Military Telehealth: A Model For Delivering Expertise To The Point Of Need In Austere And Operational Environments

Pamplin, Jeremy; Davis, Konrad; Mbuthia, Jennifer; Cain, Steven M; Hipp, Sean J.; Yourk, Daniel; Colombo, Christopher; Poropatich, Ron

doi:10.1377/hlthaff.2019.00273

Cited by 23 publications

(11 citation statements)

References 31 publications

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“…Continue the Expanded Use of Telehealth for Behavioral Health Care and Monitor Care Quality Our analyses highlighted a marked expansion in the use of telehealth following the onset of pandemic-related restrictions. Although the MHS was already taking steps to integrate telehealth into BH care delivery (U.S. House of Representatives, 2016;Pamplin et al, 2019), the pandemic required a rapid, evolving response to ensure care availability and continuity (Mehrotra et al, 2020;MHS Communications Office, 2020;Uscher-Pines et al, 2020). The MHS went from approximately 7,000 monthly telebehavioral health visits in April-September 2019 to approximately 42,000-59,000 visits per month in the same period in 2020-with the highest number of telehealth visits in April 2020.…”

Section: Policy Implicationsmentioning

confidence: 99%

Behavioral Health Care Delivery Following the Onset of the COVID-19 Pandemic: Utilization, Telehealth, and Quality of Care for Service Members with PTSD, Depression, or Substance Use Disorder

2023

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The COVID-19 pandemic, which was declared a public health emergency in February 2020, tested the resilience of the U.S. health care sector like no other disruption in recent history. At the pandemic's onset, the Military Health System (MHS) was already exploring options to expand its use of telehealth, including for behavioral health (BH) conditions. Relying on administrative data on BH visits from the period immediately following the onset of the pandemic and an equivalent period in 2019, RAND researchers conducted preliminary analyses of changes in care delivery in the MHS for posttraumatic stress disorder, depression, and substance use disorder. The findings provide insights about changes in BH care utilization patterns, the use of telehealth, and the effects on the quality of BH care provided to service members. The resulting recommendations can help guide the MHS as it takes steps to expand the use of telehealth, improve health care access and quality, and increase its resilience in the face of future disruptions.The research reported here was completed in December 2021 and underwent security review with the Defense Office of Prepublication and Security Review before public release.

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Section: Policy Implicationsmentioning

confidence: 99%

Behavioral Health Care Delivery Following the Onset of the COVID-19 Pandemic: Utilization, Telehealth, and Quality of Care for Service Members with PTSD, Depression, or Substance Use Disorder

2023

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“…A team from North American pediatricians and surgeon established a tele Pediatric Intensive Care Unit (Tele-PICU) in a war zone at Syria with on ground care provision was done by nonphysicians with oversight provided through tele medical tools 15 . Pamplin et al have described a military model for tele medicine in disaster like situations and war where timeliness, precision and accuracy were considered as mandatory in saving lives 16 . These references exemplify the successful use of this new via healthcare provision with benefits reaching to patients in timely manner along with considerations for health economy.…”

Section: Tele Medicine Models In Other Countriesmentioning

confidence: 99%

Setting Up Tele Health Facilities at Peripheral Small-Scale Healthcare Set Ups

Khan

2021

PAFMJ

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Conventional medicine with direct patient-medic suffers stagnation and may become redundant without any innovative oxygen of ideas. Current healthcare practices will ultimately need newer gateways for evolution, more cost-effective medical businesses and evidence-based healthcare at doorsteps. Though promising, the practice may face additional kick starts for changing patient-physician approach, infrastructural development, ethical and regulatory guidelines to help pave the way forward. In the opinion of author the successful deployment of “Tele-Health” will economize finances, patient referrals, physician/paramedical move to casualty site, improve clinical decisions, quality healthcare provision at country‟s periphery, and can dawn upon new learning avenues by distant learning programs.

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“…Although limitations mentioned above have tempered enthusiasm and acceptance of telehealth among surgical subspecialists in the civilian sector, the military and Veterans Administration have been early adopters. 1 , 2 , 3 , 4 Their entrenched hub-and-spoke organizational structure, which covers broad regions with varying degrees of resources, makes for a perfect environment to realize the unique benefits of telehealth. Despite the aforementioned challenges, surgical and nonsurgical specialty groups have already reported successful results with telehealth consultation within their fields.…”

Section: Introductionmentioning

confidence: 99%

A Multicenter Evaluation of the Feasibility, Patient/Provider Satisfaction, and Value of Virtual Spine Consultation During the COVID-19 Pandemic

et al. 2021

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Objective To assess the feasibility, patient/provider satisfaction, and perceived value of telehealth spine consultation after rapid conversion from traditional in-office visits during the COVID-19 pandemic. Methods Data were obtained for patients undergoing telehealth visits with spine surgeons in the first 3 weeks after government restriction of elective surgical care at 4 sites (March 23, 2020, to April 17, 2020). Demographic factors, technique-specific elements of the telehealth experience, provider confidence in diagnostic and therapeutic assessment, patient/surgeon satisfaction, and perceived value were collected. Results A total of 128 unique visits were analyzed. New (74 [58%]), preoperative (26 [20%]), and postoperative (28 [22%]) patients were assessed. A total of 116 (91%) visits had successful connection on the first attempt. Surgeons felt very confident 101 times (79%) when assessing diagnosis and 107 times (84%) when assessing treatment plan. The mean and median patient satisfaction was 89% and 94%, respectively. Patient satisfaction was significantly higher for video over audio-only visits ( P < 0.05). Patient satisfaction was not significantly different with patient age, location of chief complaint (cervical or thoracolumbar), or visit type (new, preoperative, or postoperative). Providers reported that 76% of the time they would choose to perform the visit again in telehealth format. Sixty percent of patients valued the visit cost as the same or slightly less than an in-office consultation. Conclusions This is the first study to demonstrate the feasibility and high patient/provider satisfaction of virtual spine surgical consultation, and appropriate reimbursement and balanced regulation for spine telehealth care is essential to continue this existing work.

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Military Telehealth: A Model For Delivering Expertise To The Point Of Need In Austere And Operational Environments

Cited by 23 publications

References 31 publications

Behavioral Health Care Delivery Following the Onset of the COVID-19 Pandemic: Utilization, Telehealth, and Quality of Care for Service Members with PTSD, Depression, or Substance Use Disorder

Behavioral Health Care Delivery Following the Onset of the COVID-19 Pandemic: Utilization, Telehealth, and Quality of Care for Service Members with PTSD, Depression, or Substance Use Disorder

Setting Up Tele Health Facilities at Peripheral Small-Scale Healthcare Set Ups

A Multicenter Evaluation of the Feasibility, Patient/Provider Satisfaction, and Value of Virtual Spine Consultation During the COVID-19 Pandemic

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