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Implementing tele trauma & teleemergency in georgia
Implementing tele trauma & teleemergency in georgia
Implementing tele trauma & teleemergency in georgia
Implementing tele trauma & teleemergency in georgia
Implementing tele trauma & teleemergency in georgia
Implementing tele trauma & teleemergency in georgia
Implementing tele trauma & teleemergency in georgia
Implementing tele trauma & teleemergency in georgia
Implementing tele trauma & teleemergency in georgia
Implementing tele trauma & teleemergency in georgia
Implementing tele trauma & teleemergency in georgia
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Implementing tele trauma & teleemergency in georgia

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  • 1. Teletrauma: Putting it all Together Rich Bias, Sr. VP MCG Health Debra Kitchens, RN, Trauma Program Manager MCCG Cyndie Roberson, RN, Director of Patient Intake, CHOA
  • 2. Background and Significance Disparities exist in trauma morbidity and mortality based on a rural or urban care setting The relative risk of a rural victim dying in a motor vehicle crash is 15 times higher than in urban areas Injury related deaths are 40% higher in rural communities 87% of rural pediatric traumas do not survive to reach the hospital
  • 3. Rural ED Solution: Rural ED Teletrauma Network Level I Rural ED Trauma Center•  Program began July 2009•  Goal – to enable rural emergency department practitioners and trauma patients access to a team of surgeons and specialists at a Level I Trauma Center•  Innovative and cutting edge technology used to save lives, increase efficiency, and improve the level of care
  • 4. Phase IRegion V: Trauma Center Medical Center of Central Georgia Rural Partners Dodge County Hospital Fairview Park Hospital Peach Regional Medical Center Taylor Regional Hospital
  • 5. Advantages to Teletrauma Network •  Enable rural trauma team to virtually add a trauma specialist to their response team •  Utilizes real-time visual link which greatly enhances the trauma specialists ability to participate in care •  Improved communication, improve continuum of care •  Improve relationships between health care providers• Aid in the initial evaluation, treatment, and care of thepatients which can improve outcomes and reduce cost
  • 6. Results from Phase I •  Positive attitude toward use of the telemedicine system •  73% indicated that using telemedicine is a good idea •  80% reported that using telemedicine is a positive step •  87% reported they plan to use telemedicine for trauma in the future •  53% noted that using telemedicine increases their effectiveness •  58% found system useful in their jobs •  Clinical Outcomes •  67% reported using system makes it easier to evaluate patients •  Overall satisfaction was reported to be 69%
  • 7. Moving Forward Phase II: 2 additional Level I Trauma Centers, 1 Pediatric Specialty Center and 18 Rural Hospitals MCG Health, Inc Memorial Health University Childrens Healthcare of Medical Center Atlanta•  Emanuel Medical •  Jeff Davis Hospital Center •  Bacon County Hospital •  Habersham County Medical•  Washington County •  Effingham County Hospital Center Regional Medical •  Satilla Regional Medical •  Chatuge Regional Hospital Center Center •  Miller County Hospital•  Burke Medical Center •  Coffee Regional Medical•  Jefferson Hospital Center•  McDuffie Regional Medical Center
  • 8. Phase II Process andImplementation Identification of Rural Partners•  Transfer patterns to Trauma Centers Credentialing•  By Proxy Credentialing Training/Inservice• Basic Inservice• Advanced end to end process testing Process Go Live• Trauma Physician availability 24/7
  • 9. Telemedicine Process and FlowEnhanced access to specialty consultation Through enhanced resources Patient Arrival in Rural Emergency Room physician collaboration increases the likelihood of a positive Notification to Level I trauma Center outcome • ATLS stabilization and transport guidelines and principles can be Collaborative Evaluation through telemedicine enhanced primary and directed by the trauma surgeon secondary survey • Mutual decisions for patient Synergistic determination for treatment plan and patient disposition disposition ensure the most efficient use of resources without compromising outcome Evaluation and Outcome . Patient transferred to Level I Patient remains at local hospital for Trauma Center for further care evaluation and treatment
  • 10. Phase II Evaluation• Use of a standardized process will allows comparison of outcomes for all sites• Additional component added to determine perceptions influencing intentions of traumaand emergency team members to support the use of a telemedicine system for trauma• Specific Questions: • What are the perceptions of trauma and emergency team members about the use of a telemdicine system for trauma • What are the relationships between pre and post implementation perceptions and intentions to support the use of a telemedicine system for trauma • What effect did the use of a telemedicine system have on the number of transfers to the Level I trauma center
  • 11. Based on the outcomes from Phase I and Phase II ofthe project next steps will be determined.The goal is to be able to provide telemedicine servicesfor trauma care throughout the state of GeorgiaQuestions ?

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