Access to health care is an ongoing issue for the increasing population of United States veterans with complex health issues. To mitigate the access issue, the Veterans Affairs (VA) utilizes telehealth technology. Telehealth has evidenced its ability to not only increase access and quality of care but may do so more effectively than in-person care. VA Video Connect (VVC) visits are a technology that allows veterans to access appointments with VA clinicians from their homes. Although VVC visits are convenient, effective and safe, there are complexities to its implementation and use. Understanding implementation requires knowing authentic implementation experiences. Experiences with the implementation process of video visits within the VA have not been well examined. Thus, the purpose of this project was to help close the gap that exists regarding video telehealth implementation, by providing programmatic evaluation of the implementation of VVC visits in a VA behavioral health clinic. A one-hour process-oriented discussion with a team of ten behavioral health clinicians who have implemented VVC visits was conducted. Six open-ended discussion questions pertaining to VVC implementation were asked using SWOT (strengths, weaknesses, opportunities and threats) analysis format. Tell me about what ‘worked’…? (Strengths) Tell me about what ‘didn’t work’…? (Weaknesses/Threats) …What would you do differently? (Opportunities). Two team members recorded notes while the project leader facilitated the discussion. Analysis of the discussion and notes informed the evaluation. Consistent with the literature, results identified benefits (strengths), complexities (weaknesses/threats) and opportunities for improvement (recommendations for implementation) for the process of implementing VVC visits. Training challenges, workflow processes, technology functionality, scheduling, and influences on interactions with patients affect the adoption of VVC. Outcome deliverables of the project were a VA comprehensive best practice implementation guide and a case study exemplar; both of which delineate the process of implementing and conducting VVC visits for veterans with behavioral health conditions. This project informed best practices for VA clinicians and continued rollout of implementation of VVC for veterans with behavioral health conditions, perhaps in clinics where it is underutilized and in other VA clinic settings. Furthermore, it improves access while strengthening the quality care for veterans.
|Commitee:||Huey, Sally, Northrop, John|
|School Location:||United States -- District of Columbia|
|Source:||DAI-B 81/12(E), Dissertation Abstracts International|
|Subjects:||Nursing, Information Technology, Health care management|
|Keywords:||Experiences with video telehealth, Home-based video conferencing, Implementation process of video telehealth, Video conferencing evaluation, Video telehealth, Virtual video visits|
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