John Schrank, MD Chief, Section of Infectious Disease

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Presentation transcript:

John Schrank, MD Chief, Section of Infectious Disease Infectious Disease and Telemedicine: Bringing Subspecialty Care to an Underserved Population John Schrank, MD Chief, Section of Infectious Disease

Outline Brief History of Infectious Disease relationship with Easley Baptist Development of Process and Implementation for ID Telemedicine at Easley Baptist Review of Raw Data since Program Initiation Future Plans

History Prior to 2010 no Board certified Infectious Disease presence at Baptist Easley 2010: Agreement between Baptist Easley and GHS ID Group to provide services: Infection Control Antibiotic Stewardship Inpatient Consultation: 8 hours/month, 2x monthly 2013-2014: Development of ID Telemedicine Program

Inpatient ID Consultations 2011-2013 Time Number Inpatient Consults July-December 2011 (Initial 6 months) 8 March-June 2012 (3 months) 10 March-June 2013 (3 months) 4

ID Telemedicine March 4 – May 4, 2014 Number of Consults: 20 Number Completed: 16 (3 cancelled, one done by phone) Average LOS prior to consult: 5.7 days Average LOS after consultation: 2.1 days

ID Telemedicine Consultation Before and After Timeframe Patients (n) LOS prior to consult LOS after consult Total LOS March-May 2012 10 5.8 2.6 8.4 March-May 2014 16 5.7 2.1 7.8

ID Telemedicine Consultation Future Possibilities Expansion to other Satellite Hospitals in the Region: Greer, Hillcrest, Oconee Expansion of access at Easley to include weekends and holidays Use of Telemedicine to facilitate close follow up of OPAT patients