Redmond Clinic Rollout Meeting

          On August 27^th, the Prineville Clinic Manager, RN Care Coordinator, Team Care Assistant, and the Epic Site Specialist visited Mosaic Medical Redmond to introduce the Telehealth program to the clinic staff.  The team presented a general overview of Telehealth, including the benefits and potential challenges of the program, introduced the blog, went over the draft workflow, and gave a demonstration of how to use the equipment and present the kits to patients.

         In attendance were Mosaic's Redmond providers, including a nurse practitioner filling in for one absent provider, the nursing team, and medical assistants.  The providers responded with a balance of enthusiasm and uncertainty, as well as a host of questions, concerns, and suggestions. 

         One provider query was whether blood pressure values could auto populate (in EPIC) with normal limits in order to make the initial referral process quicker.  After discussing this suggestion in follow-up, the COTN team reached the consensus that auto-populated BP limits would not be appropriate for all patients.  Since each Telehealth referral is made for a specific reason, parameters vary from patient to patient.  

          Another concern raised by providers was the location of remote patient monitoring reports within EPIC.  To date, reports have been posted under the initial referral, as an ongoing referral result note.  Prior to this system, results and reports were documented as a telephone encounter under chart review, which was the request made by Redmond providers.  After switching the location of the remote patient monitoring reports for a trial period, Prineville providers preferred to access the bi-weekly reports in result notes.

          Overall, the meeting was successful, lasting for just over an hour.  Despite an initial incongruence in practitioner buy-in, three Redmond patients have thus far been referred to and enrolled in Telehealth.  These patients have successfully set up equipment in their homes using the equipment kits, and the COTN administrators are receiving regular alerts for these patients.