Emergency Video Telemedicine Consultation for Newborn Resuscitations: The Mayo Clinic Experience

Jennifer L. Fang, Christopher A. Collura, Robert V. Johnson, Garth F. Asay, William A. Carey, Douglas P. Derleth, Tara R. Lang, Beth L. Kreofsky, Christopher E. Colby

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Objective To describe the Mayo Clinic experience with emergency video telemedicine consultations for high-risk newborn deliveries. Patients and Methods From March 26, 2013, through December 31, 2015, the Division of Neonatal Medicine offered newborn telemedicine consultations to 6 health system sites. A wireless tablet running secure video conferencing software was used by the local care teams. Descriptive data were collected on all consultations. After each telemedicine consult, a survey was sent to the neonatologist and referring provider to assess the technology, teamwork, and user satisfaction. Results During the study, neonatologists conducted 84 telemedicine consultations, and 64 surveys were completed. Prematurity was the most frequent indication for consultation (n=32), followed by respiratory distress (n=15) and need for advanced resuscitation (n=14). After the consult, nearly one-third of the infants were able to remain in the local hospital. User assessment of the technology revealed that audio and video quality were poor or unusable in 16 (25%) and 12 (18.8%) of cases, respectively. Providers failed to establish a video connection in 8 consults (9.5%). Despite technical issues, providers responded positively to multiple questions assessing teamwork (86.0% [n=37 of 43] to 100.0% [n=17 of 17] positive responses per question). In 93.3% (n=14 of 15) of surveyed cases, the local provider agreed that the telemedicine consult improved patient safety, quality of care, or both. Conclusion Telemedicine consultation for neonatal resuscitation improves patient access to neonatology expertise and prevents unnecessary transfers to a higher level of care. A highly reliable technology infrastructure that provides high-quality audio and video should be considered for any emergency telemedicine service.

Original languageEnglish (US)
Pages (from-to)1735-1743
Number of pages9
JournalMayo Clinic Proceedings
Volume91
Issue number12
DOIs
StatePublished - Dec 1 2016

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Telemedicine
Resuscitation
Emergencies
Referral and Consultation
Newborn Infant
Technology
Neonatology
Biomedical Technology Assessment
Quality of Health Care
Patient Safety
Tablets
Software
Medicine
Health

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Fang, J. L., Collura, C. A., Johnson, R. V., Asay, G. F., Carey, W. A., Derleth, D. P., ... Colby, C. E. (2016). Emergency Video Telemedicine Consultation for Newborn Resuscitations: The Mayo Clinic Experience. Mayo Clinic Proceedings, 91(12), 1735-1743. https://doi.org/10.1016/j.mayocp.2016.08.006

Emergency Video Telemedicine Consultation for Newborn Resuscitations : The Mayo Clinic Experience. / Fang, Jennifer L.; Collura, Christopher A.; Johnson, Robert V.; Asay, Garth F.; Carey, William A.; Derleth, Douglas P.; Lang, Tara R.; Kreofsky, Beth L.; Colby, Christopher E.

In: Mayo Clinic Proceedings, Vol. 91, No. 12, 01.12.2016, p. 1735-1743.

