Research presentation describing the following process: How an interprofessional team can work together to make connections with a patient through telemedicine. The essential interprofessional and telemedicine skills needed to make connections and a positive environment for the patient. What worked well and did not work well to achieve this goal.https://dune.une.edu/cecespring2021/1000/thumbnail.jp

Cote, Talia

Gauvin, Michael

Hsieh, Julie

Jordan, Lyric

English

University of New England

Printing:This poster is 48” wide by 36” high. It’s designed to be printed on a large-format printer.Customizing the Content:The placeholders in this poster are formatted for you. Type in the placeholders to add text, or click an icon to add a table, chart, SmartArt graphic, picture or multimedia file.To add or remove bullet points from text, click the Bullets button on the Home tab.If you need more placeholders for titles, content or body text, make a copy of what you need and drag it into place. PowerPoint’s Smart Guides will help you align it with everything else.Want to use your own pictures instead of ours? No problem! Just click a picture, press the Delete key, then click the icon to add your picture.Establishing connections during the age of telemedicineProject Aim: Methods & Data• The majority of team 2 found that it was harder to establish a connection with the patient in a Telehealth visit. • The top three most used methods to establish a connection with the patient were positive reinforcement and words of encouragement, humor, and involving other team members in the conversation with the patient • The majority of team 2 found that the most effective method used to establish a connection with the patient was to discussing their personal interests/hobbies.ResultsDiscussionThank you to the University of New England for the opportunity to partake in the Interprofessional Team Immersion experience. We would also like to thank the members of Team SPPACE and our mentors Dr. Albert Abana and Dr. Elizabeth Crampsey.  AcknowledgementsPotential for Future Studies & Takeaways: With the rise in Telehealth visits due to a multitude of factors, such as, increased access to healthcare in rural areas, decreased risk of exposure to illnesses, limited capacity in hospitals due to COVID-19, etc., future studies on factors that contribute to effective, comprehensive, and client-centered healthcare on interdisciplinary teams in a Telehealth are needed. Additionally, a larger sample size would support findings in future studies. Humor, shared interests, a strengths-based approach, and interdisciplinary collaboration had the highest impact on positive rapport building during Team SPPACE’s simulated Telehealth experience.  Lyric Jordan - CDM | Michael Gauvin - PharmD | Talia Cote- PA-S1 | Julie Hsieh - OTConclusionIntroductionThe aim of this project is to determine what methods were utilized by Interprofessional Team Immersion group 2  to establish connections between the provider and the patient during their Telehealth visits, and which method was most effective.Overall, the group determined that telemedicine made it harder to connect with the patient. Making connections with patients requires both comfort and engagement from the provider and the patient. The SPPACE team faced the challenge of having a patient who did not want to actively engage. The patient was closed off and initially only responded with yes or no responses. The team continued to ask questions and provide a safe environment for the patient. Telemedicine hinders the ability to read body language. This can be an important element when connecting with the patient. All the patient can see is your face and hear your voice, which plays a role in prolonging the connecting process. The team initially felt that there was minimal connection made during the first two sessions. However, at the very end of the second session the patient thanked us for spending time with them. This gave the team insight that the patient, although not appearing engaged, really appreciated the time we gave them and the questions we asked. The last two session were more focused on aiding the patient to feel comfortable and learn about their goals. The key to establishing a connection was talking about their interests and hobbies, showing them we cared about who they are, not just the medical history. Once this connection was established the patient was more willing to engage in our medical questioning and showed increased interest in their own health. In Spring 2021, members of IPTI Team 2 (SPPACE) partook in a series of Telehealth sessions involving two actors. These session consisted of two 20 minute back to back sessions one day, followed by two 20 minute sessions back to back several weeks later. All sessions were with the same actor(s). After the final Telehealth session team 2 members completed a three question poll to assess their personal IPTI experience. The following data was collected through the survey:Figure 2:  Student providers were asked to select all of the methods they used to establish a relationship with the patient.Telehealth is an emerging service that is being utilized more than ever in medical care. A study found a 154% increase in Telehealth visits in week 13 of 2020 compared to the same week in 2019.1 The increase in Telehealth is directly related to pandemic. Overall, an estimated 41-42% of US adults reported having delayed or avoided seeking care during the pandemic because of concerns about COVID-19, including 12% who reported having seeking urgent or emergency care.2,3 Telehealth offers a unique opportunity to receive medical care without having leave your home.Telehealth is a great way to increase patient access to care, but it does not come without risks. First, not everyone has access to or is familiar with devices capable of virtual communication. This might lead to a disparity among the care received by people of lower socioeconomic status and the elderly/aging population. Second, not being in person decreases the ability to perform physical exams and diagnostic tests. There is not enough research available to see if outcomes are equivalent between in person care and Telehealth. This experience allowed an inside look of what advantages and disadvantages Telehealth has to offer. Through patient interaction, we were able to find what works and what does not work in a virtual environment. Lastly, this experience allowed us to understand each of our clinical roles and how we can work together to provide the best patient care possible.Figure 1: Student providers reported whether they felt it was harder/easier to establish a connection with patient via a Telehealth visit.Figure 3: Student providers reported which method they felt was the most effective in establishing connection with patient. positive words & encouragementpositive body language/ eye contactasking about patient’s daytalking about their personal intereststalking about your own interestslearning about their medical conditionshumorprofessionalismmotivational interviewingincluding other members of team in convohaving members of their support team presentotherReferences1. Koonin LM, Hoots B, Tsang CA, et al. Trends in the Use of Telehealth During the Emergence of the COVID-19 Pandemic — United States, January–March 2020. MMWR Morb Mortal Wkly Rep 2020;69:1595–1599.2. Hartnett KP, Kite-Powell A, DeVies J, et al.; National Syndromic Surveillance Program Community of Practice. Impact of the COVID-19 pandemic on emergency department visits—United States, January 1, 2019–May 30, 2020. MMWR Morb Mortal Wkly Rep 2020;69:699–704.3. Czeisler MÉ, Marynak K, Clarke KEN, et al. Delay or avoidance of medical care because of COVID-19–related concerns—United States, June 2020. MMWR Morb Mortal Wkly Rep 2020;69:1250–7.

Establishing Connections During The Age Of Telemedicine

https://dune.une.edu/cgi/viewcontent.cgi?filename=1&article=1000&context=cecespring2021&type=additional

Establishing Connections During The Age Of Telemedicine

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University of New England