traditional telehealth training - cart virtual 2020
Post on 14-Feb-2022
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School-Based Telehealth
Virtual Training for School Nurses with Avizia Cart
2020–2021 School Year
Proprietary and Confidential 1
Agenda
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• Welcome & Introductions
• Children's Health School-Based Telehealth Program and Process
• Point of Care Training and Demo
• Cart Workflow
• Demo/Hands-on Training
• Sign training documentation
Learning Outcomes
School Nurses will be able to do the following as a result of this training:
• Understand Children’s Health Telehealth Program in the school setting
• Summarize the School Nurse’s role in Telehealth:
• Identify Telehealth-appropriate patients
• Obtain Consent
• Perform Intake Process and Point of Care Testing
• Operate Avizia Cart
• Access EPIC After Visit Summary (AVS)
• Obtain and utilize marketing materials for Telehealth Program
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Dallas, Texas
Healthcare Innovation in Schools
• True partnership between Children’s Health and School Districts or Private Schools
• No out of pocket cost to the district
• Children’s Health provides all nurse training, set-up and marketing tools for success
• Reduce unnecessary visits to urgent care and ER
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Dallas, Texas
Telehealth Process: School Nurse's Role
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Access EPIC Access Epic and print After Visit Summary (AVS) for parent/guardian
Conduct Consult Conduct consult with provider
Complete Intake Complete Intake Process, inclusive of appointment scheduling and POCT
Call Call parent/guardian
Locate consent Identify if consent for student is on file; if not, obtain consent
Determine appropriateness Determine if symptoms are telehealth-appropriate
Dallas, Texas
Step 1: What is Telehealth-appropriate?
Telehealth-appropriate:
• Asthma & Asthma Action Plans
• Coughs, colds and the flu
• Earaches
• Fever
• Headaches
• Pinkeye
• Rashes or skin irritations
• Head lice
• Allergies
• Sore throat
• Follow-ups from previous Children’s
telehealth consults
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Not appropriate for Telehealth:
• Isolated Diarrhea
• Isolated Vomiting
• Emergencies
Step 2: Obtain Consent
• Signed documentation by a parent or guardian, providing consent for care must be
on file for each student who is seen via Telehealth, each school year.
• Methods to obtain consent:
1. Online, by parent:
www.childrens.com/schools
or
through district registration
2. Paper, submitted by nurse via:
• Scan and email: schoolbasedintake@childrens.com
• Fax: 214-456-6866
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Step 2: Consent, cont’d.
How do you know which students have consent on file?
–Call 844-4Telemed (844-483-5363)
–Roster emailed from Sr. Patient Access Rep (“SPAR”)?
–Your records or district registration portal
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Consent form on
Childrens.com/schools
Step 3: Call parent/guardian
• Confirm consent verbally for Telehealth visit on that day
• Billing:
–Call 844-4Telemed for detailed questions
–Basic billing information:
»Medicaid – Nothing out of pocket
»CHIP – Minimal cost/copay
»Commercial insurance – cost varies
»No insurance – $50 or “prompt pay discount”
• Other helpful information from parent:
• New Allergies and/or conditions
• Medication(s) taken that day
• Pharmacy
• Do they want to partake in or call into visit?
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Step 4: Intake Form
Visit www.childrens.com/schoolnurses and complete Intake form in its entirety:
1. Childrens.com/schoolnurses:
2. Intake Form:
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Click here
All *starred fields
required; BP is
recommended
Step 4: Intake Form, cont’d
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Confirm appointment time after
submitting form
You are the “Telehealth Presenter”;
AVS - “After Visit Summary”
“Supervisor” only required for MA’s
Step 4: Intake, Point of Care Testing (POCT)
• Diagnostic testing done at the “point of care”; examples: rapid Strep or rapid Flu tests
• Allows for most accurate diagnosis and effective treatment
• “Standing Orders” allow school nurses to begin diagnostic process ASAP, even before the Telehealth consult
begins
• Standing orders:
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Step 4: Intake, POCT
1. Intake form (embedded): 2. Provider-ordered (separate url):
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*Documentation of results on Patient Results log is required
provided in the Point of Care Resource Manual
Document results online through ONE of the following ways*:
Dallas, Texas
Step 4: Intake, Scheduling Step 5: Start Consult
Once Intake form is submitted, our office will
contact you and confirm your appointment time
and provider.
If you haven't heard from our team
within 15 MINUTES, please call 1-844-
4Telemed.
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• 5 minutes before appointment time:
• Test Cart equipment to ensure
operability and connectivity
• See slides 25-26 for instructions on
cart
Dallas, Texas
Step 6: After Visit Summary
• What is the AVS?
• Provider’s summary of visit findings and recommendations
• Like “discharge” papers
• Print and place in sealed envelope for parents/guardians after EVERY VISIT
• Accessing the AVS:
• Your EPIC username and password will be sent to you within a month of your training
• Then, you’ll set-up your account by following the instructions found here.
• In the future, access EPIC this way:
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POCT Training Videos
QuickVue Strep A Test Video Osom Ultra Flu A&B Test
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Perform hands-on training
POCT Documentation
• Temperature logs:
• Tracking the temperature where your tests are
stored ensures test efficacy
• Log temperatures daily on provided forms:
• Result logs:
• Document your results online and on the
provided paper form:
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Dallas, Texas 24Privileged and Confidential
Step 5: Conduct Telehealth Consult
Horus Scope
Press the AUX
button, so the
provider can
see what you
see!
Dallas, Texas
Step 5: Conduct Telehealth Consult
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Telehealth uses the following that will be
provided:
✓ Avizia Cart
✓ Adaptors included
• Stethoscope
• Otoscope
• Horoscope
✓ Each unit transmits data over an
encrypted network meeting HIPPA
requirements
Maintain Privacy
• Curtain
• Partition
• Separate room
1
Be present during the consult
2
Keep cart ON and plugged in
• Updates can occur overnight
3
Press the AUX button
4
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Step 5: Conduct Telehealth Consult
Tips & Reminders
Step 5: Conduct Telehealth Consult
• Demo and Role play or "Mock" visit
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Next Steps
• Get Started on Your Campus!
• Set Up EPIC AVS account, per email from trainer
• Perform “Mock” consult in your clinic, using your cart:
–15-20 minutes
• Post Marketing Materials:
–Banners
–Yard Signs
–Newsletter/Email Blast
• POCT Supplies & Binder
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Contact Us
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Karen Kaighan RN, MSN, MPH
Director- School Health Programs
karen.kaighan@childrens.com 214.801.8312
Danielle Beal, MS
Operations Manager, School Health
Programs
danielle.beal@childrens.com 469.503.3050
Sandra Vazquez
Health Educator
sandra.vazquez@childrens.com 214.435.5384
Natasha McGill, LVN
Virtual Health Consultant
natasha.mcgill@childrens.com 214.232.5535
Alli Carroll, RN-BC
Virtual Health Consultant
allison.carroll@childrens.com 214.918.0955
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