Abstract
Problem
Emergency department overcrowding and acuity are significant challenges to patients
and staff. Low-acuity patients have extended wait times, and decreased satisfaction
can have a negative effect on patient flow.
Methods
A multidisciplinary ED team developed and launched the first ED-based Telehealth Express
Care Service, where patients who present to the emergency department with minor complaints
are offered a “virtual visit” with a board-certified emergency physician located remotely.
Results
More than 6 months into the program, more than 1,300 patients have been treated. These
patients experienced decreased length of stay (2.5 hours to 38 minutes) and increased
satisfaction. The program is very well received by staff members who appreciate its
efficiency.
Discussion
Telehealth has the potential to optimize ED efficiency, increase patient satisfaction,
and promote safe, high-quality provision of care.
Key words
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Emergency NursingAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- The inaccuracy of determining overcrowding status by using the national ED overcrowding study tool.Am J Emerg Med. 2014; 32: 1230-1236https://doi.org/10.1016/j.ajem.2014.07.032
- About us: New York-Presbyterian.
- Reasons for Emergency Room Use Among U.S. Adults Aged 18–64: National Health Interview Survey, 2013 and 2014.in: National Health Statistics Reports, no. 90. Hyattsville, MD, National Center for Health Statistics2016
- Solutions for ED overcrowding: increasing urgent care centers.J Emerg Nurs. 2012; 38 (https://doi.org/10.1016/j.jen.2011.12.009): 116-117
- Practice guidelines for live, on demand primary and urgent care. Americantelemed.Org.
- NYP-Weill Cornell telehealth program slashes ER times for patients with minor complaints. Healthcare IT News.
- New York Presbyterian OnDemand.http://www.nyp.org/ondemandDate: 2017
- Driving efficient flow: three best-practice models.J Emerg Nurs. 2013; 39 (https://doi.org/10.1016/j.jen.2013.02.008): 481-484
- Nurses leading the transformation of patient care through Telehealth.JONA. 2015; 45 (https://doi.org/10.1097/nna.0000000000000279): 650-656
- Notes on Nursing: What It Is and What It Is Not.D Appleton and Company, New York1860
Biography
Catherine McHugh is a Patient Safety Nurse in the Emergency Department of New York-Presbyterian/Weill Cornell Medical Center, New York, NY.
Biography
Rhonda Krinsky is Patient Care Director, Emergency Department, New York-Presbyterian/Weill Cornell Medical Center, New York, NY.
Biography
Rahul Sharma is Emergency Physician-in-Chief, New York-Presbyterian/Weill Cornell Medical Center, Weill Cornell Medicine, New York, NY.
Article info
Publication history
Published online: April 06, 2018
Footnotes
Earn Up to 6.5 CE Hours. See page 543.
Identification
Copyright
© 2018 Emergency Nurses Association. Published by Elsevier Inc. All rights reserved.