A teledermatology care management protocol for tracking completion of teledermatology recommendations

In July 2009 we implemented a 3-year store-and-forward teledermatology project to provide dermatology care to veterans living in rural and underserved areas of the US Pacific Northwest. We also developed a follow-up protocol and tracking system. Information about all completed teledermatology consul...

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Bibliographic Details
Published in:Journal of telemedicine and telecare 2012-10, Vol.18 (7), p.374-378
Main Authors: Eastman, Kristin L, Lutton, Marie C, Raugi, Gregory J, Sakamoto, Mandy R, McDowell, Jennifer A, McFarland, Lynne V, Reiber, Gayle E
Format: Article
Language:English
Subjects:
Dermatology - manpower
Dermatology - methods
Dermatology - organization & administration
Health Records, Personal
Humans
Medically Underserved Area
Northwestern United States - epidemiology
Referral and Consultation - organization & administration
Remote Consultation - methods
Rural Health Services - manpower
Rural Health Services - organization & administration
Telemedicine - manpower
Telemedicine - methods
Telemedicine - organization & administration
Treatment Outcome
United States
Veterans
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Summary:In July 2009 we implemented a 3-year store-and-forward teledermatology project to provide dermatology care to veterans living in rural and underserved areas of the US Pacific Northwest. We also developed a follow-up protocol and tracking system. Information about all completed teledermatology consultations was entered into a database, and major procedures and select medications were tracked. In the first 21 months, 8202 dermatology conditions in 5232 veterans were treated and 3370 major procedures carried out. Ninety-five percent of conditions were associated with no more than two teledermatology consultations, and no condition required more than ten consultations. In total, 1454 conditions were reviewed for clinical pathological correlation, and in 310 (21%) there was a subsequent clinical pathological correlation conference, resulting in a change in final diagnosis for 93 conditions. The follow-up was important in ensuring high quality patient care.
ISSN:1357-633X
1758-1109
DOI:10.1258/jtt.2012.120417