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assistance of providers at an alternate location . The Department of Telehealth for RHC-A developed a new healthcare delivery model to attempt to reduce wait times and Left Without Being Seen ( LWOBS ) rates using this concept . The process starts when a patient enters the ED and is triaged by a registered nurse . If the patient is determined to be non-emergent , he / she is offered a TH option at an urgent care-type setting , within the ED . If a patient selects TH , he / she is greeted by a Care Coordinator and RN who assist a primary care provider located at Ft Gordon . The patient site has a TH cart device which includes an otoscope , stethoscope , and dermatology camera .
Results : 100 % overall patient satisfaction , 2.4 % of all ED patients were redirected to TH Pilot , wait time for patients was significantly reduced , proper documentation resulted in provider receiving equal productivity per encounter as his / her peers .
Conclusions : The pilot will run through July 2016 . As a further proof of concept , the program will also be tested in a field training environment from May through August , 2016 , at Ft Knox , KY . If successful , further studies will be developed to determine if TH can support soldiers in deployed areas .
29 . Poor Man ’ s Telemedicine
Roberta L . Howard and Steven Peterson NAZCARE , Inc .
NAZCARE , Inc . will present the cost-effective use of technology using low cost , effective telemedicine increasing effectiveness to outreaching in rural and remote geographic areas .
Background : NAZCARE , Inc . has effectively used and measured the effectiveness of low-cost telemedicine approaches to improve the quality and effectiveness of services and staff , and provide better quality services to the entire State of Arizona ; eliminate barriers to services ; increase training for supported employment to staff , interviewing of staff and conducting meetings without expensive hardware .
Methods : NAZCARE , Inc . uses WebEx ( sometimes Google and Zoom ) to provide one-to-one services , group services , training , workshops , panel interviews and consumer and public meetings using a low-cost telemedicine approach .
Results : NAZCARE , Inc . has increased services to consumers in rural and remote areas by 60 % and increased the ability to interview and hire employees by 80 %. Additional measures available upon request .
Conclusions : Expensive set-ups , equipment and servers are not necessary to provide face-to-face services using technology .
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Special thanks to the following Arizona Telemedicine Program staff :
Ellen Dudzik , Michael Holcomb , Angel Holtrust , Sarah Joseph , Robert Kerr , Janet Major , Chris Martin , Karen Miller , Tracy Skinner , Phyllis Webster , and Pete Yonsetto
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