Abstract
Telemedicine is a diverse, rapidly expanding, and evolving field of medicine. For pediatric urgent care centers and their patients, telemedicine can provide convenience, improve access to care, increase efficiency, and expand reach. Use cases of telemedicine in pediatric urgent care include kiosks, load balancing, “hub and spoke” and “satellite” models, direct-to-consumer offerings, subspecialty consultations, and mentorship. Quality, reimbursement, licensure, and various technical issues are some of the significant challenges to telemedicine. Government and non-profit organizations provide an array of online resources for those looking to develop or expand a telemedicine program.
Reprinted with permission of Elsevier Inc. from Raskas, M. D., Gali, K., Schinasi, D. A., & Vyas, S. (2017). Telemedicine and Pediatric Urgent Care: A Vision into the Future. Clinical Pediatric Emergency Medicine, 18(1):24–31. Copyright © Elsevier Inc. 2017. All rights reserved. https://doi.org/10.1016/j.cpem.2017.01.003
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References
Agency for Healthcare Research and Quality. (2012). Medical Expenditure Panel Survey. Emergency room services-mean and median expenses per person with expense and distribution of expenses by source of payment: United States. Retrieved January 13, 2017, from https://meps.ahrq.gov/data_stats/quick_tables_results.jsp?component=1&subcomponent=0&year=2012&tableSeries=1&searchText=&searchMethod=1&Action=Search
Akbik, F., Hirsch, J. A., Chandra, R. V., Frei, D., Patel, A. B., Rabinov, J. D., … Leslie-Mazwi, T. M. (2017). Telestroke-the promise and the challenge. Part one: Growth and current practice. Journal of Neurointerventional Surgery, 9(4), 357–360. https://doi.org/10.1136/neurintsurg-2016-012291
Alverson, D. C., Holtz, B., D’Iorio, J., Simmons, S., & Poropatich, R. K. (2008). One size doesn’t fit all: Bringing telehealth services to special populations. Telemedicine Journal and e-Health : The Official Journal of the American Telemedicine Association, 14, 957–963.
American Academy of Pediatrics. (n.d.). Section on telehealth care. Retrieved September 30, 2016, from https://www.aap.org/en-us/about-the-aap/Committees-Councils-Sections/sotc/Pages/default.aspx
American College of Emergency Physicians. (n.d.). Emergency telemedicine section. Retrieved September 30, 2016, from https://www.acep.org/telemedicine
American Hospital Association. (2015). Trendwatch. Realizing the promise of telehealth: Understanding the legal and regulatory challenges. Retrieved December 18, 2016, from http://www.aha.org/research/reports/tw/15may-tw-telehealth.pdf
American Hospital Association. (2016). Issue Brief: Telehealth: Helping hospitals deliver cost-effective care. Retrieved December 20, 2016, from http://www.aha.org/content/16/16telehealthissuebrief.pdf
American Telemedicine Association. (2015). American Telemedicine Association accredits upstate concierge medicine for online patient consultations. Retrieved November 18, 2016, from http://dev.americantelemed.org/news-landing/2015/10/01/american-telemedicine-association-accredits-upstate-concierge-medicine-for-online-patient-consultations#.WC8q0-YrLcs
American Telemedicine Association. (2016). About telemedicine. Retrieved December 18, 2016, from http://www.americantelemed.org/about/telehealth-faqs-
American Telemedicine Association. (n.d.-a). Telemedicine practice guidelines. Retrieved December 20, 2016, from http://hub.americantelemed.org/resources/telemedicine-practice-guidelines
American Telemedicine Association. (n.d.-b). State telemedicine gaps analysis. Retrieved September 30, 2016, from http://www.americantelemed.org/policy/state-policy-resource-center#.V-7I3CgrLcs
American Telemedicine Association. (n.d.-c). Upcoming events. Retrieved December 20, 2016, from http://www.americantelemed.org/main/events-and-education/upcoming-events
Arora, S., Geppert, C. M., Kalishman, S., Dion, D., Pullara, F., Bjeletich, B., … Scaletti, J. V. (2007). Academic health center management of chronic diseases through knowledge networks: Project ECHO. Academic Medicine, 82, 154–160.
Callahan, C. W., Malone, F., Estroff, D., & Person, D. A. (2005). Effectiveness of an internet-based store-and-forward telemedicine system for pediatric subspecialty consultation. Archives of Pediatrics & Adolescent Medicine, 159, 389–393.
