[Katharine schalk]

A brief discussion of the case you participated in, other professions that should be involved, and one other type of technology that could be utilized with the case.
The case I was the provider was the concussion scenario. It was a great experience to practice a professional evaluation, since majority of conversations for ATs are in person. Other healthcare providers that would be involved include, sports/team doctor, parents (depending on age), school nurse, physician assistant, school counselor, nurses. I think another technology that can be used is EMR program that we can send the evaluation forms directly to the other providers.

Evaluation of peers:
Critical Behavior:
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
Overall Rating: 5
Coaching Comments: -very attentive, -hands on evaluation portion simple, -simple verbal instructions, -made sure ok with Telehealth

Education Rubric:
1. (identify) check
2. (Confirm) check
3. (history) check
4. (approach) check
5. (conduct) check
6. (findings) check
7. (plan) check
8. (understanding) check
9. (information) check

[Katharine schalk]

1. The telehealth model I would consider using for patients as an athletic trainer is videoconferencing and store & forward. Videoconferencing would provide the most significant daily benefit to the patients. If a college athlete is on summer vacation, they can do telehealth visits for rehabilitation and not lose progress during the summer. The store & forward is also beneficial when working with a healthcare team. Working with radiologists, team physicians, mental health counselors, and specialists can be helpful. It helps ensure all individuals that are a part of the team are working together and aware of the patient’s current circumstances.
2. Other professionals: The core members of the professional team involved in telehealth include team physicians, mental health counselors, physical therapists, and medical specialists (ex: cardiologists). Additional members may include physician assistants and dietitians.
3. Role + evaluate: The athletic trainer’s role is to help coordinate care with other providers and help the athlete get the best care. For example, require a second opinion, continue/help/ organize rehabilitation and patient states on track. I would evaluate the program with a patient fill out a quick survey at the end of sessions and ask the patient at the end of every session how the session was.
4. Types of equipment + Legal: I would use an established company for telehealth system because they can handle all the legal aspects. Additionally, they can provide repair, and IT services to health solve the issue if equipment breaks. Additional legal consideration is making sure I follow state practicing act (any additional laws/regulations with telehealth), scope of practice, and any other guidelines determined by team/supervising physician. Equipment involved includes a laptop with a camera and microphone, private room/area, EMR/file storage, HIPAA compliant file sending method and/or access for other healthcare providers.
5. Issue + consent: The best opportunity to gather consent is through an in-person initial evaluation visit, having the patient sign a form stating they approve and are open to telehealth visits. Secondly, I would gather verbal consent from the patient or parent/guardian at each telehealth visit stating they are ok with this visit being telehealth. However, I would investigate state-specific regulations on obtaining consent and specific laws in each state regarding athletic trainers using telehealth visits with certain populations and applicability to insurance. The potential issues are patient compliance (attending/ logging onto telehealth visit), and equipment issues. Additionally, potentially working with the pediatric population and how laws/regulations allow them to have telehealth visits. Lastly, insurance companies approve or disapprove the use of telehealth for athletic trainers and the state. I would examine the all the laws and regulations for athletic trainers and telehealth visits with insurance and pediatric populations.
6. Protocols: The protocol I would develop with team/supervising physician would include policy and procedures, EAP, visit types approved for telehealth, consent, and storage of documentation/EHR if telehealth is not working, and who is allowed to join/be a part of the telehealth visit, all HIPAA, laws and regulations are followed.

[Author]

Posts