Implementation of a Pediatric Emergency Telemedicine Program

Ji Won Kim, Jonathan Friedman, Sunday Clark, Baria Hafeez, David Listman, Maria Lame, Dona Alma Bou Eid, Rahul Sharma, Shari Platt, Martin B. Harper, Jeffrey M. Hoffman, Joseph J. Zorc

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

Abstract

Objectives Our goal was to describe the experiences after the launch of a pediatric emergency telemedicine program at a large, urban, academic medical center. Methods We launched 3 unique pediatric emergency telemedicine programs at an urban, academic medical center: direct-to-consumer pediatric virtual urgent care, pediatric emergency department (PED) telemedicine follow-up, and telemedicine medical screening examination in the PED. Results We evaluated 84 patients via direct-to-consumer pediatric virtual urgent care with the most common chief complaint related to fever, dermatologic, or respiratory systems; we referred 12% to the PED, and 20% of those required hospital admission. We evaluated 38 patients via PED telemedicine follow-up; we referred 19% back to the PED, and 43% of those required hospital admission. Median duration for a telemedicine encounter was 10 minutes. We screened 3809 patients in the PED using telemedicine medical screening examination. Conclusions We offer a description of an innovative and comprehensive new pediatric emergency telemedicine program implemented at a large, urban, academic medical center. Our initial findings demonstrate short visit times, antibiotic stewardship, and low rates of PED referral and subsequent admission for patients who use a telemedicine service. We plan to further examine the impact of pediatric emergency telemedicine on the care of children as our program expands.

Original languageEnglish (US)
Pages (from-to)e104-e107
JournalPediatric Emergency Care
Volume36
Issue number2
DOIs
StatePublished - Feb 1 2020
Externally publishedYes

Keywords

  • direct-to-consumer
  • follow-up
  • health care
  • medical screening examination
  • telemedicine
  • virtual

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Emergency Medicine

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