. Retrieved from Topic 6 DQ 2 Consider current telehealth strategies and alternatives. Evaluate current implementation strategies for telehealth systems and provide an assessment of the pros and cons. Identify a particular practice area (e.g., clinic, hospital, primary care site) and discuss how you as a health care leader might you implement a similar strategy in that area? School-based Telehealth is emerging as an effective way to provide high quality health care to children in the school setting. Secure video conferencing and the use of telemedicine peripheral devices including a digital stethoscope, otoscope and exam camera allow healthcare providers to conduct thorough exams on patients from a distance (Cormack, Garber, Cristaldi, Edlund, Dodds, & McElligott, 2016). During the eight-week pilot period, five telehealth calls took place via Video, a high definition video conferencing software. This HIPPA compliant technology required only a video camera. The camera was connected to an existing laptop Mac computer. The initial 5 visits included neurological and nutritional consultations. After the initial pilot period, a telehealth cart containing a microcomputer, electronic stethoscope, digital otoscope and exam camera was installed in the office of the school nurse. According to a study that was performed, parental experiences with healthcare delivery were extremely positive both before and after the implementation of school-based telehealth services. Early observations utilizing telehealth suggest that the presence of telehealth at a school may contribute to positive parental perceptions of care (Cormack, Garber, Cristaldi, Edlund, Dodds, & McElligott, 2016). Future research is needed to evaluate parental satisfaction with school-based telehealth services as it is likely the children are benefitting. The application of telehealth to provide primary acute care services, as well as specialty consultations, to this population in the school setting is a promising approach to improving access to care by eliminating barriers such as transportation, time away from work for parents, and stress on the patient and caregiver (Cormack, Garber, Cristaldi, Edlund, Dodds, & McElligott, 2016). Utilizing telehealth services for care coordination and inter-professional collaboration is also a promising approach to care for children with multiple, complex health conditions. Telehealth allows increased opportunities for inter professional team members to integrate the medical, rehabilitation, and education needs of school (Cormack, Garber, Cristaldi, Edlund, Dodds, & McElligott, 2016). Using this modality, a team caring for this complex population can work together to provide the holistic approach to care that is necessary for this population. References Cormack, C., Garber, K., Cristaldi, K., Edlund, B., Dodds, C., & McElligott, L. (2016). Implementation school based telehealth for children with medical complexity. Journal of Pediatric Rehabilitation Medicine, 9(3), 237-240. Retrieved from