[Sally Mauck]

Evaluation of Angie Poole – Developmental Evaluation

Angie, you did a great job establishing rapport and showing empathy. You made sure to confirm consent and establish your role. You summarized the visit well and ensured I was able to follow up via telephone. Great work!

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

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

[Sally Mauck]

Telehealth Model:
– Combination Approach: I would select a combination of videoconferencing and Remote Patient Monitoring (RPM).
– Why: Videoconferencing enables real-time, face-to-face interaction crucial for discussing nutrition, meal plans, and emotional well-being with eating disorder patients and their families. RPM provides objective data (orthostatic blood pressures, weight checks) vital for monitoring physical stability and treatment progress in this vulnerable population.

Type of Equipment:
– Videoconferencing: HIPAA-compliant telehealth platform (e.g., secure video conferencing software).
– RPM: Bluetooth-enabled scales and blood pressure cuffs that integrate with the telehealth platform for automated data transmission.

Population: Pediatric patients in primary care.
Healthcare Issue: Eating disorders, focusing on early intervention, ongoing monitoring, and support.

My Role in the Program as a PNP-PC:
– Conducting initial assessments and ongoing videoconference visits.
– Interpreting RPM data and adjusting care plans.
– Providing nutrition guidance and meal plan support.
– Coordinating care with other specialists.
– Educating patients and families.

Program evaluation:
– Patient and family satisfaction with telehealth services.
– Clinical outcomes (e.g., weight stabilization, reduction in disordered eating behaviors, improvement in orthostatic vital signs).
– Adherence to RPM protocols and engagement with videoconferencing.
– Efficiency of inter-professional collaboration.
– Cost-effectiveness and accessibility for families.

Legal Considerations:
– Strict adherence to HIPAA regulations for patient privacy and data security.
– Addressing state geography boundaries for licensure and practice.
– Ensuring comprehensive consents are obtained for all telehealth services.

Other Professions:
– Nutrition Services: Registered Dietitians specializing in eating disorders.
– Mental Health Services: Therapists, psychologists, or psychiatrists specializing in pediatric eating disorders.
– IT Services: For technology management, troubleshooting, and platform security.
– Pediatrician: For initial referrals and ongoing collaborative care.

Protocols:
– Referral and triage criteria for identifying appropriate patients for the program.
– Initial Consult Workflow – a step-by-step process for initiating telehealth services after primary in person consultation.
– HIPAA-compliant device use
– Managing emergencies remotely/escalation pathways
– Standard Documentation via Electronic Medical Record (EMR).
– Individualized care plan development

Patient Consent:
– In-person Consent: The patient / guardian would sign a comprehensive consent form during an initial in-person consult, covering both RPM and videoconferencing services. This ensures full understanding and opportunity for questions before commencing telehealth care.

[Author]

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