[Jennifer Erickson]

1. Identifies reason for the visit 1
2. Confirms that patient agrees with the reason for the visit and accepts that it is delivered by telehealth 1
3. Obtains history of symptoms 1
4. Obtains approaches/treatments patient has taken to address the issue 1
5. Obtains allergy history 1
6. Conducts an appropriate physical exam using equipment at home, and/or other individuals to assist or provides education using learning styles 1
7. Discusses findings 1
8. Develop plan (follow-up, referral, medication, etc.) 1
9. Determines patient’s understanding of plan/education 1
10. Determines how patient will get information on the visit (email, portal, secure text, etc.) 1
Total (1 point each) /10

[Jennifer Erickson]

My partner was Martina Taylor Campbell and my patient role was stroke. Martina’s role was as provider. She did an excellent job.
1. Orientation 5
2. Verbal Clarity 5
3. Active Listening 5
4. Patient-Focused 5
5. Tone of Voice 5
6. Eye Contact 5
7. Other Body Language 5
8. Empathy 5
9. Rapport 5
10. Respect 5
11. Therapeutic Alliance 5
12. Environment 5

[Jennifer Erickson]

• Telehealth Model: The chosen Telehealth Mode would be a combination of Videoconferencing and mHealth. The video conferencing would be an interactive visit which allows for stronger CNS assessment and communication with the patient. The Mhealth would allow for intermittent follow up of data or for the patient to send photos if there were concerns.
• The equipment that would be used would be tablets/smart phones, and/or computers.
• The healthcare issue that would be addressed would be wounds and wound care. Patients with acute or chronic wounds have more difficulty moving around and attending office visits.
• My role as the CNS will be designing the program, identifying the measurable outcomes, implementing the evidence-based wound care treatments, consulting on difficult to manage wounds and advanced wound care needs. I would also evaluate the outcomes and infection control data trends.
• The program evaluation would be length of service (time until wound healed), cost of treatment, patient satisfaction, and infection rates
• Legal considerations: Consent, HIPPA, BAA
• Other professions: Vascular, Primary Care physicians, Nutritionist, Infectious Disease, Plastics
• Protocols you would develop: Urgent care protocol, Emergency protocol, Server error/downtime protocols.
• Consent: Massachusetts has not specific consent requirements. I would have the patient consent in a manner that is not convoluted and delay care. I would then confirm with Quality to ensure the consent form/manner is appropriate.

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