Traditional Telehealth Training - Cart Virtual 2020

School-Based Telehealth

Virtual Training for School Nurses with Avizia Cart

2020–2021 School Year

Proprietary and Confidential 1

Agenda


• 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


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

4Privileged and Confidential

Dallas, Texas

Telehealth Process: School Nurse's Role


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


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: [email protected]

• Fax: 214-456-6866

7Proprietary and Confidential

http://www.childrens.com/schools

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


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?


Step 4: Intake Form

Visit www.childrens.com/schoolnurses and complete Intake form in its entirety:

1. Childrens.com/schoolnurses:

2. Intake Form:

Proprietary and ConfidentialProprietary and Confidential 10

Click here

All *starred fields

required; BP is

recommended

http://www.childrens.com/schoolnurses

Step 4: Intake Form, cont'd.


Step 4: Intake Form, cont’d


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:


Step 4: Intake, POCT

1. Intake form (embedded): 2. Provider-ordered (separate url):


*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.


• 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:


https://www.childrens.com/wps/wcm/connect/childrenspublic/368f43a4-b959-4374-8390-76014bc568f5/EPIC+(AVS)+Account+Set+Up_5_2_19.pdf?MOD=AJPERES&CVID=mFVAHY5

Point of Care Testing - Training & Check-off


POCT Training Videos

QuickVue Strep A Test Video Osom Ultra Flu A&B Test


Perform hands-on training

https://www.quidel.com/sites/default/files/support/MP4/QuickVue_Inline_Strep_A.mp4

https://www.sekisuidiagnostics.com/training-lesson/osom-ultra-flu-ab-test/

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:


Conducting a Telehealth Consult


Dallas, Texas

Step 5: Conduct Telehealth Consult

Cart


Dallas, Texas


Remote


Dallas, Texas 24Privileged and Confidential


Horus Scope

Press the AUX

button, so the

provider can

see what you

see!

Dallas, Texas


Stethoscope


Dallas, Texas



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



Tips & Reminders


• Demo and Role play or "Mock" visit


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


Contact Us


Karen Kaighan RN, MSN, MPH

Director- School Health Programs

[email protected] 214.801.8312

Danielle Beal, MS

Operations Manager, School Health

Programs


Sandra Vazquez

Health Educator


Natasha McGill, LVN

Virtual Health Consultant


Alli Carroll, RN-BC

Virtual Health Consultant


Questions?


THANK YOU!


Traditional Telehealth Training - Cart Virtual 2020

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Transcript of Traditional Telehealth Training - Cart Virtual 2020