Research output: Contribution to journalArticle

Fang, JL, Collura, CA, Johnson, RV, Asay, GF, Carey, WA, Derleth, DP, Lang, TR, Kreofsky, BL & Colby, CE 2016, 'Emergency Video Telemedicine Consultation for Newborn Resuscitations: The Mayo Clinic Experience', Mayo Clinic Proceedings, vol. 91, no. 12, pp. 1735-1743. https://doi.org/10.1016/j.mayocp.2016.08.006
Fang, Jennifer L. ; Collura, Christopher A. ; Johnson, Robert V. ; Asay, Garth F. ; Carey, William A. ; Derleth, Douglas P. ; Lang, Tara R. ; Kreofsky, Beth L. ; Colby, Christopher E. / Emergency Video Telemedicine Consultation for Newborn Resuscitations : The Mayo Clinic Experience. In: Mayo Clinic Proceedings. 2016 ; Vol. 91, No. 12. pp. 1735-1743.
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abstract = "Objective To describe the Mayo Clinic experience with emergency video telemedicine consultations for high-risk newborn deliveries. Patients and Methods From March 26, 2013, through December 31, 2015, the Division of Neonatal Medicine offered newborn telemedicine consultations to 6 health system sites. A wireless tablet running secure video conferencing software was used by the local care teams. Descriptive data were collected on all consultations. After each telemedicine consult, a survey was sent to the neonatologist and referring provider to assess the technology, teamwork, and user satisfaction. Results During the study, neonatologists conducted 84 telemedicine consultations, and 64 surveys were completed. Prematurity was the most frequent indication for consultation (n=32), followed by respiratory distress (n=15) and need for advanced resuscitation (n=14). After the consult, nearly one-third of the infants were able to remain in the local hospital. User assessment of the technology revealed that audio and video quality were poor or unusable in 16 (25{\%}) and 12 (18.8{\%}) of cases, respectively. Providers failed to establish a video connection in 8 consults (9.5{\%}). Despite technical issues, providers responded positively to multiple questions assessing teamwork (86.0{\%} [n=37 of 43] to 100.0{\%} [n=17 of 17] positive responses per question). In 93.3{\%} (n=14 of 15) of surveyed cases, the local provider agreed that the telemedicine consult improved patient safety, quality of care, or both. Conclusion Telemedicine consultation for neonatal resuscitation improves patient access to neonatology expertise and prevents unnecessary transfers to a higher level of care. A highly reliable technology infrastructure that provides high-quality audio and video should be considered for any emergency telemedicine service.",
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AU - Carey, William A.

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N2 - Objective To describe the Mayo Clinic experience with emergency video telemedicine consultations for high-risk newborn deliveries. Patients and Methods From March 26, 2013, through December 31, 2015, the Division of Neonatal Medicine offered newborn telemedicine consultations to 6 health system sites. A wireless tablet running secure video conferencing software was used by the local care teams. Descriptive data were collected on all consultations. After each telemedicine consult, a survey was sent to the neonatologist and referring provider to assess the technology, teamwork, and user satisfaction. Results During the study, neonatologists conducted 84 telemedicine consultations, and 64 surveys were completed. Prematurity was the most frequent indication for consultation (n=32), followed by respiratory distress (n=15) and need for advanced resuscitation (n=14). After the consult, nearly one-third of the infants were able to remain in the local hospital. User assessment of the technology revealed that audio and video quality were poor or unusable in 16 (25%) and 12 (18.8%) of cases, respectively. Providers failed to establish a video connection in 8 consults (9.5%). Despite technical issues, providers responded positively to multiple questions assessing teamwork (86.0% [n=37 of 43] to 100.0% [n=17 of 17] positive responses per question). In 93.3% (n=14 of 15) of surveyed cases, the local provider agreed that the telemedicine consult improved patient safety, quality of care, or both. Conclusion Telemedicine consultation for neonatal resuscitation improves patient access to neonatology expertise and prevents unnecessary transfers to a higher level of care. A highly reliable technology infrastructure that provides high-quality audio and video should be considered for any emergency telemedicine service.

AB - Objective To describe the Mayo Clinic experience with emergency video telemedicine consultations for high-risk newborn deliveries. Patients and Methods From March 26, 2013, through December 31, 2015, the Division of Neonatal Medicine offered newborn telemedicine consultations to 6 health system sites. A wireless tablet running secure video conferencing software was used by the local care teams. Descriptive data were collected on all consultations. After each telemedicine consult, a survey was sent to the neonatologist and referring provider to assess the technology, teamwork, and user satisfaction. Results During the study, neonatologists conducted 84 telemedicine consultations, and 64 surveys were completed. Prematurity was the most frequent indication for consultation (n=32), followed by respiratory distress (n=15) and need for advanced resuscitation (n=14). After the consult, nearly one-third of the infants were able to remain in the local hospital. User assessment of the technology revealed that audio and video quality were poor or unusable in 16 (25%) and 12 (18.8%) of cases, respectively. Providers failed to establish a video connection in 8 consults (9.5%). Despite technical issues, providers responded positively to multiple questions assessing teamwork (86.0% [n=37 of 43] to 100.0% [n=17 of 17] positive responses per question). In 93.3% (n=14 of 15) of surveyed cases, the local provider agreed that the telemedicine consult improved patient safety, quality of care, or both. Conclusion Telemedicine consultation for neonatal resuscitation improves patient access to neonatology expertise and prevents unnecessary transfers to a higher level of care. A highly reliable technology infrastructure that provides high-quality audio and video should be considered for any emergency telemedicine service.

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