1. 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

2. 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

3. 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
: Development of ID Telemedicine Program

4. 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

6. 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

7. 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

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