Joslin Vision Network Examination for Diabetic Retinopathy in a Veterans Hospital - Phase 2.

Cavallerano, Anthony; Katalinic, Paula; Cavallerano, Jerry D.

doi:10.1097/00006324-200212001-00307

Cited by 4 publications

(4 citation statements)

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“…The rate of laser therapy increased from 19.6 per 1000 patients with DM in 1999 to 29.5 per 1000 in 2003 for a 51% increase in the laser treatment rate. 18 In a retrospective observational cohort study, 19 …”

Section: Jvn Clinical Programsmentioning

confidence: 99%

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Telemedicine and Diabetic Retinopathy

Silva

Cavallerano²,

Aiello³

et al. 2011

Arch Ophthalmol

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Section: Jvn Clinical Programsmentioning

confidence: 99%

“…A total of 679 (55.7%) had no DR in either eye, and 229 (18.8%) had mild NPDR in the more severe eye. Of the 908 patients with either no DR or mild NPDR in the eye with the more severe disease (74.5%), 533 (58.7%) had at least 1 non-DM ocular finding necessitating referral 19. …”

mentioning

confidence: 99%

Telemedicine and Diabetic Retinopathy

Silva

Cavallerano²,

Aiello³

et al. 2011

Arch Ophthalmol

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“…9 Teleophthalmology, which involves telemedicine applied to clinical ophthalmology, is already in widespread use for nonemergency eye care. It is well established to screen for diabetic retinopathy [10][11][12][13] and retinopathy of prematurity. [14][15][16] The concept of Internetbased counseling of ophthalmology patients located remotely has existed for more than a decade, 17 and its use for urgent consultations has been described internationally, especially in Australia.…”

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confidence: 99%

Supply and Perceived Demand for Teleophthalmology in Triage and Consultations in California Emergency Departments

2016

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IMPORTANCE Determining the perceived supply and potential demand for teleophthalmology in emergency departments could help mitigate coverage gaps in emergency ophthalmic care. OBJECTIVE To evaluate the perceived current need for and availability of ophthalmologist coverage in California emergency departments and the potential effect of telemedicine for ophthalmology triage and consultation. DESIGN, SETTING, AND PARTICIPANTS Surveys were remotely administered to 187 of the 254 emergency departments throughout California via the telephone and Internet from June 30 to September 23, 2014. Emergency department nurse managers and physicians from all emergency departments listed in the California Office of Statewide Health Planning and Development database were individually surveyed to assess facility characteristics and resources as well as the perceived usefulness of teleophthalmology consultation. Data analysis was conducted from June 30, 2014, to March 11, 2015. MAIN OUTCOMES AND MEASURES Perceived availability of ophthalmology consultation coverage and perceived effect of telemedicine ophthalmology consultation at each facility. RESULTS Of the 187 emergency departments surveyed, 18 of 37 rural facilities (48.6%) reported availability of emergency ophthalmology coverage, compared with 112 of 150 nonrural facilities (74.7%). Rural facilities reported a mean (SD) of 23.72 (14.15) miles between the facility and referral location, while nonrural facilities reported a mean of 4.41 (10.23) miles (19.3% difference). On a scale of 1 to 5 (where 1 signifies very low value and 5 signifies very high value), 124 of 187 nurse managers (66.3%) and 80 of 121 physicians (66.1%) rated teleophthalmology as having high or very high value for triage purposes. The most frequently cited potential advantage of emergency teleophthalmology was assistance in patient triage and immediate real-time electronic communication, and the most frequently cited potential disadvantages were unknown cost of contracting and maintenance and concern that eye trauma might make photographs or videos less conclusive. CONCLUSIONS AND RELEVANCE Availability of ophthalmology coverage for emergency eye care is limited, particularly among rural emergency departments in California. Surveyed emergency department nurse managers and physicians indicated moderately high interest and perceived value for a teleophthalmology solution for remote triage and consultation. Overall, the study suggests that teleophthalmology could play a role in mitigating coverage gaps in emergency ophthalmic care and could be further investigated through similar studies in other regions.

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“…The Joslin Vision Network (JVN) is a teleophthalmology modality developed by the Joslin Diabetes Center that has been validated as equal to or better than a live, dilated retinal examination for diagnosing the level of DR and diabetic macular edema (DME) [26,27] and is also able to identify other common non-DR eye diseases [28]. This technology does not use pupil dilation and is noninvasive, so it can be implemented in a primary care setting and easily integrated into the normal clinical workflow of care for patients with diabetes.…”

Section: Teleophthalmology: Preventing Blindness In Diabetic Patientsmentioning

confidence: 99%

The Success of Telehealth Care in the Indian Health Service

Hays¹,

Carroll

Ferguson

et al. 2014

AMA Journal of Ethics

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Services (HHS) whose mission is to raise the health status of American Indian and Alaska Native (AI/AN) people to the highest level [1]. The IHS carries out this mission through a nationwide network of hospitals and clinics in 35 states, partially funded by an annual federal appropriation of approximately $4.4 billion [2]. A significant proportion of operating budgets for IHS facilities also comes from third-party revenue collections for services delivered to patients covered by insurance.

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Joslin Vision Network Examination for Diabetic Retinopathy in a Veterans Hospital - Phase 2.

Cited by 4 publications

References 0 publications

Telemedicine and Diabetic Retinopathy

Telemedicine and Diabetic Retinopathy

Supply and Perceived Demand for Teleophthalmology in Triage and Consultations in California Emergency Departments

The Success of Telehealth Care in the Indian Health Service

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