Section 718 (Telemedicine): Virtual Health Outcomes From Regional Health Command Europe

• Published in: Military medicine Vol. 184; no. Supplement_1; pp. 48 - 56
• Main Authors: Waibel, Kirk H, Cain, Steven M, Huml-VanZile, Michelle, Kreciewski, Nicolette, Hall, Todd E, Nelson, Keely, Everitt-Johnson, Lauren, Black, Irma, Keen, Ronald S
• Format: Journal Article
• Language: English
• Published: England Oxford University Press 01.03.2019
• Subjects: Electronic Health Records - statistics & numerical data; Europe; Humans; Outcome Assessment (Health Care) - methods; Outcome Assessment (Health Care) - statistics & numerical data; Patient Satisfaction; Retrospective Studies; Surveys and Questionnaires; Telemedicine; Telemedicine - methods; Telemedicine - statistics & numerical data; Europe; specialty; military; telehealth; synchronous; virtual health
• ISSN: 0026-4075; 1930-613X
• DOI: 10.1093/milmed/usy349

Abstract Background Section 718 of the Fiscal Year 2017 (FY17) National Defense Authorization Act (NDAA) outlines many reportable telemedicine outcomes. While the Military Health System Data Repository (MDR) and the Management and Reporting Tool M2 provide some telemedicine analyses, there are many outcomes that neither the MDR nor M2 provide. Understanding patient and provider attitudes towards telehealth and specialty-specific usage may assist initial or ongoing telehealth lines of effort within Defense Health Agency Medical Treatment Facilities (DHA MTFs). Methods A retrospective descriptive analysis of synchronous virtual health (VH) encounters and results from three internally developed telehealth surveys for calendar year (CY) 2016 was conducted. Results Three thousand seven hundred and seventy-eight synchronous VH visits for 2,962 unique patients were completed by 142 providers located within 27 distinct specialty clinics. 89.8% of patients were adults and 75.9% were Active Duty. Skill type I and II medical providers conducted 1,827 new consultations, 1,187 follow-up visits, and 371 readiness exams. Overall, specialty-specific VH use ranged from less than 1% to 39.9%. Patient satisfaction was 98% while provider satisfaction ranged from 91% to 93%. Additionally, significant intangible savings were recognized. Conclusion Regional medical centers conducting synchronous VH will require both internal and external data sources to report Section 718 outcomes required by Congress. As the anticipated demand for direct provider-to-patient telehealth increases, understanding these outcomes may aid initial and ongoing efforts in other military treatment facilities conducting synchronous VH.