Abstract T P271: Telestroke Alaska - Evidence Based Care Across the Great Frontier
A primary objective in healthcare reform involves the delivery of evidence-based care and improved access to appropriate services for communities throughout the country. Over the past several years, telemedicine has become a sustainable model for delivery of healthcare services to support the care in geographically underserved areas. The use of telemedicine to deliver evidence-based care to patients with an acute focal neurologic deficit has resulted in consistent outcomes when evaluated through formal research projects. Barriers exist to the development of a robust telemedicine network including provider engagement, cost, reimbursement, education, and community collaboration. A formal and well-coordinated program utilizing appropriate strategic planning and carefully designed tactics can result in successful implementation as well as improved outcomes and access to care for rural communities. This presentation will use Alaska’s story to illustrate the development of a robust telemedicine network from its inception through deployment and concurrent process and performance improvement. Highlights of the presentation include the unique perspectives inherent to Alaska, including transportation [dog sleds are an option!], the weather and geography that Alaska is known for as well as the common challenges that are experienced in every new program as it is developed in healthcare systems across the country. Through a journey of experiences encountered in Alaska, this presentation will highlight a progressive understanding of the technology required to meet the needs of communities served, evaluation strategies, community benefit, and alignment with the vision of healthcare reform and delivery, the relationship to performance metrics, community advocacy and healthcare cost containment as well as strategies to mitigate risk and barriers in the implementation of similar programs.
Author Disclosures: C.E. Artuso: Speakers' Bureau; Modest; Genentech, Inc..
- © 2014 by American Heart Association, Inc.