Center for Connected Health Policy: The National Telehealth Policy Resource Center. (n.d.). State laws and reimbursement policies. Retrieved September 30, 2016, from http://www.cchpca.org/state-laws-and-reimbursement-policies
Center for Telehealth and e-Health Law. (n.d.). Our mission. Retrieved September 30, 2016, from http://ctel.org/about-2/our-mission
Courneya, P. T., Palattao, K. J., & Gallagher, J. M. (2013). HealthPartners’ online clinic for simple conditions delivers savings of $88 per episode and high patient approval. Health Affairs (Millwood), 32, 385–392.
Davis, K. E., & Carper, K. (2012). Agency for healthcare research and quality (Medical expenditure panel survey: Statistical brief #381). Retrieved December 20, 2016, from https://meps.ahrq.gov/data_files/publications/st381/stat381.pdf
Foley & Lardner LLP. (2014). Telemedicine survey: Executive summary. Retrieved December 18, 2016, from https://www.foley.com/files/Publication/0585f5b1-1205-4be7-be5a-4e14602a4fac/Presentation/PublicationAttachment/39c25a9b-5ff1-4ee8-b861-4ea2d71718ae/2014%20Telemedicine%20Survey%20Executive%20Summary.pdf
Guise, V., Anderson, J., & Wiig, S. (2014). Patient safety risks associated with telecare: A systematic review and narrative synthesis of the literature. BMC Health Services Research, 14, 588.
Healthcare Dive. (2015, August 18). Press Release: CVS Health Research Institute analysis shows high patient satisfaction with MinuteClinic telehealth visits. PRNewswire. Retrieved February 1, 2017, from http://www.healthcaredive.com/press-release/20150818-cvs-health-research-institute-analysis-shows-high-patient-satisfaction-with/
Hickson, R., Talbert, J., Thornbury, W. C., Perin, N. R., & Goodin, A. J. (2015). Online medical care: The current state of “eVisits” in acute primary care delivery. Telemedicine Journal and e-Health : The Official Journal of the American Telemedicine Association, 21, 90–96.
Landi, H. (2016). Senate passes bill to use Project ECHO as nationwide telehealth model. Healthcare Informatics Magazine. Retrieved December 16, 2016, from http://www.healthcare-informatics.com/news-item/telemedicine/senate-passes-bill-use-project-echo-nationwide-telehealth-model
Marcin, J. P., Rimsza, M. E., & Moskowitz, W. B. (2015). The use of telemedicine to address access and physician workforce shortages. Pediatrics, 136, 202–209.
McConnochie, K. M., Conners, G. P., Brayer, A. F., Goepp, J., Herendeen, N. E., Wood, N. E., … Roghmann, K. J. (2006). Differences in diagnosis and treatment using telemedicine versus in-person evaluation of acute illness. Ambulatory Pediatrics, 6, 187–195 (discussion 196–187).
McConnochie, K. M., Wood, N. E., Herendeen, N. E., ten Hoopen, C. B., & Roghmann, K. J. (2010). Telemedicine in urban and suburban childcare and elementary schools lightens family burdens. Telemedicine Journal and e-Health : The Official Journal of the American Telemedicine Association, 16, 533–542.
Mehrotra, A. (2013). The convenience revolution for treatment of low-acuity conditions. JAMA, 310, 35–36.
Mehrotra, A., Paone, S., Martich, G. D., Albert, S. M., & Shevchik, G. J. (2013a). Characteristics of patients who seek care via eVisits instead of office visits. Telemedicine Journal and e-Health : The Official Journal of the American Telemedicine Association, 19, 515–519.
Mehrotra, A., Paone, S., Martich, G. D., Albert, S. M., & Shevchik, G. J. (2013b). A comparison of care at e-visits and physician office visits for sinusitis and urinary tract infection. JAMA Internal Medicine, 173, 72–74.
