Utilization of Tele-Emergency Care: Impact on Acute Care Services and Patient Mortality Based on Modality and Provider Type
Clinical Scorecard: Utilization of Tele-Emergency Care: Impact on Acute Care Services and Patient Mortality Based on Modality and Provider Type
At a Glance
Category Detail
Condition Emergency Department Crowding Key Mechanisms Tele-emergency care (TEC) provides real-time virtual evaluations by emergency clinicians, potentially reducing unnecessary ED visits. Target Population Veterans utilizing the VA nurse advice line for urgent evaluation. Care Setting Home setting via virtual encounters.
Key Highlights
TEC can reduce unnecessary ED use while maintaining safe, effective care. Implementation features like visit modality and clinician type impact outcomes. Study assessed calls to the VA nurse advice line from January 2018 to April 2024. Guideline-Based Recommendations
Diagnosis
Utilize standardized triage algorithms for initial assessment. Management
Offer TEC as an alternative to in-person ED referral for eligible patients. Monitoring & Follow-up
Evaluate patient outcomes based on TEC modality and clinician type. Risks
Consider potential disparities in access and outcomes based on implementation features. Patient & Prescribing Data
Veterans across 18 regional networks and 130 facilities.
TEC implementation may vary by site, affecting patient access and care delivery.
Clinical Best Practices
Embed real-time virtual evaluations in triage processes. Monitor and adjust TEC workflows based on facility-specific needs. References
