A city fire department offers on-the-scene video consultants between emergency physicians and non-emergent 911 callers, leading to fewer unnecessary ambulance transports and emergency department visits, lower costs, more connections of patients to primary care medical homes, and more time for ambulance crews to deal with true emergencies.
Neurologists with expertise in movement disorders enhance access to specialty care by offering virtual house calls to patients with Parkinson's disease, generating very high levels of patient satisfaction.
Through a statewide telemedicine program, psychiatrists evaluate patients with mental health issues who present at rural hospital emergency departments, leading to reductions in wait times, inpatient admissions, and costs; increased attendance at followup visits; and high levels of patient and clinician satisfaction.
Psychiatric fellows and residents at the University of Virginia Health System in Charlottesville provide care via videoconferencing to patients in rural parts of the state who otherwise would likely not have had access to such care.
An outpatient clinic pilot tested use of widely available, inexpensive, easily implemented consumer videoconferencing technology to provide Spanish-speaking patients with an offsite interpreter during appointments, generating high levels of satisfaction among both patients and clinicians.
A collaborative program leverages information technology to connect ED patients to a medical home and patients receiving care at FQHCs and county health clinics to specialists, leading to enhanced access to care, fewer ED visits, and significant cost savings.
A rural hospital's telemedicine-based antimicrobial stewardship program provides ongoing education and daily case reviews related to use of antibiotics, leading to more appropriate prescribing and less bacterial resistance to the drugs.
Series of interactive videoconference sessions provide didactic and interactive instruction in specialty care to primary care clinicians in community-based clinics, boosting their knowledge and confidence in these areas, and enhancing access to specialty care for their low-income, urban patients.
Nurses remotely monitor key indicators of end-stage renal disease patients and intervene as appropriate, leading to less inpatient and emergency department use and higher quality of life.
Every other week, family caregivers participated in interdisciplinary patient care planning meetings with hospice staff via videophone. The pilot program did not result in any statistically significant changes in caregivers' overall perceptions of pain medication or management, and did not determine impact on their pain management practices.