Table 4.
Novel uses of telemedicinea.
Technology-assisted adaptations | Provider-led adaptations |
---|---|
Utilization of shared blood pressure logs | Review of medications with prescription bottles in hand |
Use of video chat box to clarify feeding prescription information | Multidisciplinary visit |
Multidisciplinaryb conference prior to patient visit | Demonstration of hygiene care for lines |
Review of exit site photos inpatient-provider portal in real-time | Growth pattern reviews with use of clothing/shoe sizes |
Provider review of growth curves and labs in real-time via “shared-screen” function | Provider to patient instruction on simple neurologic exam |
HEADSS assessment | |
Guided cast removal |
aTechnology-assisted adaptations refer to those items performed in clinical visits that were only able to be performed via a combination of telemedicine platform and EMR use. Provider-led adaptations describe provider-led exam or HPI components completed in part due to technology use and in part due to patient’s home environment.
bMultidisciplinary visits refer to visits that comprise more than one provider type. For example, this may include the specialty nutritionist, nurse practitioner, or physician among provider types.