好色先生

好色先生

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Abstract Details

Provider Perspectives on Remote Inpatient Teleneurology Consult Service
Practice, Policy, and Ethics
Practice, Policy, and Ethics Posters (7:00 AM-5:00 PM)
021
To characterize benefits and challenges of inpatient virtual teleneurology consultations by ordering providers and consulting neurologists.
Telestroke has provided expert-level virtual care since the 1990s; however, inpatient teleneurology has not been widely integrated. Wake Forest Baptist Medical Center (WFBMC) implemented inpatient teleneurology consultations to provide expert-level neurology consultation virtually at three satellite campuses lacking in-person neurologists. We characterize feedback of ordering providers and consulting neurologists during the pilot phase of implementation.
Ordering providers and consulting WFBMC neurologists involved in inpatient teleneurology consults were surveyed via email. Retrospective chart review summarized consult characteristics.

Ordering providers were sent a survey about their experience, and neurologists completed a survey after each consult. Ordering provider response rate was 46% (11/24), and neurologist response rate was 74% (17/23 completed consults). Ordering providers were system leaders (18%), physicians (64%), and APPs (27%, one participant selected two roles). Of these, 91% agreed that teleneurology consults added value to patient care; 100% agreed that availability of consults was essential to keeping patients in their community and preventing unnecessary transfers. Providers were asked about course of action had teleconsult been unavailable; 36% of ordering providers believed transfer would have occurred compared to only 6% of consulting neurologists while 18% of ordering providers and 40% of consulting neurologists believed phone advice would have been sufficient.

The most common suggested improvement was ease of consistent communication with on-call teleneurology providers. Neurologists reported connectivity challenges and confusion deciphering reason for consult in the electronic system.
Ordering providers and consulting neurologists reported value of inpatient teleneurology consultation. While neurologists typically felt that a phone call would have been sufficient, hospitalists saw additional benefit of teleneurology in avoiding transfers, preventing harm, and improving diagnostic capability and length of stay. Additional feedback will be gathered to further expand telehealth services.
Authors/Disclosures
Aleksandra M. Tolczyk
PRESENTER 		Ms. Tolczyk has nothing to disclose.
Pallavi Juneja, MD Dr. Juneja has nothing to disclose.
Lauren D. Strauss, DO (Wake Forest Univrsity Baptist Medical Center) Dr. Strauss has a non-compensated relationship as a Secretary with Southern Headache Society that is relevant to AAN interests or activities.
No disclosure on file
No disclosure on file
Mustapha A. Ezzeddine, MD, FAAN (Wake Forest Baptist Health) The institution of Dr. Ezzeddine has received research support from NIH.
Jane Boggs, MD (Wake Forest University neurology) The institution of Dr. Boggs has received research support from Liva Nova. Dr. Boggs has a non-compensated relationship as a Chairman PAB with Epilepsy Alliance North Carolina that is relevant to AAN interests or activities.
Emily P. Pharr, MD, FAAN Dr. Pharr has received personal compensation in the range of $500-$4,999 for serving on a Speakers Bureau for Biogen.
Roy E. Strowd III, MD, FAAN (Wake Forest School Of Medicine) Dr. Strowd has received personal compensation for serving as an employee of Kaplan. Dr. Strowd has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Monteris Medical, Inc. Dr. Strowd has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Novocure. The institution of Dr. Strowd has received personal compensation in the range of $500-$4,999 for serving as a Consultant for SpringWorks . Dr. Strowd has received personal compensation in the range of $5,000-$9,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for 好色先生. The institution of Dr. Strowd has received research support from Southeastern Brain Tumor Foundation. The institution of Dr. Strowd has received research support from Jazz Pharmaceuticals. The institution of Dr. Strowd has received research support from National Institutes of Health. The institution of Dr. Strowd has received research support from Alpha Omega Alpha. The institution of Dr. Strowd has received research support from American Board of Psychiatry and Neurology. Dr. Strowd has received publishing royalties from a publication relating to health care. Dr. Strowd has received publishing royalties from a publication relating to health care.
Amy K. Guzik, MD, FAAN (Wake Forest University Baptist Medical Center) Dr. Guzik has received personal compensation in the range of $500-$4,999 for serving as an Expert Witness for Local law firms, available by request.