SPS 2016 Program - Page 29

3. Outcomes for Synchronous, Clinical Video Telehealth (CVT) for Chronic Wound Care Scott Bolhack, MD, Patricia Arocho, RN, BSN, Robin McCollester, MEd, MSN, RN-BC, Cynthia Bakko, RN, BSN, Florence Gores, RN, MPS Southern Arizona VA Health Care System Background: The care of chronic wounds is costly to our medical care system. The Southern Arizona Veterans Administration Health Care System (SAVAHCS) was awarded a grant to develop a telewound program for the veterans in VISN 18. After six months of dedicated development, the program went live in November, 2015. Methods: Patients were referred into the telewound program from the outlying Community Based Outpatient Clinic (CBOCs) to our Telewound Nurse Coordinator who then scheduled patients. Patients were examined with a Wound Certified Physician and Wound Trained Registered Nurse from the base facility in Tucson; each CBOC had a dedicated, trained nurse who presented the patient, characterized the wound (measurements, odor, pain, drainage, bandages, etc.), and performed other aspects of the wound care as directed by a certified physician. We collected data from the initiation of the program through the end of March on conditions seen, patients treated, cured, and referred to other specialists. Results: Through the end of March 2016, a total of 43 new patients were seen by the team(s), for a total of 152 visits. The total healing rate of patients is 35% from initiation of the program. We have made 11 referrals to specialists during this time period for definitive diagnosis and/or procedures (dermatology: one skin cancer; one pyoderma gangrenosum; podiatry: diabetic ulcerations that required urgent debridement; plastic surgery: eschar formed in area of prior graft; general surgery: removal of eschar in wound; lymphedema: decompression therapy; burn center: evaluation of potential contractures). The most common condition is venous insufficiency with ulcerations. Conclusions: This e …Ι±δΝΡ…ΙЁѼ½ΥȁQ•±•έ½ΥΉAΙ½Ι…΄…Π)Ρ‘”MY! 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