As a CNS I would like to use my role either for Women’s Health or for Diabetic Education and counseling. These are two areas I am very passionate about. I find that Women’s Health is a very private conversation that many women can feel uncomfortable about. A telehealth visit can put them at ease as they can be able to be vulnerable and communicate about things, they may deem awkward to discuss in the clinical setting. I would use videoconferencing to have these collaborative discussions with them. Another reason to have the program set up in this manner is the continuity of care. If we need to have a consultation that includes the primary care provider, we can discuss the care with the patient as a team. I would evaluate the program by using ICE surveys are patient satisfaction surveys that allows the patient to tell us how beneficial the care was they received. I can adjust three ice survey questions to ask the patients 1. How they like the telehealth consult 2. Would they use it again? 3. Did they understand the care plan they received? I would use a Likert scale with 5 being very likely and 1 being not at all. I would conduct a random sampling of 12 -20 patients monthly over a three-month period to evaluate the program. The legal considerations I would address is the type of patient care we give via telehealth, HIPAA, and consent for the consult. The protocols develop would be around the type of diagnosis that we see via telehealth consult to give guidance to those using my program. Consent would be electronically using docusign.
