遠程醫療成功案例.pdf

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 With CalandraSouth Ca

7、rolina Transplant Foundation Board MemberSC Transplant Talk Support Group MentorSoutheastern Kidney Transplant Coalition MemberKIDNEY TRANSPLANT/TELEHEALTH WITH CALANDRABENEFITS:Improved attendance with appointmentsLess travel for patientsMore time for family and employmentAbility to connect with yo

8、ur provider one on oneHelpful for patients with caregiver and transportation challengesSouth Carolina Transplant FoundationThe mission of the South Carolina Transplant Foundation is to promote access,education,and advocacy for those in need of an organ transplant.It was established in 2023 with repr

9、esentatives from all three SC transplant centers,patient and caregiver partners,and representatives from the business and medical fields.We aim to provide financial,educational,and supportive services starting in Dec 2024.We received letters of support from the Georgia Transplant Foundation,The Nati

10、onal Kidney Foundation,and the Southeastern Kidney Transplant Coalition.Our funding comes from hospitals,businesses,grants,and private donations.Our model is similar to that of the Georgia Transplant Foundation,as we support South Carolinians receiving transplant services at all transplant centers.Collaboration with SEKTx will allow us to improve access to transplantation and remove barriers by providing educational and financial support to patients.