Table 2.
Responses by RDs who are currently using telemedicine to provide MNT to patients with IMDs (n = 96).
| Question | Responses | Frequency (%) |
|---|---|---|
| Where are your patients during telemedicine sessions? (Check all that apply) | At their home | 93 (96.9%) |
| At a partnering clinic | 8 (8.3%) | |
| At their school | 1 (1.0%) | |
| At a health department clinic | 6 (6.2%) | |
| In a hospital | 6 (6.2%) | |
| Other | 9 (9.4%) | |
| What type of patients with IMDs do you see via telemedicine? (check all that apply) | Patients with positive results on newborn screening | 44 (45.8%) |
| Newly diagnosed patients other than newborn screening | 38 (40.6%) | |
| Hospitalized patients seeking nutrition counseling | 11 (11.4%) | |
| Follow-up patients | 95 (99.0%) | |
| Research participants | 10 (10.4%) | |
| Other | 5 (5.2%) | |
| Are there patients that cannot be seen via telemedicine? (1 missing response) | Yes | 65 (68.4%) |
| No | 30 (31.6%) | |
| What type of patients cannot be seen via telemedicine? (check all that apply) (66 respondents) | Newly diagnosed patients | 30 (45.5%) |
| Hospitalized patients | 22 (33.3%) | |
| Patients out of state | 15 (22.7%) | |
| Other | 36 (54.5%) | |
| Do you bill for telemedicine services? | Yes | 48 (50.0%) |
| No | 34 (35.4%) | |
| I don't know | 14 (14.6%) | |
| What is your reimbursement rate? | N/A | 48 |
| I don't know | 42 (87.5%) | |
| <50% | 2 (4.2%) | |
| 50% or more | 4 (8.3%) | |
| Do you see patients via telemedicine independently or under the supervision of another provider? (1 missing response) | Independently | 38 (40.0%) |
| Under supervision of another provider | 57 (60.0%) | |
| Do you bill independently or under supervising provider (such as an MD or NP)? | N/A | 37 |
| Not billing, covered by grant or contract | 12 (20.3%) | |
| Billing independently | 6 (10.2%) | |
| Billing under supervising provider | 36 (61.0%) | |
| I don't know | 5 (8.5%) | |
| Where do telemedicine patients have blood draws? (Check all that apply) | Originating site lab | 45 (46.9%) |
| Local lab | 84 (87.5%) | |
| Primary care provider office | 36 (37.5%) | |
| Other | 35 (36.5%) | |
| Are you satisfied with the use of telemedicine for patients with inherited metabolic disorders? | Yes, very satisfied | 36 (37.5%) |
| Yes, somewhat satisfied | 57 (59.4%) | |
| No, not satisfied | 3 (3.1%) |