slide 1 - welcome to harborview teleconsult
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June 4, 2007Version 4.0
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Agenda
• Welcome and Introductions• Background • Current Setup• TeleConsult Program
– Overview– Emergent vs. Elective workflows– Roles and responsibilities– Schedules
• TeleConsult Web portal• Next Steps• Q & A
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Welcome & Introductions
Harborview Team
Administrative– Cindy Hecker, R.N. – April Delgado, R.N.– Joe Marotta– Annie Feyereisen, R.N.– Chris Martin, R.N.– Peter Ghavami– George Cua– Shirley DeVera– Cara Towle
Physicians
– Richard Ellenbogen, M.D.– Laligam Sekhar, M.D.– Wendy Cohen, M.D.– David Tirschwell, M.D.– Randall Chesnut, M.D.– Marcelo Vilela, M.D.– Kyra Becker, M.D.
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Background & History
2000: First generation PACS installed at Harborview
2004: Harborview totally filmless
2005: To PRESENT:
– Identified need to transmit digital radiology images from referring hospitals. (Trauma was our primary focus.)
– Determined need to establish a hospital to hospital connection that met all the security and privacy requirements.
– Created Virtual Private Network (VPN).
– Created HIPAA compliant agreement for digital information sharing between hospitals.
– Presented the availability of the VPN connection at the Governor's Steering Committee on Trauma.
– Began connecting hospitals across the state to the network.
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Current Setup
PACS TeleRadiologyGateway
(Mini PACS)
VPNConcentrator
Internet(MedWAN, GCI, PeaceHealth,
AT&T, Qwest, etc.)
Kadlec Medical
Harborview Medical Center
Currently connected to 51 hospitals
Lake ChelanHarrison Medical
Central Washington
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TeleConsult Pilot Program (1)
• Pilot Objective:– Provide neurosurgery consult to regional hospitals
(initially with four hospitals in the region).
– Improve trauma patient transfer decisions using TeleConsult(patient at the right facility).
– Improve trauma patient transfer procedures via TeleConsult.
– Identify non-emergent neurosurgery cases that can benefit from TeleConsult.
• Participants– Central Washington Hospital (CWH)
– Lake Chelan Community Hospital (LCCH)
– Harrison Medical Center (Harrison)
– Kadlec Medical Center (KMC)
• Duration– Three to four months.
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TeleConsult Pilot Program (2)
• Pilot Coordinators– Executive Sponsor: Cindy Hecker, R.N.
– Pilot Manager: Chris Martin, R.N.
– Transfer Center/Medcon: April Delgado, R.N.
– Clinical Manager: Annie Feyereisen, R.N.
– Technical Manager: Peter Ghavami
• Metrics & Measurements– Quantity of consults by hospital, date and type
– Response time from Medcon
– Response time from neurosurgeons
– Outcomes
• Weekly conference calls– Monitor progress
– Report and resolve any workflow issues
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TeleConsult Pilot Program (3)
Milestone Date Participants
Orientation Monday, June 4 CWH, LCCH, Harrison, KMC
1st Pilot group Monday, June 11 CWH, LCCH,
Harrison, KMC
Weekly conference call
Every Monday until October
All participants
Schedule
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TeleConsult WorkflowEmergentor ElectiveConsult?
Call HarborviewTransfer Center
Enter Consult Request Form
on Web site:www.ReachHarborview.org
Emergent (0-1hr) Elective (0-24hrs)
Neurosurgeon contactsreferring physician
Medcon calls back andconfirms
receipt of information
Send imagesto Harborview
Neurosurgeon will follow up(If required)
Send imagesto Harborview
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www.ReachHarborview.org
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Next Steps
• Register yourself and encourage your physicians to register at www.ReachHarborview.org.
• Tell physicians at your hospital about this program. Encourage them to use it.
• Use the online request form for nonemergent consult requests.
• Use the usual Transfer Center phone number for emergent requests,(888) 731-4791.
• Don’t forget to send the Radiology images (CT/MRI) to Harborview via PACS (see instruction sheet). Please refer to Harborview’s CT and MRI scanning protocols at www.ReachHarborview.org.
• Participate in weekly pilot meetings: Mondays, 3 p.m., phone number: (206) 315-1785, code: 50065#.
What can you do to make this a success?
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Q & A
• Whom do I contact if I have a question?
– For Medcon/Transfer Center questions,
• contact: April Delgado, R.N., (206) 744-6247
– For neurosurgery questions,
• contact: Annie Feyereisen, R.N., (206) 744-9314
– For technical questions,
• contact: Peter Ghavami, (206) 731-2636
• Do I use the Web site for emergent cases?
– No. For emergent cases contact Harborview Transfer Center at(888) 731-4791.
• How do I get technical help?
– Contact your IT professional, or page Harborview PACS/IT professionals at: (206) 541-1653.
– Refer to the Web site for more IT contact information.
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Q & A
• What if a response is taking longer than expected?
– Contact:
• Medcon: Elective consults - (800) 326-5300
• Harborview Transfer Center: Emergent consults – (888) 731-4791
• What feedback do we receive after requesting a consult?
– You’ll get a call from the neurosurgeon
– You’ll receive the attending’s notes via fax.
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THANK YOU