Case Studies

TeleCare Partners Group in Action

Skilled Nursing Facility: Case Study 1

The medical director has completed seeing all of his/her patients at the facility and has now left for hospital rounds, about a 45-minute drive. Later that day, one of his/her patients begins to experience “an acute change in condition” that facility staff determines should be brought to the doctor’s attention. The staff calls the doctor and reviews the symptoms.

The doctor is too far from the facility to make it back in time for an onsite assessment, so instead he/she instructs that a TPG remote consultation be enacted. The nurse activates the clinical cart and the doctor is connected remotely.

By utilizing the TPG’s diagnostic cart and accompanying stethoscope and otoscope, the doctor is able to assess and identify that the patient could safely be treated in bed and not transported to the Emergency Department.

How TeleCare Partners Group supported the nurse, facility, attending physician, the family and resident:

  • The doctor provided “real time” state-of-the-art assessment without having to return to the facility
  • A Potentially Avoidable Hospitalization (PAH) was mitigated
  • No exposure to physical or emotional trauma associate with a transport
  • No exposure to other illnesses in the ED
  • No transportation costs
  • No staff time in prepping for the transportation
  • No hospital notification for a transport to the ED
    • Results could have been to release, observe or admit
    • Since the resident’s condition was “treated in bed”, all the other outcomes, which would have resulted in demerits in the hospital’s view, were alleviated
  • No “bed day loss” revenue had patient been admitted
  • No penalties due to mitigated readmission
  • Enhanced level of resident care provided in “real time”
  • Lessen stress on staff
  • Family satisfaction with resident’s care was high

Skilled Nursing Facility: Case Study 2

Two weeks previously, a resident had been discharged from a hospital and was being treated at the facility. During a visit by the resident’s family, the resident experienced an “acute change in condition.” The SNF nurse called the physician, who was offsite, and the decision was made to treat the resident in bed.

However, the family was alarmed that a trip to the ED was not being suggested.

At the physician’s direction, the nurse brought the clinical cart in the resident’s room. A video consultation was initiated whereby the physician could directly engage the family to address their concerns. Together, they reviewed the resident’s treatment plan and the family agreed with the physician’s course of treatment.

How TeleCare Partners Group supported the nurse, facility, attending physician, the family and resident:

  • The outcome of this case was due to the family’s ability to have a virtual face-to-face engagement with the physician
  • The result of the family’s acceptance would not have occurred had it been explained either by the nurse or via a simple phone call with the doctor.
  • Eye-to-eye visual contact provides a different level of interaction, emotional support and empathy
  • Resident was treated successfully in bed
  • No exposure to physical or emotional trauma associate with a transport
  • No exposure to other illnesses in the ED
  • No transportation costs
  • No staff time in prepping for the transportation
  • No hospital notification for a transport to the ED
    • Results could have been to release, observe or admit
    • Since the resident’s condition was “treated in bed”, all the other outcomes, which would have resulted in demerits in the hospital’s view, were alleviated
  • No “bed day loss” revenue had patient been admitted
  • No penalties due to mitigated readmission
  • Enhanced level of resident care provided in “real time”
  • Lessen stress on staff
  • Family satisfaction with resident’s care was high