Journal article
Lessons From Tele-Emergency: Improving Care Quality And Health Outcomes By Expanding Support For Rural Care Systems
Health Affairs, Vol.33(2), pp.228-234
02/2014
DOI: 10.1377/hlthaff.2013.1016
PMID: 24493765
Abstract
Tele-emergency services provide immediate and synchronous audio/video connections, most commonly between rural low-volume hospitals and an urban "hub" emergency department. We performed a systematic literature review to identify tele-emergency models and outcomes. We then studied a large tele-emergency service in the upper Midwest. We sent a user survey to all seventy-one hospitals that used the service and received 292 replies. We also conducted telephone interviews and site visits with ninety clinicians and administrators at twenty-nine of these hospitals. Participants reported that tele-emergency improves clinical quality, expands the care team, increases resources during critical events, shortens time to care, improves care coordination, promotes patient-centered care, improves the recruitment of family physicians, and stabilizes the rural hospital patient base. However, inconsistent reimbursement policy, cross-state licensing barriers, and other regulations hinder tele-emergency implementation. New value-based payment systems have the potential to reduce these barriers and accelerate tele-emergency expansion.
Details
- Title: Subtitle
- Lessons From Tele-Emergency: Improving Care Quality And Health Outcomes By Expanding Support For Rural Care Systems
- Creators
- Keith J Mueller - Keith J. Mueller is a professor in the Department of Health Management and Policy, College of Public Health, University of Iowa, in Iowa CityAndrew J Potter - Andrew J. Potter is a PhD student in the Department of Health Management and Policy, College of Public Health, University of IowaA. Clinton MacKinney - A. Clinton MacKinney is a clinical assistant professor in the Department of Health Management and Policy, College of Public Health, University of IowaMarcia M Ward - Marcia M. Ward is a professor in the Department of Health Management and Policy, College of Public Health, University of Iowa
- Resource Type
- Journal article
- Publication Details
- Health Affairs, Vol.33(2), pp.228-234
- DOI
- 10.1377/hlthaff.2013.1016
- PMID
- 24493765
- NLM abbreviation
- Health Aff (Millwood)
- ISSN
- 0278-2715
- eISSN
- 2694-233X
- Language
- English
- Date published
- 02/2014
- Academic Unit
- Rural Telehealth Research Center; Health Management and Policy; Public Policy Center (Archive)
- Record Identifier
- 9984063206702771
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