Telehealth Collaborative
ED Clinicians ED Clinicians EMSC Grantees EMSC Grantees EMS Clinicians Policymakers Quality Improvement TraumaOverview
Emerging public health crises, such as viral illnesses, pandemics, and natural or man-made disasters, are increasing the demands faced by our already strained emergency care systems. As these situations continue to unfold, children are placed at increased risk due to: 1) decreased access to emergency and other healthcare providers as capacity and capability of communities are overwhelmed, 2) enhanced focus on the critically ill diverting resources away from non-critically ill children, and 3) redirection of resources away from efforts to optimize and build resiliency in systems for the provision of high-quality care for children.
The EMSC Innovation and Improvement Centered launched the HRSA-EMSC sponsored Telehealth Collaborative in January 2021. The primary purpose of this collaborative was to evaluate the impact of public health crises on children and youth with special health care needs (CYSHCN) and children with behavioral health emergencies, assess telehealth capacities, and provide guidance and support to improve access to emergency pediatric services particularly in rural, tribal, and territorial areas.
Telehealth Impact
Telehealth, one form of electronic health (e-health) strategies, offers an alternative approach to meeting the needs of these children. The use of this virtual technology offers the same standard of care that would otherwise be provided for a given condition during an in-person visit yet offers this care remotely. Various types of telehealth exist (teleconsultation, tele-education, telepsychiatry, telemonitoring). Each has utility in addressing healthcare needs.
- Bring expertise to low-resourced areas
- Avoid transfers
- Off-loading of patient care to less-overwhelmed EDs
- Immediate access without risking exposure, patient travel
- Licensing, credentialing and liability
- Competency criteria for telehealth practitioners
- Billing/reimbursement uncertainties
- Technical/connection issues in patient home
- Integration of visits into EHR
- Perceived cost of implementation
- Lack of knowledge about availability
- CONNECT Act: regulatory, privacy and reimbursement changes
- Telehealth licensure compacts
- Available funding