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Tele-admissions
Hospitalist are under pressure to process admissions as fast as possible. Delays in admitting eligible patients from the ED can increase the chances of a negative income, lead to patient frustration and lower satisfaction metrics. However, in-house hospitalists with their other duties may be stretched too thin to meet the ED’s expectation of a speedy admission, slowing the process and possibly leading to tensions among the different departments. Telehospitalists can relieve some of this burden by screening patients remotely for admission to the appropriate departments and handling the required orders and forms
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Tele-rounding
Tele-rounding, which brings the hospitalist to the patient’s bedside with scheduled virtual visits, cuts down on travel time and makes it easier for hospitalists to attend rounds, devoting mores time to actual patient care and completing required documentation. Tele-rounding is particularly attractive as a solution to variable inpatient volumes, e.g., in smaller and/or rural hospitals or metropolitan hospitals where patient surges can occur unexpectedly at any time Tele-rounding can improve both provider and patient safety, by reducing their exposure to potentially contagious individuals. The available evidence indicated that tele-rounding does not negatively impact care quality nor patient satisfaction and may reduce length of stay. Tele- rounding may allow more patients to be admitted by enabling greater throughput of patients.
Show MoreTele-discharges
The tele-discharge process is the mirror image in many ways of tele-admissions. Like delayed admissions, delayed can have a significant negative impact on the patient who may be impatient to leave the hospital and at increased health risk the longer they remain in the hospital. Meanwhile, a discharge backlog can lead to bed shortages and pressures to discharge other patients who many not have recovered fully. Hospitalists play a key role in ensuring that the discharge process proceeds smoothly and according to schedule, e.g., by preparing discharge records, prescriptions, and referral forms, and providing instructions for continuing care to relevant care providers. Delayed discharges can have may causes, but in some cases the use of telehospitalists to manage the discharge process can help to avoid them.
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Tele-cross coverage
Growing night volumes require adequate cross-coverage to respond to all the nurses’ floor calls. Telehospitalists can be a more cost-effective solution to these cross-coverage challenges than bringing on additional in-house staff. With the telehospitalists focusing on floor calls, in- house hospitalists can focus more efficiently on other duties such as admissions and rounding. The telehospitalists can take advantage of any lull in the volume of floor calls to provide extra admissions support if needed.
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