[Sarah Frame]

The case I, Sarah Frame, participated in was the stroke case study. I was the patient that was following up post-discharge to assess for right side weakness and difficulty with ADLs. The CNS, Jennifer Denault, assessed me, confirmed plans with PT, and scheduled a follow up.

Here is a link to the zoom video: https://youtu.be/EMsfXWDvk_I

Telehealth Etiquette Checklist
Group #: 35
Patient Case: Stroke

As you view each version of a video consultation, please critique how well the clinicians demonstrate interpersonal skills using this checklist of 12 Critical Behaviors. For each critical behavior, three to five competencies that support the behavior are listed. Indicate the rating from 1 to 5 that you think applies best about the performance of each Critical Behavior using the following response scale:
1 = very poor performance; 2 = poor performance; 3 = fair performance; 4 = good performance;
5 = very good performance.

You can also add Coaching Comments at the end that you might say to the clinician.

Critical Behavior
Competency
1. Orientation
Rating: 4
2. Verbal Clarity
Rating: 5
3. Active Listening
Rating: 4
4. Patient-Focused
Rating: 4
5. Tone of Voice
Rating: 5
6. Eye Contact
Rating: 5
7. Other Body Language
Rating: 5
8. Empathy
Rating: 4
9. Rapport
Rating: 5
10. Respect
Rating: 5
11. Therapeutic Alliance
Rating: 5
12. Environment
Rating: 4
Overall Rating
Coaching comments: 5
Jennifer did great leading the telehealth meeting as a provider. She utilized proper telehealth etiquette.

Please provide your general feedback on using the checklist here.
The checklist provided guidance for both the patient and provider regarding the structure of a Telehealth visit.

Telehealth Exam/Education Rubric
Group #: 35
Patient Case: Stroke

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

Total (1 point each) 9/9

[Sarah Frame]

Baby Steps: Caregiver Education App

In my business course, my partner and I created a business plan for an educational app for NICU parents and caregivers, called Baby Steps. At the time, I did not think of our plan as a form of telehealth, but it definitely fits under the mHealth category. The app would be available for NICUs to subscribe to so they may provide access to the caregivers. Caregivers would download the app on their phones and be able to view educational videos on many topics related to an infant’s stay in the NICU. Caregiver education in the NICU is often focused on discharge, therefore many caregivers do not feel engaged in their infant’s care because they do not understand the environment, the disease processes, and the equipment. By improving caregiver engagement, an infant’s stay will likely be reduced and have less complications.
As a neonatal CNS, my role would be to develop the content of the education and supervise the filming of content. Other professions that are present in the NICU would be invited to contribute to app content, such as lactation consultants, speech language pathologists, physical and occupational therapists, and respiratory therapists. Content would then be uploaded to the app. An agreement would need to be developed with a vendor that develops and maintains apps. Users would also be required to complete a user agreement before viewing content. Users will also be asked to complete surveys prior to, throughout, and following their time using the app. The results would be used to evaluate the app and suggest changes to the interface or content.

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