Lisa M Glass1,2, Akbar K Waljee3,4,5, Heather McCurdy3, Grace L Su3,6, Anne Sales4,7. 1. VA Ann Arbor Healthcare System, Internal Medicine, Gastroenterology 111D, 2215 Fuller Road, Ann Arbor, MI, 48105, USA. lisaglas@med.umich.edu. 2. Department of Internal Medicine, Division of Gastroenterology and Hepatology, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA. lisaglas@med.umich.edu. 3. VA Ann Arbor Healthcare System, Internal Medicine, Gastroenterology 111D, 2215 Fuller Road, Ann Arbor, MI, 48105, USA. 4. VA Center for Clinical Management Research, VA Ann Arbor Health Care System, Ann Arbor, MI, USA. 5. Department of Statistics, University of Michigan, Ann Arbor, MI, USA. 6. Department of Internal Medicine, Division of Gastroenterology and Hepatology, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA. 7. Department of Learning Health Sciences, Medical School, University of Michigan, Ann Arbor, MI, USA.
Abstract
BACKGROUND AND AIMS: To improve subspecialty access, VA Ann Arbor Healthcare System (VAAAHS) implemented the first Specialty Care Access Network (SCAN)-Extension of Community Healthcare Outcomes (ECHO) in chronic liver disease. SCAN-ECHO Liver links primary care providers (PCPs) to hepatologists via secure video-teleconferencing. We aim to describe characteristics of participants (PCPs) and patients (clinical question and diagnosis) in SCAN-ECHO Liver. METHODS: This is a prospective study of the VAAAHS SCAN-ECHO Liver (June 10, 2011-March 31, 2015). This evaluation was carried out as a non-research activity under the guidance furnished by VHA Handbook 1058.05. It was approved through the Medicine Service at VAAAHS as noted in the attestation document which serves as documentation of approved non-research, quality improvement activities in VHA. RESULTS: In total, 106 PCPs from 23 sites participated. A total of 155 SCAN-ECHO sessions discussed 519 new and 49 return patients. 29.4% of Liver Clinic requests were completed in SCAN-ECHO Liver. SCAN-ECHO Liver consults were completed an average of 10 days sooner than in conventional clinic. Potential travel saving was 250 miles round-trip (median 255 (IQR 142-316) per patient. CONCLUSION: SCAN-ECHO Liver provided specialty care with increased efficiency and convenience for chronic liver disease patients. One of three of Liver Clinic consults was diverted to SCAN-ECHO Liver, reducing consult completion time by 20%.
BACKGROUND AND AIMS: To improve subspecialty access, VA Ann Arbor Healthcare System (VAAAHS) implemented the first Specialty Care Access Network (SCAN)-Extension of Community Healthcare Outcomes (ECHO) in chronic liver disease. SCAN-ECHO Liver links primary care providers (PCPs) to hepatologists via secure video-teleconferencing. We aim to describe characteristics of participants (PCPs) and patients (clinical question and diagnosis) in SCAN-ECHO Liver. METHODS: This is a prospective study of the VAAAHS SCAN-ECHO Liver (June 10, 2011-March 31, 2015). This evaluation was carried out as a non-research activity under the guidance furnished by VHA Handbook 1058.05. It was approved through the Medicine Service at VAAAHS as noted in the attestation document which serves as documentation of approved non-research, quality improvement activities in VHA. RESULTS: In total, 106 PCPs from 23 sites participated. A total of 155 SCAN-ECHO sessions discussed 519 new and 49 return patients. 29.4% of Liver Clinic requests were completed in SCAN-ECHO Liver. SCAN-ECHO Liver consults were completed an average of 10 days sooner than in conventional clinic. Potential travel saving was 250 miles round-trip (median 255 (IQR 142-316) per patient. CONCLUSION: SCAN-ECHO Liver provided specialty care with increased efficiency and convenience for chronic liver diseasepatients. One of three of Liver Clinic consults was diverted to SCAN-ECHO Liver, reducing consult completion time by 20%.
Entities:
Keywords:
Chronic liver disease; Specialty care access; Telemedicine
Authors: Nakela L Cook; LeRoi S Hicks; A James O'Malley; Thomas Keegan; Edward Guadagnoli; Bruce E Landon Journal: Health Aff (Millwood) Date: 2007 Sep-Oct Impact factor: 6.301
Authors: Lauren A Beste; Thomas J Glorioso; P Michael Ho; David H Au; Susan R Kirsh; Jeffrey Todd-Stenberg; Michael F Chang; Jason A Dominitz; Anna E Barón; David Ross Journal: Am J Med Date: 2016-12-18 Impact factor: 4.965
Authors: Joseph W Frank; Evan P Carey; Katherine M Fagan; David C Aron; Jeff Todd-Stenberg; Brent A Moore; Robert D Kerns; David H Au; P Michael Ho; Susan R Kirsh Journal: Pain Med Date: 2015-02-26 Impact factor: 3.750
Authors: Z M Younossi; F Kanwal; S Saab; K A Brown; H B El-Serag; W R Kim; A Ahmed; M Kugelmas; S C Gordon Journal: Aliment Pharmacol Ther Date: 2014-01-26 Impact factor: 8.171
Authors: Ray S Davis; Don A Bukstein; Allan T Luskin; Josh A Kailin; Gail Goodenow Journal: Ann Allergy Asthma Immunol Date: 2004-09 Impact factor: 6.347
Authors: Ansar Hassan; Neil J Pearce; Jim Mathers; Paul J Veugelers; Gregory M Hirsch; Jafna L Cox Journal: Can J Cardiol Date: 2009-04 Impact factor: 5.223
Authors: Reena J Salgia; Patricia B Mullan; Heather McCurdy; Anne Sales; Richard H Moseley; Grace L Su Journal: Telemed J E Health Date: 2014-09-16 Impact factor: 3.536
Authors: Yolanda Rodriguez Villalvazo; Jennifer S McDanel; Lauren A Beste; Antonio J Sanchez; Mary Vaughan-Sarrazin; David A Katz Journal: Health Serv Res Date: 2019-11-25 Impact factor: 3.402
Authors: Brian R Wood; Karin Bauer; Richard Lechtenberg; Susan E Buskin; Lea Bush; Jeff Capizzi; Beth Crutsinger-Perry; Steven J Erly; Timothy W Menza; Jennifer R Reuer; Matthew R Golden; James P Hughes Journal: J Acquir Immune Defic Syndr Date: 2022-08-15 Impact factor: 3.771
Authors: Ryan K McBain; Jessica L Sousa; Adam J Rose; Sangita M Baxi; Laura J Faherty; Caroline Taplin; Andre Chappel; Shira H Fischer Journal: J Gen Intern Med Date: 2019-09-04 Impact factor: 5.128
Authors: Sriram Yennurajalingam; Charles E Amos; John Weru; Edwina Beryl V N D Addo Opare-Lokko; Joseph Anthony Arthur; Kristy Nguyen; Olaitan Soyannwo; Runcie C W Chidebe; Janet L Williams; Zhanni Lu; Ellen Baker; Sanjeev Arora; Eduardo Bruera; Suresh Reddy Journal: J Glob Oncol Date: 2019-07