好色先生

好色先生

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Abstract Details

Patient-reported Experience with Inpatient Teleneurology: A Pilot Qualitative Study
Practice, Policy, and Ethics
Practice, Policy, and Ethics Posters (7:00 AM-5:00 PM)
020
To understand how patients experience virtual inpatient teleneurology consultations and characterize the potential benefits and barriers to implementation.
In neurology, telestroke has been used since the late 1990s to provide expert-level stroke care virtually; however, inpatient teleneurology has not yet been widely integrated. In June 2020, the Department of Neurology at Wake Forest Baptist Medical Center implemented an inpatient teleneurology consult service to provide expert-level neurology consultation virtually to three satellite campuses lacking in-person neurologists. We characterize the patient experience during the pilot phase of implementation (June 1 – September 30).
A qualitative study was conducted using grounded theory and convenience sampling of all patients for whom a teleneurology consult was completed. Assenting patients underwent telephone interview and were asked four questions about their experience. Retrospective chart review was performed to determine consult characteristics and summarized using descriptive statistics.
Of the 53 teleneurology inpatient consults completed, the median and mean patient age was 68; 64% of consults were for possible stroke, and 57% were diagnosed with a stroke or TIA. The teleneurologist provided new diagnostic and/or management recommendations in 70% of consults. Only 8% of patients were transferred for tertiary-level care. Follow-up interviews were performed with 25 patients; 72% endorsed that the virtual neurology consultation improved understanding of their condition and/or treatment. Four patients (16%) stated a preference for the virtual consultation due to the convenience of not being transferred. Only two patients (8%) reported technological barriers.    
This teleneurology consult program was well-received by patients who could be successfully interviewed. Technological concerns were not major barriers, and patients appreciated that hospital transfers were minimized. Based on this initial feedback, the consult service was continued beyond the initial pilot. Further investigation will characterize the impact on transfer volumes and patient outcomes to determine the role of inpatient teleneurology after the pandemic. 
Authors/Disclosures
Pallavi Juneja, MD
PRESENTER 		Dr. Juneja has nothing to disclose.
Aleksandra M. Tolczyk Ms. Tolczyk 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.
Cormac A. O'Donovan, MD (Wake Forest University) Dr. O'Donovan has nothing to disclose.
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.