disciplinary and interagency healthcare delivery infrastructure.
Results: The ConnecXions telemedicine program clinical services have included primary care, mental health, and health
education. Since it is early in the project, utilization has been
primarily mental health and health education. The evidence
on the use of telemedicine for the provision of health care to
adolescents is still growing; however, preliminary findings
have demonstrated the feasibility, efficiency and increased
acceptance of using telemedicine in school settings and juvenile detention centers.
Conclusion: With the introduction of a telemedicine unit to
New Mexico State University’s Nursing Program, the
ConnecXions program offers nursing students the opportunity
to expand their knowledge on the use of technology to provide direct health care to patients.
27. Solving the Documentation Dilemma
Using Virtual Scribes
more patients. Providers and patients have an overall positive
response to the technology. Drawbacks with the current technology include connectivity, audio/video quality and ergonomics issues [4]. As currently structured, incomplete medical
information may result due to poor video quality and Wi-Fi
disconnection.
We propose the following recommendations for improvement:
1. Improve Wi-Fi connectivity by installing signal boosts.
2. Enable temporary local audio and video recording as a
back-up.
3. Provide automated alert to clinician and scribe when connectivity is disrupted.
4. Revise protocol to include a clinician-initiated pre-closure
wrap-up with scribe to rectify documentation gaps before encounter ends.
5. Make the standard paper Progress Note template available as a manual back-up.
6. Communicate device usability issues (heat, camera angle,
etc.) and upgrade and/or substitute Google Glass with
audio-only or other communication device.
Jia Zeng, PhD1, Amna Fares, MS1, Amit A. Shah, MD2,
Jennifer M. Slonaker, RN, CNP2, Barbara E. Ruddy, MD2,
James A. Yiannias, MD3, Marnie J. de Mooij3, Mary Ann
Hare, MS3, Ryan P. Miller3, Naomi L. Woychick3, Pelu Tran4,5,
and Anita Murcko, MD1
Conclusion: Patients and clinicians are generally satisfied
with the Google Glass + Augmedix technology. Pilot clinicians are committed to the benefits of virtual scribes to
improve the efficiency of encounter documentation.
Drawbacks include connectivity, transmission quality and
ergonomics.
1
Department of Biomedical Informatics, Arizona State
University, 2Division of Community Internal Medicine,
Mayo Clinic, 3Center for Innovation, Mayo Clinic Arizona,
Mayo Clinic, Scottsdale, 4Augmedix, 5Stanford
University School of Medicine
Background: Wearable technology has many potential applications in improving care delivery. Google Glass with Augmedix (GG+A) [1] has been introduced as a pilot in collaboration with the Mayo Clinic Center for Innovation (CFI) in Arizona. CFI is working with Mayo Clinic primary care providers
who face documentation challenges due to the patient population and range of undifferentiated problems. Scribes trained
specifically for the needs of such providers have been proposed [2]. Using this GG+A technology that includes a virtual
scribe, primary care providers can streamline and improve
clinical encounter documentation while maintaining the intimacy of the encounter.
28. Care of Acute Minor Illness via
Telemedicine in Primary Care to Support
Emergency Departments
Jason H. Alexander, MBS, MSF, FACHE1, MAJ Daniel Yourk2,
Joseph Wood, MD3
1
US Army, Regional Health Command—Atlantic, Telehealth,
2
Blanchfield Army Community Hospital, 3Dwight D.
Eisenhower Army Medical Center
Methods: The A3 problem-solving methodology [3] was used
for this study. The current condition and target condition are
described and represented in diagrams. Root cause analysis
was performed to identify potential areas for improvement
and development of an implementation plan.
Background: The Vice Chief of Staff of the Army recently
endorsed a proposed telehealth (TH) pilot to alleviate an
overused Emergency Department (ED) while also creating a
model of telehealth in a contested operational environment.
Facilities selected for the pilot include Dwight D. Eisenhower
Army Medical Center, Fort Gordon and Blanchfield Army
Community Hospital, Fort Campbell. Both hospitals are
members of Regional Health Command – Atlantic (RHC-A),
the Army Medical Department’s largest Regional Health
Command.
Results: Patients experience more one-on-one interaction
during encounter. Providers interact more with patients, save
up to three hours of documentation time each day and see
Methods: Analysis showed a percentage of patients seen in
ED were acute instead of emergent. Once triaged, a portion
of these non-urgent patients can be seen using TH, with the
45 | Page