Analyzing Data from the Evidence-Based Telehealth Network Grant Program Grantees and Preparing Manuscripts to Further the Evidence Base for Tele-ED

Research center:
Rural Telehealth Research Center
Phone: 319.384.3830
Lead researcher:
Project funded:
September 2018
Project completed:
November 2019

This project's main purpose was to analyze data using the revised Tele-Emergency Performance Assessment Reporting Tool gathered from Evidence-Based Tele-Emergency Network Grant Program (EB TNGP) grantees on all of their cases using telehealth in the emergency department (tele-ED) and a matched sample of non-tele-ED records to conduct comparative effectiveness analysis to help establish the evidence base for tele-ED. The data collection period covered November 2015 through December 2017. During this period, the EB TNGP grantees provided services to 4,324 tele-ED encounters. Non-tele-ED control cases for selected intervention conditions (acute myocardial infarction, chest pain, severe sepsis/shock, and stroke) were used along with the tele-ED cases for manuscripts on the comparative effectiveness analysis of each of these conditions. In addition, manuscripts were published focuses on comparing and contrasting general tele-ED service with specialized tele-ED services for pediatrics and for behavioral health. Additional manuscripts were written describing the rate and effect of averted transfers and time to treatment. The findings from this EB TNGP effort have contributing substantially to the evidence base for tele-ED.


Publications

  • Emergency Department Telemedicine Consults Consistently Decrease Time to Head CT Interpretation in a Multi-Network Cohort
    Rural Telehealth Research Center
    Date: 11/2019
    This was a study of emergency telemedicine (tele-ED) for stroke care in four tele-ED networks. Tele-ED was associated with decreased time to diagnostic imaging interpretation and time to thrombolytic medication. The effect of tele-ED varied by network, suggesting network characteristics may influence the realized tele-ED benefit for stroke care.
  • Pediatric Tele-Emergency Care: A Study of Two Delivery Models
    Rural Telehealth Research Center
    Date: 04/2019
    This study describes two tele-emergency programs that provide care to pediatric populations. Qualitative descriptions of the two tele-emergency department (ED) models and key characteristics of the patient populations served by tele-ED are presented. The study informs others about evaluative measures and how tele-ED works in practice.
  • Provider-to-Provider Telemedicine Improves Adherence to Sepsis Bundle Care in Community Emergency Departments
    Rural Telehealth Research Center
    Date: 01/2020
    Sepsis is a life-threatening emergency, and timely "bundled" care improves survival. In this rural cohort, telemedicine in the emergency department (tele-ED) improved sepsis bundle adherence, including timely fluid resuscitation and antibiotic administration. Tele-ED may be a scalable intervention to improve sepsis emergency care in rural EDs.
  • Tele-Emergency Behavioral Health in Rural and Underserved Areas
    Rural Telehealth Research Center
    Date: 11/2019
    This paper describes how two distinct tele-emergency department (ED) behavioral health models address challenges in access and placement for patients in rural and underserved areas presenting to EDs. The notable difference in disposition rates between cases and controls shows the impact each model is having on care practices and processes.