Can telehealth reduce transports and attendances to ED

Telehealth could be utilised more to avoid transfers and presentations to ED for lower acuity patients. With models such as:

- Telehealth support to smaller EDs to avoid transfers - TEMSU model https://qheps.health.qld.gov.au/temsu (eg Beaudesert to Logan)

- Telehealth into Nursing Homes for triage and advice for continuing care locally

- Telehealth into QAS vehicles for triage and transfer advice (eg prior to tranportation of Bay Islands for Cat4/5)

- GP access to specialist/ED advice via VC / email for advice prior to ED presentation (eg PAH's Dermatology advice service)

- Telehealth to Prisons prior to transportation for triage/advice (eg TEMSU model, point of care testing, local X-ray etc))

Why the contribution is important

Utilisation of technology can assist with supporting GPs, Nursing Homes, QAS, Prisons and smaller EDs to care for patients locally with expert support/advice. This would reduce low-acuity QAS transfers and ED presentations.

by karenlucas on August 13, 2019 at 09:03AM

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Comments

  • Posted by Debbie August 13, 2019 at 22:34

    The concept of using telehealth with QAS is really interesting. Is happening anywhere already? What would this look like?
  • Posted by karenlucas August 15, 2019 at 13:42

    There a research project happening in Gold Coast HHS looking at this. Also, there is some evidence out of the USA. In this paper ED visits were reduced by 6%.
    Langabeer, J. R., Champagne-Langabeer, T., Alqusairi, D., Kim, J., Jackson, A., Persse, D., & Gonzalez, M. (2017). Cost–benefit analysis of telehealth in pre-hospital care. Journal of Telemedicine and Telecare, 23(8), 747–751. https://doi.org/10.1177/1357633X16680541
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