VA Telemedicine: An Analysis of Cost and Time Savings

Russo, Jack E.; McCool, Ryan R; Davies, Louise

doi:10.1089/tmj.2015.0055

Cited by 182 publications

(139 citation statements)

References 16 publications

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“…10 Furthermore, a study published in 2015 showed that in a mental health department of a veterans’ hospital in Vermont, telemedicine use minimized patient travel by 145 miles/visit, with total savings of US$63,000 or 3.5% of the total travel pay disbursement for the year. 11 Another study in rural Kansas showed that a pediatric psychology telemedicine service could save patients an average of US$138 per consult in travel expenses using the conservative metric of US$0.35/mile. 12 …”

Section: Introductionmentioning

confidence: 99%

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Pre-surgery evaluations by telephone decrease travel and cost for families of children with cerebral palsy

2017

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Introduction: Children with cerebral palsy need highly specialized care. This can be very burdensome for families, particularly in large rural states, due to the need for long-distance travel to appointments. In this study, children undergoing the selective percutaneous myofascial lengthening surgery utilized a telephone-based telemedicine evaluation to assess for surgical eligibility. The goal was to avoid a separate preoperative clinic visit weeks before the surgery. If possible, eligibility was determined by telephone, and then, the patient could be scheduled for a clinic visit and possible surgery the next day, saving the family a trip. The purposes of the study were to calculate estimated reductions in miles traveled, in travel expenses, and in carbon emissions and to determine whether the telephone assessment was accurate and effective in determining eligibility for surgery. Methods: From 2010 to 2012, 279 patients were retrospectively reviewed, and of those, 161 mailed four-page questionnaire and anteroposterior pelvis X-ray followed by a telephone conference. Geographic information system methods were used to geocode patients by location. Savings in mileage and travel costs were calculated. From 2014 to 2015, 195 patients were additionally studied to determine accuracy and effectiveness. Results: The telephone prescreening method saved 106,070 miles in transportation over 3 years, a 38% reduction with US$55,326 in savings. Each family saved an average of 658 (standard deviation = 340) miles of travel and US$343.64 (standard deviation = US$178) in travel expenses. For each increase of 10 miles in distance from the health center, the odds of a patient utilizing telephone screening increased by 10% (odds ratio: 1.101, 95% confidence interval: 1.073-1.129, p < 0.001). After the telephone prescreening, 86% were determined to be likely candidates for the procedure. For 14%, a clinic visit only was scheduled, and they were not scheduled for surgery. Conclusion: Families seeking specialized surgical care for their disabled children particularly benefited from this approach.

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Section: Introductionmentioning

confidence: 99%

“…More commonly, surgical evaluations by telemedicine utilize telephone consultation as a component of the assessment, supplemented with high-resolution imaging and/or videoconferencing. 11 …”

Section: Introductionmentioning

confidence: 99%

Pre-surgery evaluations by telephone decrease travel and cost for families of children with cerebral palsy

2017

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“…33 A recent analysis of all telemedicine visits at one Veterans Affairs (VA) hospital over an eight-year period included 5,695 clinical encounters and found that telemedicine resulted in an average travel savings of 145 miles and 142 minutes per visit. 34 These factors, along with reduced time lost from work and fewer inappropriate emergency room visits, result in reduced costs for patients leading to high levels of patient satisfaction. 35 Telemedicine benefits providers as well, as long as it is supported by state legislation and insurer policies.…”

Section: E X Pa Nd I Ng the R E Ach O F Sleep Speci A Li Sts Through mentioning

confidence: 99%

The Past Is Prologue: The Future of Sleep Medicine

Watson

Rosen

Chervin

2017

Journal of Clinical Sleep Medicine

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“…For the Veterans Affairs (VA) offices was performed a study, [35], to analyze the travel expenses during the 2005 and 2013-time frame. The study calculated the travel distance and time saved because of tele-medicine, which resulted in an average travel savings of 145 miles and 142 min per visit.…”

Section: Statistics and Impactmentioning

confidence: 99%

Survey on IoT solutions applied to Healthcare

Castro

Coral

Cabra

et al. 2017

DYNA

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The Internet of Things (IoT) is a new technological paradigm that allows any object or thing to be connected to other things, services or people through the Internet. IoT brings tools for empowering working areas such as health, logistics, industry, security, agriculture and environment. In this paper, we introduce a comprehensive survey of IoT technologies, methods, statistics and success cases applied to healthcare. In the last section its talked about the work done in this subject on the Colombian context, including successful applications and current projects.Keywords: Internet of things; e-Health; healthcare.Revisión del estado del arte de soluciones IoT en salud Resumen El internet de las cosas, también conocido como IoT por sus siglas en inglés (Internet of Things), es un nuevo paradigma tecnológico que permite la interconexión de objetos (las cosas), servicios y/o personas por medio de internet. IoT introduce nuevas herramientas que enriquecen el trabajo en diferentes sectores industriales. Este artículo presenta un estudio del trabajo desarrollado en todo el mundo en tecnologías con base en el concepto de IoT en el marco de la industria del cuidado de la salud, incluyendo métodos, estadísticas y casos de éxito. En la última sección, se discute sobre el trabajo realizado en este ámbito en el contexto colombiano, incluyendo aplicaciones exitosas y proyectos que se encuentran en desarrollo.Palabras clave: Internet de las cosas; e Health; cuidado en la salud.

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VA Telemedicine: An Analysis of Cost and Time Savings

Abstract: Telemedicine at the VA saves travel distance and time, although the reduction in travel payments remains modest at current telemedicine volumes.

Cited by 182 publications

References 16 publications

Pre-surgery evaluations by telephone decrease travel and cost for families of children with cerebral palsy

Pre-surgery evaluations by telephone decrease travel and cost for families of children with cerebral palsy

The Past Is Prologue: The Future of Sleep Medicine

Survey on IoT solutions applied to Healthcare

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