Monegain, B., & Healthcare, I. T. (2015). News. Telemedicine market to soar past $30B. Retrieved November 18, 2016, from http://www.healthcareitnews.com/news/telemedicine-poised-grow-big-time
NTT Data White Paper. (2014). Trends in telehealth: Making healthcare more collaborative, affordable, and effective. Retrieved December 16, 2016, from http://americas.nttdata.com/Industries/Industries/Healthcare/~/media/Documents/White-Papers/Trends-in-Telehealth-White-Paper.pdf
Office for the Advancement of Teleheath, Health Resources and Services Administration, Department of Health and Human Services, Telehealth Resource Center. (n.d.). Retrieved September 30, 2016, from http://www.telehealthresourcecenter.org/overview/welcome-consortium-telehealth-resource-centers
Patel, S., Hertzog, J. H., Penfil, S., & Slamon, N. (2015). A prospective pilot study of the use of telemedicine during pediatric transport: A high-quality, low-cost alternative to conventional telemedicine systems. Pediatric Emergency Care, 31, 611–615.
Pew Research Center Website. (n.d.). Mobile technology fact sheet. Retrieved August 11, 2016, from http://www.pewinternet.org/fact-sheets/mobile-technology-fact-sheet/
Premarathne, U. S., Han, F., Khalil, I., & Tari, Z. (2013). Fuzzy logic based load balancing for an online medical consultation system. Paper presented at: IEEE 8th Conference on Industrial Electronics and Applications (ICIEA), Melbourne, Australia.
Raskas MD, Badolato GM, Mathison D. (2016). Telemedicine for acute care: Comparing in-person visits to telemedicine visits at a pediatric emergency department. In Platform Presentation at the ATA Annual Conference and Trade Show. Minneapolis, MN.
Resneck, J. S., Abrouk, M., Steuer, M., Tam, A., Yen, A., Lee, I., … Edison, K. E. (2016). Choice, transparency, coordination, and quality among direct-to-consumer telemedicine websites and apps treating skin disease. JAMA Dermatology, 152, 768–775.
Samsung Business Insights. (n.d.). Video visits leveraged in powerful union between Cleveland Clinic, American Well, CVS. Retrieved December 20, 2016, from https://insights.samsung.com/2016/04/19/video-visits-leveraged-in-powerful-union-between-cleveland-clinic-american-well-cvs
Sioux Falls Business Journal. (2015). Avera, Hy-Vee partnering on expanded health services. Retrieved September 30, 2016, from http://www.argusleader.com/story/news/business-journal/2015/08/13/avera-hy-vee-partnering-expanded-health-services/31652539
Spooner, S. A., Gotlieb, E. M., American Academy of Pediatrics Steering Committee on Clinical Information Technology, & Committee on Medical Liability. (2004). Telemedicine: Pediatric applications. Pediatrics, 113, e639–e643.
University of Rochester News. (2008). Telemedicine could eradicate many expensive ED visits. Retrieved December 19, 2016, from https://www.urmc.rochester.edu/news/story/1978/telemedicine-could-eradicate-many-expensive-ed-visits.aspx
Vyas, S. (2016). Nemours Children’s Health Care System: Telemedicine post-visit survey data [unpublished].
Walsh, T., McClain, J., & Kasinadhuni, M. (2015). The Advisory Board. Telehealth primer: Billing and reimbursement. Retrieved December 20, 2016, from http://www.umtrc.org/clientuploads/directory/Resources/Getting%20Started/Telehealth%20primer_Reimbursement_FINAL.pdf
Weinick, R., Billings, J., & Thorpe, J. (2003). Ambulatory care sensitive emergency department visits: A national perspective. Academic Emergency Medicine, 20, 525–526. https://doi.org/10.1197/aemj.10.5.525-b
Yamamoto, D. H. (2014). Assessment of the feasibility and cost of replacing in-person care with acute care telehealth services. Retrieved December 19, 2016, from http://www.connectwithcare.org/wp-content/uploads/2014/12/Medicare-Acute-Care-Telehealth-Feasibility.pdf
Yang, N. H., Dharmar, M., Yoo, B. K., Leigh, J. P., Kuppermann, N., Romano, P. S., … Marcin, J. P. (2015). Economic evaluation of pediatric telemedicine consultations to rural emergency departments. Medical Decision Making, 35, 773–783.
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Raskas, M.D., Gali, K., Schinasi, D.A., Vyas, S. (2017). Telemedicine and Pediatric Urgent Care: A Vision into the Future. In: Edmunds, M., Hass, C., Holve, E. (eds) Consumer Informatics and Digital Health. Springer, Cham. https://doi.org/10.1007/978-3-319-96906-0_11
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