Yikes! A High Level Specialty
Appointment at School?!?
Integrating Children’s Specialty Services Into Your
School Based Health Clinic
Jill Davis, MPH
November 5, 2015
Georgia Partnership for Telehealth School
Based Health Clinic Conference

Presentation Objectives
• Understand the specialty services provided by Children’s
• Understand how to collaborate with Children’s
• Understand how to use telemedicine to treat complex pediatric conditions
Children’s Healthcare of Atlanta
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Quiz
1. How many hospital campuses does Children’s have? a. 1 b. 2 c. 3
Egleston
Scottish Rite Hughes Spalding
2. What year anniversary does Children’s celebrate this year? a. 75 b. 100 c. 150
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Program Growth
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Specialty Care: Specialists
• Aerodigestive
• Amy Painter, PNP
• Autism
• Felissa Goldstein, MD
• Christine Hall, PhD
• 5 additional staff for coaching and training
• Child Protection
• Steven Messner, MD
• Jordan Greenbaum, MD
• Tamika Bryant, MD
• ENT
• Steven Goudy, MD
• Amy Stevens, NP
• GI/IBD
• Bess Schoen, MD
• Hepatology
• Nitika Gupta, MD
• Rene Romero, MD
• Interventional Radiology
• Matt Hawkins, MD
• Nephrology
• Larry Greenbaum, MD
• Pulmonology/Allergy
• April Fortenberry, NP
• Jennifer Shih, MD
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Specialty Care: Locations
• County School Systems that present to Children’s
• Appling
• Berrien
• Bleckley
• Coffee
• Colquitt
• Decatur
• Dodge
• Irwin
• Tattnall
• Turner
• Ware
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Estimated Savings for our Telemedicine Patients
2014
Statistics…Per visit:
Miles Saved
Cost of miles saved
Hours Saved Traveling
School days
*Children greater than 5 y/o and less than 19 y/o
Median
(Round Trip)
362
$199
Range
(Round Trip)
72 - 504
$39 - $277
6 2 - 9
67% of our patients would have missed school to travel to Atlanta
Work Days Missed
*One adult present & greater than 4 hour drive
72% of our parents would have missed a full day of work to travel to Atlanta
• Patients served live in 78 of Georgia’s 159 counties
• 49% of all counties
• 90% outside of the Metropolitan Statistical Area (MSA)
• 78% of our patients are covered by Medicaid /CMO’s
• Overall cost of miles saved: $161,686 (293,786 x 0.55/mile )
*Based on data for all Children’s Telemedicine patients in 2014; distance from presenting site to Children’s provider location. Children’s Healthcare of Atlanta
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Learning Opportunities
• Long Distance Learning
• Telemedicine Monthly Long Distance Learning Series
• http://www.choa.org/telemedicine
• Child Protection Distance Learning Opportunities
• http://www.choa.org/Childrens-Hospital-Services/Child-Protection-
Center/Prevention-and-Training
• School Nurse Resources
• Gail Smith, RN, School Nurse Coordinator
• http://www.choa.org/Health-Professionals/Nursing-Program/Nurse-Resources/School-
Nurses
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Children’s Telemedicine Web Page http://www.choa.org/telemedicine
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What Needs to Happen First?
A
L
G R
E G
E E
A L
M E N T
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Second: Onboarding
• Meet the team
• Training
• Refresh upon request
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What Clinic Looks Like: Preparation
• Scheduling through GPT
• Need to know which location to dial
• If location changes, please call our scheduler
• Dial 404/785-KIDS and ask for Telemedicine
• Print all forms required by the provider being seen
• What paperwork?
• Why all that paperwork?
• Take vitals using Children’s Clinic Form
• Fax vitals and other paperwork to Children’s
• 404/785-5855
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What Clinic Looks Like: The Visit
• Children’s provider dials into your site
• Provider talks to patient and family
• Provider tells presenter what they want to do next
• Need to use otoscope and stethoscope for most visits
• (practice, practice, practice)
• Most do not ask for palpation or anything specialized
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What Clinic Looks Like: Post-Visit
• Ask patient and family to wait for After Visit Summary and any other paperwork
• Have patient complete the Satisfaction Survey while they wait
• Fax survey back to Children’s (404/785-5855)
• Call 404/785-KIDS to schedule follow up
• Appointment cards available upon request
• Children’s will fax paperwork back
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Notes For Dr. Goldstein Patients
• Ryan Haight Act
• New patients must be seen in person
• All patients never seen in person must be seen in person
• Contact on day of clinic:
• Cheryl Williams, 404/785-9483
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Tips for Success
1. C O M M U N I C A T I O N
2. P R A C T I C E
3. P A P E R W O R K
4. B E B R A V E !
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Contacts
• Please don’t hesitate to contact us if you have any questions
– Alex Schrock, Business Operations Coordinator
• 404/785-0993
• william.schrock@choa.org
– Sandra Huff, Scheduler
• 404/785-1111
• sandra.huff@choa.org
– Jill Davis, Telemedicine Program Manager
• 404/785-9333
• jill.davis@choa.org
– Fax number for all documents
• 404/785-5855
– Scheduling
• 404/785-KIDS or 800/785-CHOA
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