Purpose: To provide necessary documentation to support the implementation of real-time video telemedicine into practice for emergent pediatric neurosurgical consultations to improve access and outcomes across the state of Kentucky. The hypothesis: If telemedicine had been available for emergent pediatric neurosurgical consultations to emergency departments across Kentucky during the calendar year 2013, patient outcomes would have improved, and healthcare costs would have been reduced by preventing unnecessary transports and duplication of services.
Methods: A retrospective descriptive cohort design study to retrieve and analyze data within electronic medical records of all pediatric patients transferred to Kosair Children’s Hospital for emergent pediatric neurosurgical evaluation during the calendar year 2013.
Results: A total of 155 patients were transferred for emergent neurosurgical consultation meeting criteria. Approximately 80% did not require surgery; 8.4% were discharged directly from the emergency room and additional 28.4% in less than 24 hours. An estimated $415,000 - $700,000 could have been saved from health care spending by preventing unnecessary transfers, supporting the need for telehealth consultation.
|Advisor:||Hawkins, Lee Ann|
|School:||Indiana Wesleyan University|
|School Location:||United States -- Indiana|
|Source:||DAI-B 78/11(E), Dissertation Abstracts International|
|Keywords:||Kentucky, Pediatric neurology, Telemedicine|
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