Abstract
The Diabetes Telemedicine Clinic at the Cleveland VHA facility provides real-time specialty consultation and continuing education for patients with diabetes mellitus and their healthcare providers in community clinics known as community-based outpatient clinics (CBOCs). Specifically, a patient at a CBOC is able to use a locally based videoconferencing system to have a virtual visit with an endocrinologist located at the Cleveland VHA’s main campus (VAMC). Figure 11.1 compares the usual face to face referral process with the new referral process, which uses a telehealth system to enable a virtual consult with a specialist. In the usual process, a decision is made by the primary care provider in the community clinic that referral for a diabetes consultation is required.
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Acknowledgement
We gratefully acknowledge the contribution of Susan R. Kirsh, MD, who has played a key role in the process of conceptualizing how specialist expertise can be integrated into primary care (Fig. 11.4).
Disclosures:This work was supported by VA HSR&D QUERI Program and VA HSR&D Grant IIR 03-254.
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Sood, A. et al. (2013). TeleVisit Keeps IT Local. In: Berkowitz, L., McCarthy, C. (eds) Innovation with Information Technologies in Healthcare. Health Informatics. Springer, London. https://doi.org/10.1007/978-1-4471-4327-7_11
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