The LVHN TeleBurnSM Program
Mid-Atlantic Telehealth Resource
Center Summit

March 15-16, 2012
Joe Tracy
VP – Telehealth Se...
Program Purpose
■

To assess burn patients quickly by both
the local Emergency Room attending
physician and an LVH Burn Su...
What is so innovative about
LVHN TeleBurnSM?
■

Outreach strategy involving:
– A service not typically offered by many
sma...
What is so innovative about
LVHN TeleBurnSM?
■

Outreach strategy involving:
– Simple and inexpensive technology for the
r...
Back to the Future
Emergency Telephone Call – Burn
Remote Physician Description
■
■
■
■
■
■

83 year-old male
Burned his lower leg yesterday ...
Additional Conversation
■

Burn Surgeon: Is his pain controlled and
does there appear to be any signs or
symptoms of cellu...
Do you have the image of this burn
in your mind?
Case Summary
■

TELEPHONE
– Same verbal
communication
– No Visual
– .5% burn TBSA
– Pt. probably treated
local and sent ho...
Important Points to Make Based
on the Summary
■

Telehealth provides a better assessment of
the patient, because providers...
LVHN TeleBurn by the Numbers
(December 2008 – Current)
■

Hospitals
– 37 installed
– 7 pending installation
– 10 pending a...
TeleBurn Encounters To Date
(December 31, 2011)
11%
15%

38%

36%

Admitted to BC
Outpatient BC Only
Remained Local
Other
...
TeleBurn Encounters by Month
70
60
50
40
30
20
10

FY 2011

Fe
b
M
ar
A
pr
M
ay
Ju
n

Ja
n

D
ec

Ju
l
A
ug
Se
p
O
ct
N
ov...
Declining Cost to Implement
TeleBurn
■

2008 TeleBurn – Version 1 - ~$5,000

■

2009 TeleBurn – Version 2 - ~$2,400

■

20...
Too Cumbersome!
LVHN TeleBurnSM
Make Sure You See
The Entire Picture!

Picture – courtesy of Robert Schosser, MD, East Carolina University
Accurate Verbal Description, but
the Picture Tells the Story

Picture – courtesy of Robert Schosser, MD, East Carolina Uni...
Summary
■

Enhanced communications by adding
a couple pictures to the conversation.

■

Implemented a web-based, mHealth
s...
Questions & Answers
My Contact Information:

Joe Tracy
Vice President – TeleHealth Services
(484) 884-8633
joseph.tracy@lv...
The LVHN Teleburn Program
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The LVHN Teleburn Program

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Presentation by Joe Tracy, Vice President, Telehealth Services, Lehigh Valley Health Network

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The LVHN Teleburn Program

  1. 1. The LVHN TeleBurnSM Program Mid-Atlantic Telehealth Resource Center Summit March 15-16, 2012 Joe Tracy VP – Telehealth Services
  2. 2. Program Purpose ■ To assess burn patients quickly by both the local Emergency Room attending physician and an LVH Burn Surgeon. – Initiate treatment earlier! – Triage Enhancement through Collaboration with a Regional Burn Center.
  3. 3. What is so innovative about LVHN TeleBurnSM? ■ Outreach strategy involving: – A service not typically offered by many small hospitals. – Visits and presentations to remote sites by: • Burn Center Medical Director • VP of Telehealth • TeleBurn Liaison (on-going sales and service) – Information Services providing the technology support.
  4. 4. What is so innovative about LVHN TeleBurnSM? ■ Outreach strategy involving: – Simple and inexpensive technology for the remote site. – Agreements between LVHN and the sites. – The Guide to Getting Started with LVHN TeleBurn. – 24/7/365 response by LVHN Burn Surgeons – mHealth technologies used at LVHN
  5. 5. Back to the Future
  6. 6. Emergency Telephone Call – Burn Remote Physician Description ■ ■ ■ ■ ■ ■ 83 year-old male Burned his lower leg yesterday while burning brush with gasoline. His burn looks to be about 0.5% TBSA. Wound is pink and moist with blistering. Patient has a history of diabetes and heart disease as well as mild dementia. I would like to treat him here and refer if there are any complications with healing.
  7. 7. Additional Conversation ■ Burn Surgeon: Is his pain controlled and does there appear to be any signs or symptoms of cellulitis. ■ Remote Dr.: His pain is controlled and he does not have any signs of cellulitis. His wound looks pink. ■ Burn Surgeon: Does the wound blanch? ■ Remote Dr.: It appears to blanch in the area of blister…..
  8. 8. Do you have the image of this burn in your mind?
  9. 9. Case Summary ■ TELEPHONE – Same verbal communication – No Visual – .5% burn TBSA – Pt. probably treated local and sent home. – Big chance for infection – If wound becomes infected – two surgeries vs. one ■ TELEHEALTH – Same verbal communication – Couple Digital Pics – 1.5% burn TBSA – Pt. transferred to LVHN Burn Center – No infection due to timely treatment – One surgery – next day – discharged on day 5
  10. 10. Important Points to Make Based on the Summary ■ Telehealth provides a better assessment of the patient, because providers are not working blindly. ■ Payor implications – two surgeries vs. one and corresponding LOS differences. ■ Think about the legal issues of mistreatment. ■ MOST IMPORTANT – think about the implications for the patient.
  11. 11. LVHN TeleBurn by the Numbers (December 2008 – Current) ■ Hospitals – 37 installed – 7 pending installation – 10 pending agreements – 4 contacted – 8 on the radar screen ■ Industry partners – HealthWorks – Just Born – Deka Batteries
  12. 12. TeleBurn Encounters To Date (December 31, 2011) 11% 15% 38% 36% Admitted to BC Outpatient BC Only Remained Local Other N = 1132 patients
  13. 13. TeleBurn Encounters by Month 70 60 50 40 30 20 10 FY 2011 Fe b M ar A pr M ay Ju n Ja n D ec Ju l A ug Se p O ct N ov 0 FY 2012
  14. 14. Declining Cost to Implement TeleBurn ■ 2008 TeleBurn – Version 1 - ~$5,000 ■ 2009 TeleBurn – Version 2 - ~$2,400 ■ 2009 TeleBurn – Version 3 - ~$400
  15. 15. Too Cumbersome!
  16. 16. LVHN TeleBurnSM
  17. 17. Make Sure You See The Entire Picture! Picture – courtesy of Robert Schosser, MD, East Carolina University
  18. 18. Accurate Verbal Description, but the Picture Tells the Story Picture – courtesy of Robert Schosser, MD, East Carolina University
  19. 19. Summary ■ Enhanced communications by adding a couple pictures to the conversation. ■ Implemented a web-based, mHealth solution to speed up the emergent conversation. ■ Built a solid outreach program around the program. ■ Provide on-going support to the TeleBurn sites!
  20. 20. Questions & Answers My Contact Information: Joe Tracy Vice President – TeleHealth Services (484) 884-8633 joseph.tracy@lvhn.org
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