Infectious Diseases
Hospital-based Medicine
Education Pathway
Telemedicine/EHR/Medical Informatics
Quality Improvement/Patient Safety
Cross-Disciplinary Pathway
Critical Care
Vandana Madhavan, MD, MPH
Associate Pediatrician
Pediatrics
Massachusetts General Hospital
Chestnut Hill, Massachusetts, United States
Telemedicine use has grown in recent years, exponentially so during the current COVID-19 pandemic, with pediatric providers rapidly adopting various telehealth platforms for delivery of care in a number of settings. The combination of increased availability of and familiarity with necessary technology offers the opportunity for more systematic implementation and study of telemedicine initiatives to improve quality of care.
We will have a brief 5-minute introduction of the current state of pediatric telemedicine including different formats, goals, and licensing and reimbursement considerations. The core of the session will consist of a series of three 20-minute presentations in which departmental leaders will review their experiences in needs assessments; program development and implementation; ongoing program review and improvement, with discussion of both published and unpublished data; and future directions of several divisional initiatives in telemedicine. We will have interspersed 5-minute (maximum) Q&A sessions to allow participants to learn more about presenters’ work and conclude with a 10+-minute interactive Q&A session to delve further into desired topics (e.g., reimbursement), and share details of their own established or developing programs.
Introduction (5 minutes)
Case Symposia
- Critical Care (20 minutes)
- Acute care consultation regarding pre-transport patient stabilization at referring hospitals - program implementation and lessons learned
- Virtual parent participation in bedside patient rounds
- Remote simulation-based education
- Critical Care Q&A (3-5 minutes)
- Hospital Medicine (20 minutes)
- Patient/family and PCP needs assessments, development and implementation of post-discharge virtual visit program
- Data from in-depth chart review demonstrating significant clinical impacts; provider and family satisfaction
- Discussion of program improvement and expansion, with specific focus on patient with limited English proficiency
- Hospital Medicine Q&A (3-5 minutes)
- Infectious Disease (20 minutes)
- Initiation of virtual follow-up visits and expansion to virtual outpatient consultations during pandemic
- Implementation of asynchronous eConsult program to provide subspecialty advice to outpatient providers
- Data from chart review demonstrating benefits to patient care and education, as well as provider satisfaction survey
- Discussion of ongoing program evaluation and improvement
- Infectious Disease Q&A (3-5 minutes)
Wrap-up/Q&A (10-16 minutes)
- Interactive poll to determine specific needs of audience
- Potential topics for Q&A:
- Sharing of specific materials from needs assessments, chart review, additional data
- Deeper discussion of hospital stakeholder engagement; licensure and malpractice considerations; privacy and confidentiality; reimbursement
- Brief highlights of telemedicine work in other divisions (e.g., pediatric primary care, Down Syndrome clinic)
- Participants' experiences with their own hospitals' telemedicine programs
Presenter: Vandana Madhavan, MD, MPH – Massachusetts General Hospital
Presenter: Phoebe H. Yager, MD – Massachusetts General Hospital
Presenter: Chadi M. El Saleeby, MD, MS – Massachusetts General Hospital
Presenter: Vandana Madhavan, MD, MPH – Massachusetts General Hospital
Presenter: Vandana Madhavan, MD, MPH – Massachusetts General Hospital